10A NCAC 09 .0304 · Violation

Name of Operation: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 20 Completed Date: 3/5/2025 Age: From 0 To 5 Total Minutes: 205 Time In: 01:20 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 Sarah Upton, Child Care Consultant and also signed by Misty Berry, administrator, during the visit. A signed copy of the visit summary was left on-site. Today, Ms. Berry, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of March 05, 2025. This faclity is owned and operated by The Hampton School, Inc. According the NC Secretary of State this is a non-profit cooperation that is currently active as of March 05, 2025. Permit type – Four Star issued on April 21, 2014 Special Services/Restrictions – meets reduced ratios, meets enhanced space, daytime care only. Last Annual Compliance visit was conducted on March 20, 2024 The last fire drill was practiced on February 25, 2025 The last emergency drill was practiced on January 31, 2025 The last fire inspection was approved on May 16, 2024 The last sanitation inspection was conducted on September 25, 2024 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. This program currently uses Creative Curriculum. Upon arrival I introduced my presence to Ms. Berry. I observed the group with three- to five-year-old children during outside free play. The group with two-to-three-year-old children were observed during free play. The group with zero-to-one-year-old children were observed during free play and snack, which consisted of goldfish crackers and apple juice. All lunches are brought in by the parents. 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 written: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator labeled storage for preschool lunches did not have a thermometer to ensure the temperature is 45 degrees or below. 15A NCAC 18A .2806(j)(2) Technical assistance: Item #601 to ensure that children’s lunches are being stored properly and being kept at a safe temperature, a thermometer must always be in the refrigerator. I would recommend having serval on-site to quickly replace those that go missing or get misplaced. 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 March 19, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action Consultation is provided as follows: As a result of tropical storm Helene and a declared natural disaster in WNC, technical assistance is provided to assist the child care provider in achieving compliance in the following areas: A staff member was hired on 10-07-24 and the TB questionnaire she provided was dated 03-13-2023 and the medical statement was dated 03-12-23 , which exceeded the 12 month period. This staff member was hired during the state of emergency status in Jackson County, which is in Western North Carolina and in one of the counties listed as a result of tropical storm Helene. As we discussed today this employee will need to complete a new TB questionnaire and medical report. Please refer to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS for full details of this requirement. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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. 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. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 20 Completed Date: 3/5/2025 Age: From 0 To 5 Total Minutes: 205 Time In: 01:20 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 Sarah Upton, Child Care Consultant and also signed by Misty Berry, administrator, during the visit. A signed copy of the visit summary was left on-site. Today, Ms. Berry, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of March 05, 2025. This faclity is owned and operated by The Hampton School, Inc. According the NC Secretary of State this is a non-profit cooperation that is currently active as of March 05, 2025. Permit type – Four Star issued on April 21, 2014 Special Services/Restrictions – meets reduced ratios, meets enhanced space, daytime care only. Last Annual Compliance visit was conducted on March 20, 2024 The last fire drill was practiced on February 25, 2025 The last emergency drill was practiced on January 31, 2025 The last fire inspection was approved on May 16, 2024 The last sanitation inspection was conducted on September 25, 2024 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. This program currently uses Creative Curriculum. Upon arrival I introduced my presence to Ms. Berry. I observed the group with three- to five-year-old children during outside free play. The group with two-to-three-year-old children were observed during free play. The group with zero-to-one-year-old children were observed during free play and snack, which consisted of goldfish crackers and apple juice. All lunches are brought in by the parents. 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 written: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator labeled storage for preschool lunches did not have a thermometer to ensure the temperature is 45 degrees or below. 15A NCAC 18A .2806(j)(2) Technical assistance: Item #601 to ensure that children’s lunches are being stored properly and being kept at a safe temperature, a thermometer must always be in the refrigerator. I would recommend having serval on-site to quickly replace those that go missing or get misplaced. 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 March 19, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action Consultation is provided as follows: As a result of tropical storm Helene and a declared natural disaster in WNC, technical assistance is provided to assist the child care provider in achieving compliance in the following areas: A staff member was hired on 10-07-24 and the TB questionnaire she provided was dated 03-13-2023 and the medical statement was dated 03-12-23 , which exceeded the 12 month period. This staff member was hired during the state of emergency status in Jackson County, which is in Western North Carolina and in one of the counties listed as a result of tropical storm Helene. As we discussed today this employee will need to complete a new TB questionnaire and medical report. Please refer to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS for full details of this requirement. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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. 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. 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: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 20 Completed Date: 3/5/2025 Age: From 0 To 5 Total Minutes: 205 Time In: 01:20 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 Sarah Upton, Child Care Consultant and also signed by Misty Berry, administrator, during the visit. A signed copy of the visit summary was left on-site. Today, Ms. Berry, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of March 05, 2025. This faclity is owned and operated by The Hampton School, Inc. According the NC Secretary of State this is a non-profit cooperation that is currently active as of March 05, 2025. Permit type – Four Star issued on April 21, 2014 Special Services/Restrictions – meets reduced ratios, meets enhanced space, daytime care only. Last Annual Compliance visit was conducted on March 20, 2024 The last fire drill was practiced on February 25, 2025 The last emergency drill was practiced on January 31, 2025 The last fire inspection was approved on May 16, 2024 The last sanitation inspection was conducted on September 25, 2024 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. This program currently uses Creative Curriculum. Upon arrival I introduced my presence to Ms. Berry. I observed the group with three- to five-year-old children during outside free play. The group with two-to-three-year-old children were observed during free play. The group with zero-to-one-year-old children were observed during free play and snack, which consisted of goldfish crackers and apple juice. All lunches are brought in by the parents. 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 written: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator labeled storage for preschool lunches did not have a thermometer to ensure the temperature is 45 degrees or below. 15A NCAC 18A .2806(j)(2) Technical assistance: Item #601 to ensure that children’s lunches are being stored properly and being kept at a safe temperature, a thermometer must always be in the refrigerator. I would recommend having serval on-site to quickly replace those that go missing or get misplaced. 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 March 19, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action Consultation is provided as follows: As a result of tropical storm Helene and a declared natural disaster in WNC, technical assistance is provided to assist the child care provider in achieving compliance in the following areas: A staff member was hired on 10-07-24 and the TB questionnaire she provided was dated 03-13-2023 and the medical statement was dated 03-12-23 , which exceeded the 12 month period. This staff member was hired during the state of emergency status in Jackson County, which is in Western North Carolina and in one of the counties listed as a result of tropical storm Helene. As we discussed today this employee will need to complete a new TB questionnaire and medical report. Please refer to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS for full details of this requirement. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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. 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. 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: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 20 Completed Date: 3/5/2025 Age: From 0 To 5 Total Minutes: 205 Time In: 01:20 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 Sarah Upton, Child Care Consultant and also signed by Misty Berry, administrator, during the visit. A signed copy of the visit summary was left on-site. Today, Ms. Berry, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of March 05, 2025. This faclity is owned and operated by The Hampton School, Inc. According the NC Secretary of State this is a non-profit cooperation that is currently active as of March 05, 2025. Permit type – Four Star issued on April 21, 2014 Special Services/Restrictions – meets reduced ratios, meets enhanced space, daytime care only. Last Annual Compliance visit was conducted on March 20, 2024 The last fire drill was practiced on February 25, 2025 The last emergency drill was practiced on January 31, 2025 The last fire inspection was approved on May 16, 2024 The last sanitation inspection was conducted on September 25, 2024 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. This program currently uses Creative Curriculum. Upon arrival I introduced my presence to Ms. Berry. I observed the group with three- to five-year-old children during outside free play. The group with two-to-three-year-old children were observed during free play. The group with zero-to-one-year-old children were observed during free play and snack, which consisted of goldfish crackers and apple juice. All lunches are brought in by the parents. 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 written: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator labeled storage for preschool lunches did not have a thermometer to ensure the temperature is 45 degrees or below. 15A NCAC 18A .2806(j)(2) Technical assistance: Item #601 to ensure that children’s lunches are being stored properly and being kept at a safe temperature, a thermometer must always be in the refrigerator. I would recommend having serval on-site to quickly replace those that go missing or get misplaced. 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 March 19, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action Consultation is provided as follows: As a result of tropical storm Helene and a declared natural disaster in WNC, technical assistance is provided to assist the child care provider in achieving compliance in the following areas: A staff member was hired on 10-07-24 and the TB questionnaire she provided was dated 03-13-2023 and the medical statement was dated 03-12-23 , which exceeded the 12 month period. This staff member was hired during the state of emergency status in Jackson County, which is in Western North Carolina and in one of the counties listed as a result of tropical storm Helene. As we discussed today this employee will need to complete a new TB questionnaire and medical report. Please refer to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS for full details of this requirement. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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. 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. 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: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 20 Completed Date: 3/5/2025 Age: From 0 To 5 Total Minutes: 205 Time In: 01:20 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 Sarah Upton, Child Care Consultant and also signed by Misty Berry, administrator, during the visit. A signed copy of the visit summary was left on-site. Today, Ms. Berry, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of March 05, 2025. This faclity is owned and operated by The Hampton School, Inc. According the NC Secretary of State this is a non-profit cooperation that is currently active as of March 05, 2025. Permit type – Four Star issued on April 21, 2014 Special Services/Restrictions – meets reduced ratios, meets enhanced space, daytime care only. Last Annual Compliance visit was conducted on March 20, 2024 The last fire drill was practiced on February 25, 2025 The last emergency drill was practiced on January 31, 2025 The last fire inspection was approved on May 16, 2024 The last sanitation inspection was conducted on September 25, 2024 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. This program currently uses Creative Curriculum. Upon arrival I introduced my presence to Ms. Berry. I observed the group with three- to five-year-old children during outside free play. The group with two-to-three-year-old children were observed during free play. The group with zero-to-one-year-old children were observed during free play and snack, which consisted of goldfish crackers and apple juice. All lunches are brought in by the parents. 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 written: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator labeled storage for preschool lunches did not have a thermometer to ensure the temperature is 45 degrees or below. 15A NCAC 18A .2806(j)(2) Technical assistance: Item #601 to ensure that children’s lunches are being stored properly and being kept at a safe temperature, a thermometer must always be in the refrigerator. I would recommend having serval on-site to quickly replace those that go missing or get misplaced. 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 March 19, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action Consultation is provided as follows: As a result of tropical storm Helene and a declared natural disaster in WNC, technical assistance is provided to assist the child care provider in achieving compliance in the following areas: A staff member was hired on 10-07-24 and the TB questionnaire she provided was dated 03-13-2023 and the medical statement was dated 03-12-23 , which exceeded the 12 month period. This staff member was hired during the state of emergency status in Jackson County, which is in Western North Carolina and in one of the counties listed as a result of tropical storm Helene. As we discussed today this employee will need to complete a new TB questionnaire and medical report. Please refer to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS for full details of this requirement. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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. 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. 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: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 20 Completed Date: 3/5/2025 Age: From 0 To 5 Total Minutes: 205 Time In: 01:20 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 Sarah Upton, Child Care Consultant and also signed by Misty Berry, administrator, during the visit. A signed copy of the visit summary was left on-site. Today, Ms. Berry, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of March 05, 2025. This faclity is owned and operated by The Hampton School, Inc. According the NC Secretary of State this is a non-profit cooperation that is currently active as of March 05, 2025. Permit type – Four Star issued on April 21, 2014 Special Services/Restrictions – meets reduced ratios, meets enhanced space, daytime care only. Last Annual Compliance visit was conducted on March 20, 2024 The last fire drill was practiced on February 25, 2025 The last emergency drill was practiced on January 31, 2025 The last fire inspection was approved on May 16, 2024 The last sanitation inspection was conducted on September 25, 2024 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. This program currently uses Creative Curriculum. Upon arrival I introduced my presence to Ms. Berry. I observed the group with three- to five-year-old children during outside free play. The group with two-to-three-year-old children were observed during free play. The group with zero-to-one-year-old children were observed during free play and snack, which consisted of goldfish crackers and apple juice. All lunches are brought in by the parents. 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 written: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator labeled storage for preschool lunches did not have a thermometer to ensure the temperature is 45 degrees or below. 15A NCAC 18A .2806(j)(2) Technical assistance: Item #601 to ensure that children’s lunches are being stored properly and being kept at a safe temperature, a thermometer must always be in the refrigerator. I would recommend having serval on-site to quickly replace those that go missing or get misplaced. 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 March 19, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action Consultation is provided as follows: As a result of tropical storm Helene and a declared natural disaster in WNC, technical assistance is provided to assist the child care provider in achieving compliance in the following areas: A staff member was hired on 10-07-24 and the TB questionnaire she provided was dated 03-13-2023 and the medical statement was dated 03-12-23 , which exceeded the 12 month period. This staff member was hired during the state of emergency status in Jackson County, which is in Western North Carolina and in one of the counties listed as a result of tropical storm Helene. As we discussed today this employee will need to complete a new TB questionnaire and medical report. Please refer to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS for full details of this requirement. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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. 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. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/10/2024 Number Present: 22 Completed Date: 6/10/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins Child Care Consultant and also signed by Misty Berry, administrator , during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Berry accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one-hundred (100) percent as of today prior to this visit. Permit type – four-star center license issued on 4/21/14. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 5/13/24. The last shelter-in-place drill was practiced on 4/26/24. The last playground inspection was documented on 5/31/24. The last fire inspection was approved on 5/16/24. The last sanitation inspection was conducted on 3/6/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself and announced the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play with music instruments, toy vehicles and other toys. One (1) child played the toy piano and sang. No emergency medications are maintained in this classroom. Diaper creams and other creams were maintained, and I monitored the permission forms. One (1) teacher worked with a child on the Father’s day art work, while the other teachers took eight (8) children to the playground. On the playground, the children played with tricycles and other riding toys. Balance beams, metal vehicle structure and play house, and bars were available. The other playground is under maintenance, and the three (3) classrooms are currently using one (1) playground on rotations. Teacher interaction and supervision were adequate. In space #2, a group of three-to-five-year-old children played with playdough, toy vehicles and other materials. The teachers sat with the children and engaged in the conversation. Supervision was adequate. Various diaper creams and sunscreens were maintained in the classroom. The permission forms were monitored. In space #3, a group of infants and one-year-old children explored the environment. One (1) child was asleep on the back in the crib. Sleep checks were logged appropriately. Safe sleep poster and policy were posted. Feeding plans were posted as well. Diaper creams and the permission forms were monitored. Teachers were on the floor with the children. The interaction and supervision were adequate. Lunch was served during the visit. At this facility, morning snacks and afternoon snacks are provided by the school, and the parents are responsible for the children’s lunch. The school supplements missing components. I monitored the children in space #3 for lunch. One (1) child brought pizza, chicken nuggets, sliced fruits, carrots, yogurt pouch. Two (2) new staff files were monitored in full, and ten (10) staff files were monitored partially. No children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two feeding plans in space #3 were not signed by the parents. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The picnic tables on the playground has peeling paint, and woods on the benches are splinted. .0601(c) 847 Parent's medication authorization did not include required information. In space #1, the permission form for Equate Hydrocortisone cream expired on 5/22/23. In space #2, the permission form for A+D diaper rash ointment for a child expired on 3/4/23, and the other child on 3/16/24. The permission form for Neutrogena Pure and Free Baby sunscreen cream expired on 5/17/24 (space #2). The permission form for KIDS by Babyganics aerosol sunscreen spray expired on 4/11/24. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. plastic wrappers for diapers, grocery bags in a crate and several packets of baby wipes (Huggies Simply Clean and Parent Choice) were stored under the changing table. The baby proof device was installed but not used resulting is allowing access to the items by the children. .0604(q) 860 Balloons were accessible to children. During the outdoor play, the children from space #1 ranged from two-to-three years of age had access to a blue inflated balloon, and two (2) pieces of torn balloons. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. An orange pool noodle was accessible to the children under three (3) years of age on the playground. .0604(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. For the staff member hired on 4/8/24, the following topics were not reviewed with the staff member within the six (6) weeks of employment: Prevention of and response to emergencies due to food and allergic reactions, Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants, and review of enhanced standards. .1101(a)(b) Technical assistance was provided as follows: 541: Feeding plans Parent signatures are required for the feeding plans. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name,be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Peeling paint/splinted woods Splinted part of the picnic tables shall be sanded, and the peeling paint must be covered with new paint. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 847: Medication authorization form Medication authorization form is valid for twelve (12) months. Please ask the parents to renew the form when the form is expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 858: Easily torn plastics 860: Balloon 861: Styrofoam Easily torn plastics, including plastic wrappers for diapers, diaper wipes in the plastic bag, balloons and styrofoam are all considered choking hazard for children younger than three (3) years of age. Balloons are prohibited in the child care centers. Plastics and styrofoam shall be inaccessible to the children younger than three (3). 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1067: Orientation All topics on the orientation form shall be covered. Even though the topics are covered by the Health and Safety training, the matters related to the topics pertaining to your facility shall be discussed during the orientation. For example, where do you keep bloodborne pathogens kit? Who disposes the biohazards? 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: • Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 • Firsthand observation of the center's daily operations • Review of the center's operational policies, including the center's safe sleep policy for infants, • the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan • Instruction in the employee's assigned duties • Adequate supervision of children in accordance with 10A NCAC 09 .1801 • Instruction in the maintenance of a safe and healthy environment • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 • Prevention and control of infectious diseases, including immunization • Review of the center's purposes and goals • Review of the child care licensing law and rules • Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment • An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource • An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations • Prevention of and response to emergencies due to food and allergic reactions • Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff/Child Ratios and grouping: We discussed various cases of staff/child grouping situations. • Children under twelve (12) months cannot be grouped with children two (2) years and up. • Children between twelve (12) to twenty-four (24) months cannot be grouped with children three (3) years of age. These rules are causing hardships in the grouping of children at this facility. Technical assistance on the grouping of children was provided by Bonnie Mathis, Licensing supervisor, during the visit. I will communicate this matter with Sarah Upton, Child Care Consultant. Please see the rule below. If you have additional questions, please feel free to contact us at kaoru.eddins@dhhs.nc.gov, sarah.upton@dhhs.nc.gov, and bonnie.mathis@dhhs.nc.gov. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; and (9) when only one caregiver is required to meet the staff/child ratio, the operator shall select one of the following options for emergency relief: (A) the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; or (B) there shall be a second adult on the premises who is available to provide emergency relief. (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. We discussed Hold Harmless Bill, Stabilization grants and Credential test-out option. I have not received any updates on the change in the topics. As long as I receive the updates, I or Ms. Upton will communicate with you. Criminal Background Letter: One (1) staff member’s CBC letter will expire on 6/19/24. Per The application was completed, and the fingerprinting will be done today. 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 .0601 · Violation

Name of Operation: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/10/2024 Number Present: 22 Completed Date: 6/10/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins Child Care Consultant and also signed by Misty Berry, administrator , during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Berry accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one-hundred (100) percent as of today prior to this visit. Permit type – four-star center license issued on 4/21/14. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 5/13/24. The last shelter-in-place drill was practiced on 4/26/24. The last playground inspection was documented on 5/31/24. The last fire inspection was approved on 5/16/24. The last sanitation inspection was conducted on 3/6/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself and announced the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play with music instruments, toy vehicles and other toys. One (1) child played the toy piano and sang. No emergency medications are maintained in this classroom. Diaper creams and other creams were maintained, and I monitored the permission forms. One (1) teacher worked with a child on the Father’s day art work, while the other teachers took eight (8) children to the playground. On the playground, the children played with tricycles and other riding toys. Balance beams, metal vehicle structure and play house, and bars were available. The other playground is under maintenance, and the three (3) classrooms are currently using one (1) playground on rotations. Teacher interaction and supervision were adequate. In space #2, a group of three-to-five-year-old children played with playdough, toy vehicles and other materials. The teachers sat with the children and engaged in the conversation. Supervision was adequate. Various diaper creams and sunscreens were maintained in the classroom. The permission forms were monitored. In space #3, a group of infants and one-year-old children explored the environment. One (1) child was asleep on the back in the crib. Sleep checks were logged appropriately. Safe sleep poster and policy were posted. Feeding plans were posted as well. Diaper creams and the permission forms were monitored. Teachers were on the floor with the children. The interaction and supervision were adequate. Lunch was served during the visit. At this facility, morning snacks and afternoon snacks are provided by the school, and the parents are responsible for the children’s lunch. The school supplements missing components. I monitored the children in space #3 for lunch. One (1) child brought pizza, chicken nuggets, sliced fruits, carrots, yogurt pouch. Two (2) new staff files were monitored in full, and ten (10) staff files were monitored partially. No children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two feeding plans in space #3 were not signed by the parents. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The picnic tables on the playground has peeling paint, and woods on the benches are splinted. .0601(c) 847 Parent's medication authorization did not include required information. In space #1, the permission form for Equate Hydrocortisone cream expired on 5/22/23. In space #2, the permission form for A+D diaper rash ointment for a child expired on 3/4/23, and the other child on 3/16/24. The permission form for Neutrogena Pure and Free Baby sunscreen cream expired on 5/17/24 (space #2). The permission form for KIDS by Babyganics aerosol sunscreen spray expired on 4/11/24. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. plastic wrappers for diapers, grocery bags in a crate and several packets of baby wipes (Huggies Simply Clean and Parent Choice) were stored under the changing table. The baby proof device was installed but not used resulting is allowing access to the items by the children. .0604(q) 860 Balloons were accessible to children. During the outdoor play, the children from space #1 ranged from two-to-three years of age had access to a blue inflated balloon, and two (2) pieces of torn balloons. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. An orange pool noodle was accessible to the children under three (3) years of age on the playground. .0604(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. For the staff member hired on 4/8/24, the following topics were not reviewed with the staff member within the six (6) weeks of employment: Prevention of and response to emergencies due to food and allergic reactions, Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants, and review of enhanced standards. .1101(a)(b) Technical assistance was provided as follows: 541: Feeding plans Parent signatures are required for the feeding plans. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name,be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Peeling paint/splinted woods Splinted part of the picnic tables shall be sanded, and the peeling paint must be covered with new paint. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 847: Medication authorization form Medication authorization form is valid for twelve (12) months. Please ask the parents to renew the form when the form is expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 858: Easily torn plastics 860: Balloon 861: Styrofoam Easily torn plastics, including plastic wrappers for diapers, diaper wipes in the plastic bag, balloons and styrofoam are all considered choking hazard for children younger than three (3) years of age. Balloons are prohibited in the child care centers. Plastics and styrofoam shall be inaccessible to the children younger than three (3). 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1067: Orientation All topics on the orientation form shall be covered. Even though the topics are covered by the Health and Safety training, the matters related to the topics pertaining to your facility shall be discussed during the orientation. For example, where do you keep bloodborne pathogens kit? Who disposes the biohazards? 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: • Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 • Firsthand observation of the center's daily operations • Review of the center's operational policies, including the center's safe sleep policy for infants, • the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan • Instruction in the employee's assigned duties • Adequate supervision of children in accordance with 10A NCAC 09 .1801 • Instruction in the maintenance of a safe and healthy environment • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 • Prevention and control of infectious diseases, including immunization • Review of the center's purposes and goals • Review of the child care licensing law and rules • Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment • An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource • An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations • Prevention of and response to emergencies due to food and allergic reactions • Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff/Child Ratios and grouping: We discussed various cases of staff/child grouping situations. • Children under twelve (12) months cannot be grouped with children two (2) years and up. • Children between twelve (12) to twenty-four (24) months cannot be grouped with children three (3) years of age. These rules are causing hardships in the grouping of children at this facility. Technical assistance on the grouping of children was provided by Bonnie Mathis, Licensing supervisor, during the visit. I will communicate this matter with Sarah Upton, Child Care Consultant. Please see the rule below. If you have additional questions, please feel free to contact us at kaoru.eddins@dhhs.nc.gov, sarah.upton@dhhs.nc.gov, and bonnie.mathis@dhhs.nc.gov. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; and (9) when only one caregiver is required to meet the staff/child ratio, the operator shall select one of the following options for emergency relief: (A) the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; or (B) there shall be a second adult on the premises who is available to provide emergency relief. (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. We discussed Hold Harmless Bill, Stabilization grants and Credential test-out option. I have not received any updates on the change in the topics. As long as I receive the updates, I or Ms. Upton will communicate with you. Criminal Background Letter: One (1) staff member’s CBC letter will expire on 6/19/24. Per The application was completed, and the fingerprinting will be done today. 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: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/10/2024 Number Present: 22 Completed Date: 6/10/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins Child Care Consultant and also signed by Misty Berry, administrator , during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Berry accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one-hundred (100) percent as of today prior to this visit. Permit type – four-star center license issued on 4/21/14. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 5/13/24. The last shelter-in-place drill was practiced on 4/26/24. The last playground inspection was documented on 5/31/24. The last fire inspection was approved on 5/16/24. The last sanitation inspection was conducted on 3/6/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself and announced the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play with music instruments, toy vehicles and other toys. One (1) child played the toy piano and sang. No emergency medications are maintained in this classroom. Diaper creams and other creams were maintained, and I monitored the permission forms. One (1) teacher worked with a child on the Father’s day art work, while the other teachers took eight (8) children to the playground. On the playground, the children played with tricycles and other riding toys. Balance beams, metal vehicle structure and play house, and bars were available. The other playground is under maintenance, and the three (3) classrooms are currently using one (1) playground on rotations. Teacher interaction and supervision were adequate. In space #2, a group of three-to-five-year-old children played with playdough, toy vehicles and other materials. The teachers sat with the children and engaged in the conversation. Supervision was adequate. Various diaper creams and sunscreens were maintained in the classroom. The permission forms were monitored. In space #3, a group of infants and one-year-old children explored the environment. One (1) child was asleep on the back in the crib. Sleep checks were logged appropriately. Safe sleep poster and policy were posted. Feeding plans were posted as well. Diaper creams and the permission forms were monitored. Teachers were on the floor with the children. The interaction and supervision were adequate. Lunch was served during the visit. At this facility, morning snacks and afternoon snacks are provided by the school, and the parents are responsible for the children’s lunch. The school supplements missing components. I monitored the children in space #3 for lunch. One (1) child brought pizza, chicken nuggets, sliced fruits, carrots, yogurt pouch. Two (2) new staff files were monitored in full, and ten (10) staff files were monitored partially. No children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two feeding plans in space #3 were not signed by the parents. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The picnic tables on the playground has peeling paint, and woods on the benches are splinted. .0601(c) 847 Parent's medication authorization did not include required information. In space #1, the permission form for Equate Hydrocortisone cream expired on 5/22/23. In space #2, the permission form for A+D diaper rash ointment for a child expired on 3/4/23, and the other child on 3/16/24. The permission form for Neutrogena Pure and Free Baby sunscreen cream expired on 5/17/24 (space #2). The permission form for KIDS by Babyganics aerosol sunscreen spray expired on 4/11/24. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. plastic wrappers for diapers, grocery bags in a crate and several packets of baby wipes (Huggies Simply Clean and Parent Choice) were stored under the changing table. The baby proof device was installed but not used resulting is allowing access to the items by the children. .0604(q) 860 Balloons were accessible to children. During the outdoor play, the children from space #1 ranged from two-to-three years of age had access to a blue inflated balloon, and two (2) pieces of torn balloons. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. An orange pool noodle was accessible to the children under three (3) years of age on the playground. .0604(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. For the staff member hired on 4/8/24, the following topics were not reviewed with the staff member within the six (6) weeks of employment: Prevention of and response to emergencies due to food and allergic reactions, Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants, and review of enhanced standards. .1101(a)(b) Technical assistance was provided as follows: 541: Feeding plans Parent signatures are required for the feeding plans. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name,be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Peeling paint/splinted woods Splinted part of the picnic tables shall be sanded, and the peeling paint must be covered with new paint. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 847: Medication authorization form Medication authorization form is valid for twelve (12) months. Please ask the parents to renew the form when the form is expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 858: Easily torn plastics 860: Balloon 861: Styrofoam Easily torn plastics, including plastic wrappers for diapers, diaper wipes in the plastic bag, balloons and styrofoam are all considered choking hazard for children younger than three (3) years of age. Balloons are prohibited in the child care centers. Plastics and styrofoam shall be inaccessible to the children younger than three (3). 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1067: Orientation All topics on the orientation form shall be covered. Even though the topics are covered by the Health and Safety training, the matters related to the topics pertaining to your facility shall be discussed during the orientation. For example, where do you keep bloodborne pathogens kit? Who disposes the biohazards? 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: • Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 • Firsthand observation of the center's daily operations • Review of the center's operational policies, including the center's safe sleep policy for infants, • the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan • Instruction in the employee's assigned duties • Adequate supervision of children in accordance with 10A NCAC 09 .1801 • Instruction in the maintenance of a safe and healthy environment • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 • Prevention and control of infectious diseases, including immunization • Review of the center's purposes and goals • Review of the child care licensing law and rules • Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment • An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource • An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations • Prevention of and response to emergencies due to food and allergic reactions • Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff/Child Ratios and grouping: We discussed various cases of staff/child grouping situations. • Children under twelve (12) months cannot be grouped with children two (2) years and up. • Children between twelve (12) to twenty-four (24) months cannot be grouped with children three (3) years of age. These rules are causing hardships in the grouping of children at this facility. Technical assistance on the grouping of children was provided by Bonnie Mathis, Licensing supervisor, during the visit. I will communicate this matter with Sarah Upton, Child Care Consultant. Please see the rule below. If you have additional questions, please feel free to contact us at kaoru.eddins@dhhs.nc.gov, sarah.upton@dhhs.nc.gov, and bonnie.mathis@dhhs.nc.gov. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; and (9) when only one caregiver is required to meet the staff/child ratio, the operator shall select one of the following options for emergency relief: (A) the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; or (B) there shall be a second adult on the premises who is available to provide emergency relief. (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. We discussed Hold Harmless Bill, Stabilization grants and Credential test-out option. I have not received any updates on the change in the topics. As long as I receive the updates, I or Ms. Upton will communicate with you. Criminal Background Letter: One (1) staff member’s CBC letter will expire on 6/19/24. Per The application was completed, and the fingerprinting will be done today. 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 .0713 · Violation

Name of Operation: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/10/2024 Number Present: 22 Completed Date: 6/10/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins Child Care Consultant and also signed by Misty Berry, administrator , during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Berry accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one-hundred (100) percent as of today prior to this visit. Permit type – four-star center license issued on 4/21/14. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 5/13/24. The last shelter-in-place drill was practiced on 4/26/24. The last playground inspection was documented on 5/31/24. The last fire inspection was approved on 5/16/24. The last sanitation inspection was conducted on 3/6/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself and announced the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play with music instruments, toy vehicles and other toys. One (1) child played the toy piano and sang. No emergency medications are maintained in this classroom. Diaper creams and other creams were maintained, and I monitored the permission forms. One (1) teacher worked with a child on the Father’s day art work, while the other teachers took eight (8) children to the playground. On the playground, the children played with tricycles and other riding toys. Balance beams, metal vehicle structure and play house, and bars were available. The other playground is under maintenance, and the three (3) classrooms are currently using one (1) playground on rotations. Teacher interaction and supervision were adequate. In space #2, a group of three-to-five-year-old children played with playdough, toy vehicles and other materials. The teachers sat with the children and engaged in the conversation. Supervision was adequate. Various diaper creams and sunscreens were maintained in the classroom. The permission forms were monitored. In space #3, a group of infants and one-year-old children explored the environment. One (1) child was asleep on the back in the crib. Sleep checks were logged appropriately. Safe sleep poster and policy were posted. Feeding plans were posted as well. Diaper creams and the permission forms were monitored. Teachers were on the floor with the children. The interaction and supervision were adequate. Lunch was served during the visit. At this facility, morning snacks and afternoon snacks are provided by the school, and the parents are responsible for the children’s lunch. The school supplements missing components. I monitored the children in space #3 for lunch. One (1) child brought pizza, chicken nuggets, sliced fruits, carrots, yogurt pouch. Two (2) new staff files were monitored in full, and ten (10) staff files were monitored partially. No children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two feeding plans in space #3 were not signed by the parents. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The picnic tables on the playground has peeling paint, and woods on the benches are splinted. .0601(c) 847 Parent's medication authorization did not include required information. In space #1, the permission form for Equate Hydrocortisone cream expired on 5/22/23. In space #2, the permission form for A+D diaper rash ointment for a child expired on 3/4/23, and the other child on 3/16/24. The permission form for Neutrogena Pure and Free Baby sunscreen cream expired on 5/17/24 (space #2). The permission form for KIDS by Babyganics aerosol sunscreen spray expired on 4/11/24. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. plastic wrappers for diapers, grocery bags in a crate and several packets of baby wipes (Huggies Simply Clean and Parent Choice) were stored under the changing table. The baby proof device was installed but not used resulting is allowing access to the items by the children. .0604(q) 860 Balloons were accessible to children. During the outdoor play, the children from space #1 ranged from two-to-three years of age had access to a blue inflated balloon, and two (2) pieces of torn balloons. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. An orange pool noodle was accessible to the children under three (3) years of age on the playground. .0604(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. For the staff member hired on 4/8/24, the following topics were not reviewed with the staff member within the six (6) weeks of employment: Prevention of and response to emergencies due to food and allergic reactions, Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants, and review of enhanced standards. .1101(a)(b) Technical assistance was provided as follows: 541: Feeding plans Parent signatures are required for the feeding plans. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name,be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Peeling paint/splinted woods Splinted part of the picnic tables shall be sanded, and the peeling paint must be covered with new paint. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 847: Medication authorization form Medication authorization form is valid for twelve (12) months. Please ask the parents to renew the form when the form is expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 858: Easily torn plastics 860: Balloon 861: Styrofoam Easily torn plastics, including plastic wrappers for diapers, diaper wipes in the plastic bag, balloons and styrofoam are all considered choking hazard for children younger than three (3) years of age. Balloons are prohibited in the child care centers. Plastics and styrofoam shall be inaccessible to the children younger than three (3). 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1067: Orientation All topics on the orientation form shall be covered. Even though the topics are covered by the Health and Safety training, the matters related to the topics pertaining to your facility shall be discussed during the orientation. For example, where do you keep bloodborne pathogens kit? Who disposes the biohazards? 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: • Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 • Firsthand observation of the center's daily operations • Review of the center's operational policies, including the center's safe sleep policy for infants, • the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan • Instruction in the employee's assigned duties • Adequate supervision of children in accordance with 10A NCAC 09 .1801 • Instruction in the maintenance of a safe and healthy environment • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 • Prevention and control of infectious diseases, including immunization • Review of the center's purposes and goals • Review of the child care licensing law and rules • Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment • An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource • An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations • Prevention of and response to emergencies due to food and allergic reactions • Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff/Child Ratios and grouping: We discussed various cases of staff/child grouping situations. • Children under twelve (12) months cannot be grouped with children two (2) years and up. • Children between twelve (12) to twenty-four (24) months cannot be grouped with children three (3) years of age. These rules are causing hardships in the grouping of children at this facility. Technical assistance on the grouping of children was provided by Bonnie Mathis, Licensing supervisor, during the visit. I will communicate this matter with Sarah Upton, Child Care Consultant. Please see the rule below. If you have additional questions, please feel free to contact us at kaoru.eddins@dhhs.nc.gov, sarah.upton@dhhs.nc.gov, and bonnie.mathis@dhhs.nc.gov. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; and (9) when only one caregiver is required to meet the staff/child ratio, the operator shall select one of the following options for emergency relief: (A) the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; or (B) there shall be a second adult on the premises who is available to provide emergency relief. (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. We discussed Hold Harmless Bill, Stabilization grants and Credential test-out option. I have not received any updates on the change in the topics. As long as I receive the updates, I or Ms. Upton will communicate with you. Criminal Background Letter: One (1) staff member’s CBC letter will expire on 6/19/24. Per The application was completed, and the fingerprinting will be done today. 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: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/10/2024 Number Present: 22 Completed Date: 6/10/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins Child Care Consultant and also signed by Misty Berry, administrator , during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Berry accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one-hundred (100) percent as of today prior to this visit. Permit type – four-star center license issued on 4/21/14. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 5/13/24. The last shelter-in-place drill was practiced on 4/26/24. The last playground inspection was documented on 5/31/24. The last fire inspection was approved on 5/16/24. The last sanitation inspection was conducted on 3/6/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself and announced the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play with music instruments, toy vehicles and other toys. One (1) child played the toy piano and sang. No emergency medications are maintained in this classroom. Diaper creams and other creams were maintained, and I monitored the permission forms. One (1) teacher worked with a child on the Father’s day art work, while the other teachers took eight (8) children to the playground. On the playground, the children played with tricycles and other riding toys. Balance beams, metal vehicle structure and play house, and bars were available. The other playground is under maintenance, and the three (3) classrooms are currently using one (1) playground on rotations. Teacher interaction and supervision were adequate. In space #2, a group of three-to-five-year-old children played with playdough, toy vehicles and other materials. The teachers sat with the children and engaged in the conversation. Supervision was adequate. Various diaper creams and sunscreens were maintained in the classroom. The permission forms were monitored. In space #3, a group of infants and one-year-old children explored the environment. One (1) child was asleep on the back in the crib. Sleep checks were logged appropriately. Safe sleep poster and policy were posted. Feeding plans were posted as well. Diaper creams and the permission forms were monitored. Teachers were on the floor with the children. The interaction and supervision were adequate. Lunch was served during the visit. At this facility, morning snacks and afternoon snacks are provided by the school, and the parents are responsible for the children’s lunch. The school supplements missing components. I monitored the children in space #3 for lunch. One (1) child brought pizza, chicken nuggets, sliced fruits, carrots, yogurt pouch. Two (2) new staff files were monitored in full, and ten (10) staff files were monitored partially. No children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two feeding plans in space #3 were not signed by the parents. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The picnic tables on the playground has peeling paint, and woods on the benches are splinted. .0601(c) 847 Parent's medication authorization did not include required information. In space #1, the permission form for Equate Hydrocortisone cream expired on 5/22/23. In space #2, the permission form for A+D diaper rash ointment for a child expired on 3/4/23, and the other child on 3/16/24. The permission form for Neutrogena Pure and Free Baby sunscreen cream expired on 5/17/24 (space #2). The permission form for KIDS by Babyganics aerosol sunscreen spray expired on 4/11/24. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. plastic wrappers for diapers, grocery bags in a crate and several packets of baby wipes (Huggies Simply Clean and Parent Choice) were stored under the changing table. The baby proof device was installed but not used resulting is allowing access to the items by the children. .0604(q) 860 Balloons were accessible to children. During the outdoor play, the children from space #1 ranged from two-to-three years of age had access to a blue inflated balloon, and two (2) pieces of torn balloons. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. An orange pool noodle was accessible to the children under three (3) years of age on the playground. .0604(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. For the staff member hired on 4/8/24, the following topics were not reviewed with the staff member within the six (6) weeks of employment: Prevention of and response to emergencies due to food and allergic reactions, Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants, and review of enhanced standards. .1101(a)(b) Technical assistance was provided as follows: 541: Feeding plans Parent signatures are required for the feeding plans. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name,be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Peeling paint/splinted woods Splinted part of the picnic tables shall be sanded, and the peeling paint must be covered with new paint. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 847: Medication authorization form Medication authorization form is valid for twelve (12) months. Please ask the parents to renew the form when the form is expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 858: Easily torn plastics 860: Balloon 861: Styrofoam Easily torn plastics, including plastic wrappers for diapers, diaper wipes in the plastic bag, balloons and styrofoam are all considered choking hazard for children younger than three (3) years of age. Balloons are prohibited in the child care centers. Plastics and styrofoam shall be inaccessible to the children younger than three (3). 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1067: Orientation All topics on the orientation form shall be covered. Even though the topics are covered by the Health and Safety training, the matters related to the topics pertaining to your facility shall be discussed during the orientation. For example, where do you keep bloodborne pathogens kit? Who disposes the biohazards? 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: • Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 • Firsthand observation of the center's daily operations • Review of the center's operational policies, including the center's safe sleep policy for infants, • the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan • Instruction in the employee's assigned duties • Adequate supervision of children in accordance with 10A NCAC 09 .1801 • Instruction in the maintenance of a safe and healthy environment • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 • Prevention and control of infectious diseases, including immunization • Review of the center's purposes and goals • Review of the child care licensing law and rules • Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment • An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource • An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations • Prevention of and response to emergencies due to food and allergic reactions • Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff/Child Ratios and grouping: We discussed various cases of staff/child grouping situations. • Children under twelve (12) months cannot be grouped with children two (2) years and up. • Children between twelve (12) to twenty-four (24) months cannot be grouped with children three (3) years of age. These rules are causing hardships in the grouping of children at this facility. Technical assistance on the grouping of children was provided by Bonnie Mathis, Licensing supervisor, during the visit. I will communicate this matter with Sarah Upton, Child Care Consultant. Please see the rule below. If you have additional questions, please feel free to contact us at kaoru.eddins@dhhs.nc.gov, sarah.upton@dhhs.nc.gov, and bonnie.mathis@dhhs.nc.gov. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; and (9) when only one caregiver is required to meet the staff/child ratio, the operator shall select one of the following options for emergency relief: (A) the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; or (B) there shall be a second adult on the premises who is available to provide emergency relief. (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. We discussed Hold Harmless Bill, Stabilization grants and Credential test-out option. I have not received any updates on the change in the topics. As long as I receive the updates, I or Ms. Upton will communicate with you. Criminal Background Letter: One (1) staff member’s CBC letter will expire on 6/19/24. Per The application was completed, and the fingerprinting will be done today. 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 .0902 · Violation

Name of Operation: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/10/2024 Number Present: 22 Completed Date: 6/10/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins Child Care Consultant and also signed by Misty Berry, administrator , during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Berry accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one-hundred (100) percent as of today prior to this visit. Permit type – four-star center license issued on 4/21/14. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 5/13/24. The last shelter-in-place drill was practiced on 4/26/24. The last playground inspection was documented on 5/31/24. The last fire inspection was approved on 5/16/24. The last sanitation inspection was conducted on 3/6/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself and announced the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play with music instruments, toy vehicles and other toys. One (1) child played the toy piano and sang. No emergency medications are maintained in this classroom. Diaper creams and other creams were maintained, and I monitored the permission forms. One (1) teacher worked with a child on the Father’s day art work, while the other teachers took eight (8) children to the playground. On the playground, the children played with tricycles and other riding toys. Balance beams, metal vehicle structure and play house, and bars were available. The other playground is under maintenance, and the three (3) classrooms are currently using one (1) playground on rotations. Teacher interaction and supervision were adequate. In space #2, a group of three-to-five-year-old children played with playdough, toy vehicles and other materials. The teachers sat with the children and engaged in the conversation. Supervision was adequate. Various diaper creams and sunscreens were maintained in the classroom. The permission forms were monitored. In space #3, a group of infants and one-year-old children explored the environment. One (1) child was asleep on the back in the crib. Sleep checks were logged appropriately. Safe sleep poster and policy were posted. Feeding plans were posted as well. Diaper creams and the permission forms were monitored. Teachers were on the floor with the children. The interaction and supervision were adequate. Lunch was served during the visit. At this facility, morning snacks and afternoon snacks are provided by the school, and the parents are responsible for the children’s lunch. The school supplements missing components. I monitored the children in space #3 for lunch. One (1) child brought pizza, chicken nuggets, sliced fruits, carrots, yogurt pouch. Two (2) new staff files were monitored in full, and ten (10) staff files were monitored partially. No children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two feeding plans in space #3 were not signed by the parents. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The picnic tables on the playground has peeling paint, and woods on the benches are splinted. .0601(c) 847 Parent's medication authorization did not include required information. In space #1, the permission form for Equate Hydrocortisone cream expired on 5/22/23. In space #2, the permission form for A+D diaper rash ointment for a child expired on 3/4/23, and the other child on 3/16/24. The permission form for Neutrogena Pure and Free Baby sunscreen cream expired on 5/17/24 (space #2). The permission form for KIDS by Babyganics aerosol sunscreen spray expired on 4/11/24. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. plastic wrappers for diapers, grocery bags in a crate and several packets of baby wipes (Huggies Simply Clean and Parent Choice) were stored under the changing table. The baby proof device was installed but not used resulting is allowing access to the items by the children. .0604(q) 860 Balloons were accessible to children. During the outdoor play, the children from space #1 ranged from two-to-three years of age had access to a blue inflated balloon, and two (2) pieces of torn balloons. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. An orange pool noodle was accessible to the children under three (3) years of age on the playground. .0604(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. For the staff member hired on 4/8/24, the following topics were not reviewed with the staff member within the six (6) weeks of employment: Prevention of and response to emergencies due to food and allergic reactions, Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants, and review of enhanced standards. .1101(a)(b) Technical assistance was provided as follows: 541: Feeding plans Parent signatures are required for the feeding plans. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name,be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Peeling paint/splinted woods Splinted part of the picnic tables shall be sanded, and the peeling paint must be covered with new paint. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 847: Medication authorization form Medication authorization form is valid for twelve (12) months. Please ask the parents to renew the form when the form is expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 858: Easily torn plastics 860: Balloon 861: Styrofoam Easily torn plastics, including plastic wrappers for diapers, diaper wipes in the plastic bag, balloons and styrofoam are all considered choking hazard for children younger than three (3) years of age. Balloons are prohibited in the child care centers. Plastics and styrofoam shall be inaccessible to the children younger than three (3). 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1067: Orientation All topics on the orientation form shall be covered. Even though the topics are covered by the Health and Safety training, the matters related to the topics pertaining to your facility shall be discussed during the orientation. For example, where do you keep bloodborne pathogens kit? Who disposes the biohazards? 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: • Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 • Firsthand observation of the center's daily operations • Review of the center's operational policies, including the center's safe sleep policy for infants, • the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan • Instruction in the employee's assigned duties • Adequate supervision of children in accordance with 10A NCAC 09 .1801 • Instruction in the maintenance of a safe and healthy environment • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 • Prevention and control of infectious diseases, including immunization • Review of the center's purposes and goals • Review of the child care licensing law and rules • Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment • An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource • An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations • Prevention of and response to emergencies due to food and allergic reactions • Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff/Child Ratios and grouping: We discussed various cases of staff/child grouping situations. • Children under twelve (12) months cannot be grouped with children two (2) years and up. • Children between twelve (12) to twenty-four (24) months cannot be grouped with children three (3) years of age. These rules are causing hardships in the grouping of children at this facility. Technical assistance on the grouping of children was provided by Bonnie Mathis, Licensing supervisor, during the visit. I will communicate this matter with Sarah Upton, Child Care Consultant. Please see the rule below. If you have additional questions, please feel free to contact us at kaoru.eddins@dhhs.nc.gov, sarah.upton@dhhs.nc.gov, and bonnie.mathis@dhhs.nc.gov. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; and (9) when only one caregiver is required to meet the staff/child ratio, the operator shall select one of the following options for emergency relief: (A) the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; or (B) there shall be a second adult on the premises who is available to provide emergency relief. (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. We discussed Hold Harmless Bill, Stabilization grants and Credential test-out option. I have not received any updates on the change in the topics. As long as I receive the updates, I or Ms. Upton will communicate with you. Criminal Background Letter: One (1) staff member’s CBC letter will expire on 6/19/24. Per The application was completed, and the fingerprinting will be done today. 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 .1101 · Violation

Name of Operation: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/10/2024 Number Present: 22 Completed Date: 6/10/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins Child Care Consultant and also signed by Misty Berry, administrator , during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Berry accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one-hundred (100) percent as of today prior to this visit. Permit type – four-star center license issued on 4/21/14. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 5/13/24. The last shelter-in-place drill was practiced on 4/26/24. The last playground inspection was documented on 5/31/24. The last fire inspection was approved on 5/16/24. The last sanitation inspection was conducted on 3/6/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself and announced the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play with music instruments, toy vehicles and other toys. One (1) child played the toy piano and sang. No emergency medications are maintained in this classroom. Diaper creams and other creams were maintained, and I monitored the permission forms. One (1) teacher worked with a child on the Father’s day art work, while the other teachers took eight (8) children to the playground. On the playground, the children played with tricycles and other riding toys. Balance beams, metal vehicle structure and play house, and bars were available. The other playground is under maintenance, and the three (3) classrooms are currently using one (1) playground on rotations. Teacher interaction and supervision were adequate. In space #2, a group of three-to-five-year-old children played with playdough, toy vehicles and other materials. The teachers sat with the children and engaged in the conversation. Supervision was adequate. Various diaper creams and sunscreens were maintained in the classroom. The permission forms were monitored. In space #3, a group of infants and one-year-old children explored the environment. One (1) child was asleep on the back in the crib. Sleep checks were logged appropriately. Safe sleep poster and policy were posted. Feeding plans were posted as well. Diaper creams and the permission forms were monitored. Teachers were on the floor with the children. The interaction and supervision were adequate. Lunch was served during the visit. At this facility, morning snacks and afternoon snacks are provided by the school, and the parents are responsible for the children’s lunch. The school supplements missing components. I monitored the children in space #3 for lunch. One (1) child brought pizza, chicken nuggets, sliced fruits, carrots, yogurt pouch. Two (2) new staff files were monitored in full, and ten (10) staff files were monitored partially. No children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two feeding plans in space #3 were not signed by the parents. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The picnic tables on the playground has peeling paint, and woods on the benches are splinted. .0601(c) 847 Parent's medication authorization did not include required information. In space #1, the permission form for Equate Hydrocortisone cream expired on 5/22/23. In space #2, the permission form for A+D diaper rash ointment for a child expired on 3/4/23, and the other child on 3/16/24. The permission form for Neutrogena Pure and Free Baby sunscreen cream expired on 5/17/24 (space #2). The permission form for KIDS by Babyganics aerosol sunscreen spray expired on 4/11/24. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. plastic wrappers for diapers, grocery bags in a crate and several packets of baby wipes (Huggies Simply Clean and Parent Choice) were stored under the changing table. The baby proof device was installed but not used resulting is allowing access to the items by the children. .0604(q) 860 Balloons were accessible to children. During the outdoor play, the children from space #1 ranged from two-to-three years of age had access to a blue inflated balloon, and two (2) pieces of torn balloons. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. An orange pool noodle was accessible to the children under three (3) years of age on the playground. .0604(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. For the staff member hired on 4/8/24, the following topics were not reviewed with the staff member within the six (6) weeks of employment: Prevention of and response to emergencies due to food and allergic reactions, Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants, and review of enhanced standards. .1101(a)(b) Technical assistance was provided as follows: 541: Feeding plans Parent signatures are required for the feeding plans. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name,be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Peeling paint/splinted woods Splinted part of the picnic tables shall be sanded, and the peeling paint must be covered with new paint. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 847: Medication authorization form Medication authorization form is valid for twelve (12) months. Please ask the parents to renew the form when the form is expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 858: Easily torn plastics 860: Balloon 861: Styrofoam Easily torn plastics, including plastic wrappers for diapers, diaper wipes in the plastic bag, balloons and styrofoam are all considered choking hazard for children younger than three (3) years of age. Balloons are prohibited in the child care centers. Plastics and styrofoam shall be inaccessible to the children younger than three (3). 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1067: Orientation All topics on the orientation form shall be covered. Even though the topics are covered by the Health and Safety training, the matters related to the topics pertaining to your facility shall be discussed during the orientation. For example, where do you keep bloodborne pathogens kit? Who disposes the biohazards? 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: • Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 • Firsthand observation of the center's daily operations • Review of the center's operational policies, including the center's safe sleep policy for infants, • the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan • Instruction in the employee's assigned duties • Adequate supervision of children in accordance with 10A NCAC 09 .1801 • Instruction in the maintenance of a safe and healthy environment • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 • Prevention and control of infectious diseases, including immunization • Review of the center's purposes and goals • Review of the child care licensing law and rules • Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment • An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource • An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations • Prevention of and response to emergencies due to food and allergic reactions • Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff/Child Ratios and grouping: We discussed various cases of staff/child grouping situations. • Children under twelve (12) months cannot be grouped with children two (2) years and up. • Children between twelve (12) to twenty-four (24) months cannot be grouped with children three (3) years of age. These rules are causing hardships in the grouping of children at this facility. Technical assistance on the grouping of children was provided by Bonnie Mathis, Licensing supervisor, during the visit. I will communicate this matter with Sarah Upton, Child Care Consultant. Please see the rule below. If you have additional questions, please feel free to contact us at kaoru.eddins@dhhs.nc.gov, sarah.upton@dhhs.nc.gov, and bonnie.mathis@dhhs.nc.gov. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; and (9) when only one caregiver is required to meet the staff/child ratio, the operator shall select one of the following options for emergency relief: (A) the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; or (B) there shall be a second adult on the premises who is available to provide emergency relief. (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. We discussed Hold Harmless Bill, Stabilization grants and Credential test-out option. I have not received any updates on the change in the topics. As long as I receive the updates, I or Ms. Upton will communicate with you. Criminal Background Letter: One (1) staff member’s CBC letter will expire on 6/19/24. Per The application was completed, and the fingerprinting will be done today. 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: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/10/2024 Number Present: 22 Completed Date: 6/10/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins Child Care Consultant and also signed by Misty Berry, administrator , during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Berry accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one-hundred (100) percent as of today prior to this visit. Permit type – four-star center license issued on 4/21/14. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 5/13/24. The last shelter-in-place drill was practiced on 4/26/24. The last playground inspection was documented on 5/31/24. The last fire inspection was approved on 5/16/24. The last sanitation inspection was conducted on 3/6/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself and announced the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play with music instruments, toy vehicles and other toys. One (1) child played the toy piano and sang. No emergency medications are maintained in this classroom. Diaper creams and other creams were maintained, and I monitored the permission forms. One (1) teacher worked with a child on the Father’s day art work, while the other teachers took eight (8) children to the playground. On the playground, the children played with tricycles and other riding toys. Balance beams, metal vehicle structure and play house, and bars were available. The other playground is under maintenance, and the three (3) classrooms are currently using one (1) playground on rotations. Teacher interaction and supervision were adequate. In space #2, a group of three-to-five-year-old children played with playdough, toy vehicles and other materials. The teachers sat with the children and engaged in the conversation. Supervision was adequate. Various diaper creams and sunscreens were maintained in the classroom. The permission forms were monitored. In space #3, a group of infants and one-year-old children explored the environment. One (1) child was asleep on the back in the crib. Sleep checks were logged appropriately. Safe sleep poster and policy were posted. Feeding plans were posted as well. Diaper creams and the permission forms were monitored. Teachers were on the floor with the children. The interaction and supervision were adequate. Lunch was served during the visit. At this facility, morning snacks and afternoon snacks are provided by the school, and the parents are responsible for the children’s lunch. The school supplements missing components. I monitored the children in space #3 for lunch. One (1) child brought pizza, chicken nuggets, sliced fruits, carrots, yogurt pouch. Two (2) new staff files were monitored in full, and ten (10) staff files were monitored partially. No children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two feeding plans in space #3 were not signed by the parents. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The picnic tables on the playground has peeling paint, and woods on the benches are splinted. .0601(c) 847 Parent's medication authorization did not include required information. In space #1, the permission form for Equate Hydrocortisone cream expired on 5/22/23. In space #2, the permission form for A+D diaper rash ointment for a child expired on 3/4/23, and the other child on 3/16/24. The permission form for Neutrogena Pure and Free Baby sunscreen cream expired on 5/17/24 (space #2). The permission form for KIDS by Babyganics aerosol sunscreen spray expired on 4/11/24. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. plastic wrappers for diapers, grocery bags in a crate and several packets of baby wipes (Huggies Simply Clean and Parent Choice) were stored under the changing table. The baby proof device was installed but not used resulting is allowing access to the items by the children. .0604(q) 860 Balloons were accessible to children. During the outdoor play, the children from space #1 ranged from two-to-three years of age had access to a blue inflated balloon, and two (2) pieces of torn balloons. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. An orange pool noodle was accessible to the children under three (3) years of age on the playground. .0604(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. For the staff member hired on 4/8/24, the following topics were not reviewed with the staff member within the six (6) weeks of employment: Prevention of and response to emergencies due to food and allergic reactions, Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants, and review of enhanced standards. .1101(a)(b) Technical assistance was provided as follows: 541: Feeding plans Parent signatures are required for the feeding plans. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name,be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Peeling paint/splinted woods Splinted part of the picnic tables shall be sanded, and the peeling paint must be covered with new paint. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 847: Medication authorization form Medication authorization form is valid for twelve (12) months. Please ask the parents to renew the form when the form is expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 858: Easily torn plastics 860: Balloon 861: Styrofoam Easily torn plastics, including plastic wrappers for diapers, diaper wipes in the plastic bag, balloons and styrofoam are all considered choking hazard for children younger than three (3) years of age. Balloons are prohibited in the child care centers. Plastics and styrofoam shall be inaccessible to the children younger than three (3). 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1067: Orientation All topics on the orientation form shall be covered. Even though the topics are covered by the Health and Safety training, the matters related to the topics pertaining to your facility shall be discussed during the orientation. For example, where do you keep bloodborne pathogens kit? Who disposes the biohazards? 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: • Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 • Firsthand observation of the center's daily operations • Review of the center's operational policies, including the center's safe sleep policy for infants, • the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan • Instruction in the employee's assigned duties • Adequate supervision of children in accordance with 10A NCAC 09 .1801 • Instruction in the maintenance of a safe and healthy environment • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 • Prevention and control of infectious diseases, including immunization • Review of the center's purposes and goals • Review of the child care licensing law and rules • Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment • An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource • An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations • Prevention of and response to emergencies due to food and allergic reactions • Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff/Child Ratios and grouping: We discussed various cases of staff/child grouping situations. • Children under twelve (12) months cannot be grouped with children two (2) years and up. • Children between twelve (12) to twenty-four (24) months cannot be grouped with children three (3) years of age. These rules are causing hardships in the grouping of children at this facility. Technical assistance on the grouping of children was provided by Bonnie Mathis, Licensing supervisor, during the visit. I will communicate this matter with Sarah Upton, Child Care Consultant. Please see the rule below. If you have additional questions, please feel free to contact us at kaoru.eddins@dhhs.nc.gov, sarah.upton@dhhs.nc.gov, and bonnie.mathis@dhhs.nc.gov. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; and (9) when only one caregiver is required to meet the staff/child ratio, the operator shall select one of the following options for emergency relief: (A) the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; or (B) there shall be a second adult on the premises who is available to provide emergency relief. (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. We discussed Hold Harmless Bill, Stabilization grants and Credential test-out option. I have not received any updates on the change in the topics. As long as I receive the updates, I or Ms. Upton will communicate with you. Criminal Background Letter: One (1) staff member’s CBC letter will expire on 6/19/24. Per The application was completed, and the fingerprinting will be done today. 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: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/10/2024 Number Present: 22 Completed Date: 6/10/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins Child Care Consultant and also signed by Misty Berry, administrator , during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Berry accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one-hundred (100) percent as of today prior to this visit. Permit type – four-star center license issued on 4/21/14. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 5/13/24. The last shelter-in-place drill was practiced on 4/26/24. The last playground inspection was documented on 5/31/24. The last fire inspection was approved on 5/16/24. The last sanitation inspection was conducted on 3/6/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself and announced the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play with music instruments, toy vehicles and other toys. One (1) child played the toy piano and sang. No emergency medications are maintained in this classroom. Diaper creams and other creams were maintained, and I monitored the permission forms. One (1) teacher worked with a child on the Father’s day art work, while the other teachers took eight (8) children to the playground. On the playground, the children played with tricycles and other riding toys. Balance beams, metal vehicle structure and play house, and bars were available. The other playground is under maintenance, and the three (3) classrooms are currently using one (1) playground on rotations. Teacher interaction and supervision were adequate. In space #2, a group of three-to-five-year-old children played with playdough, toy vehicles and other materials. The teachers sat with the children and engaged in the conversation. Supervision was adequate. Various diaper creams and sunscreens were maintained in the classroom. The permission forms were monitored. In space #3, a group of infants and one-year-old children explored the environment. One (1) child was asleep on the back in the crib. Sleep checks were logged appropriately. Safe sleep poster and policy were posted. Feeding plans were posted as well. Diaper creams and the permission forms were monitored. Teachers were on the floor with the children. The interaction and supervision were adequate. Lunch was served during the visit. At this facility, morning snacks and afternoon snacks are provided by the school, and the parents are responsible for the children’s lunch. The school supplements missing components. I monitored the children in space #3 for lunch. One (1) child brought pizza, chicken nuggets, sliced fruits, carrots, yogurt pouch. Two (2) new staff files were monitored in full, and ten (10) staff files were monitored partially. No children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two feeding plans in space #3 were not signed by the parents. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The picnic tables on the playground has peeling paint, and woods on the benches are splinted. .0601(c) 847 Parent's medication authorization did not include required information. In space #1, the permission form for Equate Hydrocortisone cream expired on 5/22/23. In space #2, the permission form for A+D diaper rash ointment for a child expired on 3/4/23, and the other child on 3/16/24. The permission form for Neutrogena Pure and Free Baby sunscreen cream expired on 5/17/24 (space #2). The permission form for KIDS by Babyganics aerosol sunscreen spray expired on 4/11/24. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. plastic wrappers for diapers, grocery bags in a crate and several packets of baby wipes (Huggies Simply Clean and Parent Choice) were stored under the changing table. The baby proof device was installed but not used resulting is allowing access to the items by the children. .0604(q) 860 Balloons were accessible to children. During the outdoor play, the children from space #1 ranged from two-to-three years of age had access to a blue inflated balloon, and two (2) pieces of torn balloons. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. An orange pool noodle was accessible to the children under three (3) years of age on the playground. .0604(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. For the staff member hired on 4/8/24, the following topics were not reviewed with the staff member within the six (6) weeks of employment: Prevention of and response to emergencies due to food and allergic reactions, Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants, and review of enhanced standards. .1101(a)(b) Technical assistance was provided as follows: 541: Feeding plans Parent signatures are required for the feeding plans. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name,be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Peeling paint/splinted woods Splinted part of the picnic tables shall be sanded, and the peeling paint must be covered with new paint. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 847: Medication authorization form Medication authorization form is valid for twelve (12) months. Please ask the parents to renew the form when the form is expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 858: Easily torn plastics 860: Balloon 861: Styrofoam Easily torn plastics, including plastic wrappers for diapers, diaper wipes in the plastic bag, balloons and styrofoam are all considered choking hazard for children younger than three (3) years of age. Balloons are prohibited in the child care centers. Plastics and styrofoam shall be inaccessible to the children younger than three (3). 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1067: Orientation All topics on the orientation form shall be covered. Even though the topics are covered by the Health and Safety training, the matters related to the topics pertaining to your facility shall be discussed during the orientation. For example, where do you keep bloodborne pathogens kit? Who disposes the biohazards? 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: • Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 • Firsthand observation of the center's daily operations • Review of the center's operational policies, including the center's safe sleep policy for infants, • the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan • Instruction in the employee's assigned duties • Adequate supervision of children in accordance with 10A NCAC 09 .1801 • Instruction in the maintenance of a safe and healthy environment • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 • Prevention and control of infectious diseases, including immunization • Review of the center's purposes and goals • Review of the child care licensing law and rules • Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment • An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource • An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations • Prevention of and response to emergencies due to food and allergic reactions • Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff/Child Ratios and grouping: We discussed various cases of staff/child grouping situations. • Children under twelve (12) months cannot be grouped with children two (2) years and up. • Children between twelve (12) to twenty-four (24) months cannot be grouped with children three (3) years of age. These rules are causing hardships in the grouping of children at this facility. Technical assistance on the grouping of children was provided by Bonnie Mathis, Licensing supervisor, during the visit. I will communicate this matter with Sarah Upton, Child Care Consultant. Please see the rule below. If you have additional questions, please feel free to contact us at kaoru.eddins@dhhs.nc.gov, sarah.upton@dhhs.nc.gov, and bonnie.mathis@dhhs.nc.gov. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; and (9) when only one caregiver is required to meet the staff/child ratio, the operator shall select one of the following options for emergency relief: (A) the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; or (B) there shall be a second adult on the premises who is available to provide emergency relief. (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. We discussed Hold Harmless Bill, Stabilization grants and Credential test-out option. I have not received any updates on the change in the topics. As long as I receive the updates, I or Ms. Upton will communicate with you. Criminal Background Letter: One (1) staff member’s CBC letter will expire on 6/19/24. Per The application was completed, and the fingerprinting will be done today. 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 .1801 · Violation

Name of Operation: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/10/2024 Number Present: 22 Completed Date: 6/10/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins Child Care Consultant and also signed by Misty Berry, administrator , during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Berry accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one-hundred (100) percent as of today prior to this visit. Permit type – four-star center license issued on 4/21/14. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 5/13/24. The last shelter-in-place drill was practiced on 4/26/24. The last playground inspection was documented on 5/31/24. The last fire inspection was approved on 5/16/24. The last sanitation inspection was conducted on 3/6/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself and announced the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play with music instruments, toy vehicles and other toys. One (1) child played the toy piano and sang. No emergency medications are maintained in this classroom. Diaper creams and other creams were maintained, and I monitored the permission forms. One (1) teacher worked with a child on the Father’s day art work, while the other teachers took eight (8) children to the playground. On the playground, the children played with tricycles and other riding toys. Balance beams, metal vehicle structure and play house, and bars were available. The other playground is under maintenance, and the three (3) classrooms are currently using one (1) playground on rotations. Teacher interaction and supervision were adequate. In space #2, a group of three-to-five-year-old children played with playdough, toy vehicles and other materials. The teachers sat with the children and engaged in the conversation. Supervision was adequate. Various diaper creams and sunscreens were maintained in the classroom. The permission forms were monitored. In space #3, a group of infants and one-year-old children explored the environment. One (1) child was asleep on the back in the crib. Sleep checks were logged appropriately. Safe sleep poster and policy were posted. Feeding plans were posted as well. Diaper creams and the permission forms were monitored. Teachers were on the floor with the children. The interaction and supervision were adequate. Lunch was served during the visit. At this facility, morning snacks and afternoon snacks are provided by the school, and the parents are responsible for the children’s lunch. The school supplements missing components. I monitored the children in space #3 for lunch. One (1) child brought pizza, chicken nuggets, sliced fruits, carrots, yogurt pouch. Two (2) new staff files were monitored in full, and ten (10) staff files were monitored partially. No children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two feeding plans in space #3 were not signed by the parents. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The picnic tables on the playground has peeling paint, and woods on the benches are splinted. .0601(c) 847 Parent's medication authorization did not include required information. In space #1, the permission form for Equate Hydrocortisone cream expired on 5/22/23. In space #2, the permission form for A+D diaper rash ointment for a child expired on 3/4/23, and the other child on 3/16/24. The permission form for Neutrogena Pure and Free Baby sunscreen cream expired on 5/17/24 (space #2). The permission form for KIDS by Babyganics aerosol sunscreen spray expired on 4/11/24. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. plastic wrappers for diapers, grocery bags in a crate and several packets of baby wipes (Huggies Simply Clean and Parent Choice) were stored under the changing table. The baby proof device was installed but not used resulting is allowing access to the items by the children. .0604(q) 860 Balloons were accessible to children. During the outdoor play, the children from space #1 ranged from two-to-three years of age had access to a blue inflated balloon, and two (2) pieces of torn balloons. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. An orange pool noodle was accessible to the children under three (3) years of age on the playground. .0604(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. For the staff member hired on 4/8/24, the following topics were not reviewed with the staff member within the six (6) weeks of employment: Prevention of and response to emergencies due to food and allergic reactions, Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants, and review of enhanced standards. .1101(a)(b) Technical assistance was provided as follows: 541: Feeding plans Parent signatures are required for the feeding plans. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name,be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Peeling paint/splinted woods Splinted part of the picnic tables shall be sanded, and the peeling paint must be covered with new paint. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 847: Medication authorization form Medication authorization form is valid for twelve (12) months. Please ask the parents to renew the form when the form is expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 858: Easily torn plastics 860: Balloon 861: Styrofoam Easily torn plastics, including plastic wrappers for diapers, diaper wipes in the plastic bag, balloons and styrofoam are all considered choking hazard for children younger than three (3) years of age. Balloons are prohibited in the child care centers. Plastics and styrofoam shall be inaccessible to the children younger than three (3). 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1067: Orientation All topics on the orientation form shall be covered. Even though the topics are covered by the Health and Safety training, the matters related to the topics pertaining to your facility shall be discussed during the orientation. For example, where do you keep bloodborne pathogens kit? Who disposes the biohazards? 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: • Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 • Firsthand observation of the center's daily operations • Review of the center's operational policies, including the center's safe sleep policy for infants, • the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan • Instruction in the employee's assigned duties • Adequate supervision of children in accordance with 10A NCAC 09 .1801 • Instruction in the maintenance of a safe and healthy environment • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 • Prevention and control of infectious diseases, including immunization • Review of the center's purposes and goals • Review of the child care licensing law and rules • Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment • An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource • An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations • Prevention of and response to emergencies due to food and allergic reactions • Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff/Child Ratios and grouping: We discussed various cases of staff/child grouping situations. • Children under twelve (12) months cannot be grouped with children two (2) years and up. • Children between twelve (12) to twenty-four (24) months cannot be grouped with children three (3) years of age. These rules are causing hardships in the grouping of children at this facility. Technical assistance on the grouping of children was provided by Bonnie Mathis, Licensing supervisor, during the visit. I will communicate this matter with Sarah Upton, Child Care Consultant. Please see the rule below. If you have additional questions, please feel free to contact us at kaoru.eddins@dhhs.nc.gov, sarah.upton@dhhs.nc.gov, and bonnie.mathis@dhhs.nc.gov. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; and (9) when only one caregiver is required to meet the staff/child ratio, the operator shall select one of the following options for emergency relief: (A) the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; or (B) there shall be a second adult on the premises who is available to provide emergency relief. (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. We discussed Hold Harmless Bill, Stabilization grants and Credential test-out option. I have not received any updates on the change in the topics. As long as I receive the updates, I or Ms. Upton will communicate with you. Criminal Background Letter: One (1) staff member’s CBC letter will expire on 6/19/24. Per The application was completed, and the fingerprinting will be done today. 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: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/10/2024 Number Present: 22 Completed Date: 6/10/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins Child Care Consultant and also signed by Misty Berry, administrator , during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Berry accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one-hundred (100) percent as of today prior to this visit. Permit type – four-star center license issued on 4/21/14. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 5/13/24. The last shelter-in-place drill was practiced on 4/26/24. The last playground inspection was documented on 5/31/24. The last fire inspection was approved on 5/16/24. The last sanitation inspection was conducted on 3/6/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself and announced the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play with music instruments, toy vehicles and other toys. One (1) child played the toy piano and sang. No emergency medications are maintained in this classroom. Diaper creams and other creams were maintained, and I monitored the permission forms. One (1) teacher worked with a child on the Father’s day art work, while the other teachers took eight (8) children to the playground. On the playground, the children played with tricycles and other riding toys. Balance beams, metal vehicle structure and play house, and bars were available. The other playground is under maintenance, and the three (3) classrooms are currently using one (1) playground on rotations. Teacher interaction and supervision were adequate. In space #2, a group of three-to-five-year-old children played with playdough, toy vehicles and other materials. The teachers sat with the children and engaged in the conversation. Supervision was adequate. Various diaper creams and sunscreens were maintained in the classroom. The permission forms were monitored. In space #3, a group of infants and one-year-old children explored the environment. One (1) child was asleep on the back in the crib. Sleep checks were logged appropriately. Safe sleep poster and policy were posted. Feeding plans were posted as well. Diaper creams and the permission forms were monitored. Teachers were on the floor with the children. The interaction and supervision were adequate. Lunch was served during the visit. At this facility, morning snacks and afternoon snacks are provided by the school, and the parents are responsible for the children’s lunch. The school supplements missing components. I monitored the children in space #3 for lunch. One (1) child brought pizza, chicken nuggets, sliced fruits, carrots, yogurt pouch. Two (2) new staff files were monitored in full, and ten (10) staff files were monitored partially. No children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two feeding plans in space #3 were not signed by the parents. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The picnic tables on the playground has peeling paint, and woods on the benches are splinted. .0601(c) 847 Parent's medication authorization did not include required information. In space #1, the permission form for Equate Hydrocortisone cream expired on 5/22/23. In space #2, the permission form for A+D diaper rash ointment for a child expired on 3/4/23, and the other child on 3/16/24. The permission form for Neutrogena Pure and Free Baby sunscreen cream expired on 5/17/24 (space #2). The permission form for KIDS by Babyganics aerosol sunscreen spray expired on 4/11/24. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. plastic wrappers for diapers, grocery bags in a crate and several packets of baby wipes (Huggies Simply Clean and Parent Choice) were stored under the changing table. The baby proof device was installed but not used resulting is allowing access to the items by the children. .0604(q) 860 Balloons were accessible to children. During the outdoor play, the children from space #1 ranged from two-to-three years of age had access to a blue inflated balloon, and two (2) pieces of torn balloons. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. An orange pool noodle was accessible to the children under three (3) years of age on the playground. .0604(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. For the staff member hired on 4/8/24, the following topics were not reviewed with the staff member within the six (6) weeks of employment: Prevention of and response to emergencies due to food and allergic reactions, Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants, and review of enhanced standards. .1101(a)(b) Technical assistance was provided as follows: 541: Feeding plans Parent signatures are required for the feeding plans. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name,be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Peeling paint/splinted woods Splinted part of the picnic tables shall be sanded, and the peeling paint must be covered with new paint. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 847: Medication authorization form Medication authorization form is valid for twelve (12) months. Please ask the parents to renew the form when the form is expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 858: Easily torn plastics 860: Balloon 861: Styrofoam Easily torn plastics, including plastic wrappers for diapers, diaper wipes in the plastic bag, balloons and styrofoam are all considered choking hazard for children younger than three (3) years of age. Balloons are prohibited in the child care centers. Plastics and styrofoam shall be inaccessible to the children younger than three (3). 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1067: Orientation All topics on the orientation form shall be covered. Even though the topics are covered by the Health and Safety training, the matters related to the topics pertaining to your facility shall be discussed during the orientation. For example, where do you keep bloodborne pathogens kit? Who disposes the biohazards? 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: • Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 • Firsthand observation of the center's daily operations • Review of the center's operational policies, including the center's safe sleep policy for infants, • the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan • Instruction in the employee's assigned duties • Adequate supervision of children in accordance with 10A NCAC 09 .1801 • Instruction in the maintenance of a safe and healthy environment • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 • Prevention and control of infectious diseases, including immunization • Review of the center's purposes and goals • Review of the child care licensing law and rules • Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment • An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource • An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations • Prevention of and response to emergencies due to food and allergic reactions • Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff/Child Ratios and grouping: We discussed various cases of staff/child grouping situations. • Children under twelve (12) months cannot be grouped with children two (2) years and up. • Children between twelve (12) to twenty-four (24) months cannot be grouped with children three (3) years of age. These rules are causing hardships in the grouping of children at this facility. Technical assistance on the grouping of children was provided by Bonnie Mathis, Licensing supervisor, during the visit. I will communicate this matter with Sarah Upton, Child Care Consultant. Please see the rule below. If you have additional questions, please feel free to contact us at kaoru.eddins@dhhs.nc.gov, sarah.upton@dhhs.nc.gov, and bonnie.mathis@dhhs.nc.gov. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; and (9) when only one caregiver is required to meet the staff/child ratio, the operator shall select one of the following options for emergency relief: (A) the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; or (B) there shall be a second adult on the premises who is available to provide emergency relief. (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. We discussed Hold Harmless Bill, Stabilization grants and Credential test-out option. I have not received any updates on the change in the topics. As long as I receive the updates, I or Ms. Upton will communicate with you. Criminal Background Letter: One (1) staff member’s CBC letter will expire on 6/19/24. Per The application was completed, and the fingerprinting will be done today. 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. 110-105 · Violation

Name of Operation: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/10/2024 Number Present: 22 Completed Date: 6/10/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins Child Care Consultant and also signed by Misty Berry, administrator , during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Berry accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one-hundred (100) percent as of today prior to this visit. Permit type – four-star center license issued on 4/21/14. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 5/13/24. The last shelter-in-place drill was practiced on 4/26/24. The last playground inspection was documented on 5/31/24. The last fire inspection was approved on 5/16/24. The last sanitation inspection was conducted on 3/6/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself and announced the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play with music instruments, toy vehicles and other toys. One (1) child played the toy piano and sang. No emergency medications are maintained in this classroom. Diaper creams and other creams were maintained, and I monitored the permission forms. One (1) teacher worked with a child on the Father’s day art work, while the other teachers took eight (8) children to the playground. On the playground, the children played with tricycles and other riding toys. Balance beams, metal vehicle structure and play house, and bars were available. The other playground is under maintenance, and the three (3) classrooms are currently using one (1) playground on rotations. Teacher interaction and supervision were adequate. In space #2, a group of three-to-five-year-old children played with playdough, toy vehicles and other materials. The teachers sat with the children and engaged in the conversation. Supervision was adequate. Various diaper creams and sunscreens were maintained in the classroom. The permission forms were monitored. In space #3, a group of infants and one-year-old children explored the environment. One (1) child was asleep on the back in the crib. Sleep checks were logged appropriately. Safe sleep poster and policy were posted. Feeding plans were posted as well. Diaper creams and the permission forms were monitored. Teachers were on the floor with the children. The interaction and supervision were adequate. Lunch was served during the visit. At this facility, morning snacks and afternoon snacks are provided by the school, and the parents are responsible for the children’s lunch. The school supplements missing components. I monitored the children in space #3 for lunch. One (1) child brought pizza, chicken nuggets, sliced fruits, carrots, yogurt pouch. Two (2) new staff files were monitored in full, and ten (10) staff files were monitored partially. No children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two feeding plans in space #3 were not signed by the parents. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The picnic tables on the playground has peeling paint, and woods on the benches are splinted. .0601(c) 847 Parent's medication authorization did not include required information. In space #1, the permission form for Equate Hydrocortisone cream expired on 5/22/23. In space #2, the permission form for A+D diaper rash ointment for a child expired on 3/4/23, and the other child on 3/16/24. The permission form for Neutrogena Pure and Free Baby sunscreen cream expired on 5/17/24 (space #2). The permission form for KIDS by Babyganics aerosol sunscreen spray expired on 4/11/24. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. plastic wrappers for diapers, grocery bags in a crate and several packets of baby wipes (Huggies Simply Clean and Parent Choice) were stored under the changing table. The baby proof device was installed but not used resulting is allowing access to the items by the children. .0604(q) 860 Balloons were accessible to children. During the outdoor play, the children from space #1 ranged from two-to-three years of age had access to a blue inflated balloon, and two (2) pieces of torn balloons. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. An orange pool noodle was accessible to the children under three (3) years of age on the playground. .0604(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. For the staff member hired on 4/8/24, the following topics were not reviewed with the staff member within the six (6) weeks of employment: Prevention of and response to emergencies due to food and allergic reactions, Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants, and review of enhanced standards. .1101(a)(b) Technical assistance was provided as follows: 541: Feeding plans Parent signatures are required for the feeding plans. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name,be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Peeling paint/splinted woods Splinted part of the picnic tables shall be sanded, and the peeling paint must be covered with new paint. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 847: Medication authorization form Medication authorization form is valid for twelve (12) months. Please ask the parents to renew the form when the form is expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 858: Easily torn plastics 860: Balloon 861: Styrofoam Easily torn plastics, including plastic wrappers for diapers, diaper wipes in the plastic bag, balloons and styrofoam are all considered choking hazard for children younger than three (3) years of age. Balloons are prohibited in the child care centers. Plastics and styrofoam shall be inaccessible to the children younger than three (3). 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1067: Orientation All topics on the orientation form shall be covered. Even though the topics are covered by the Health and Safety training, the matters related to the topics pertaining to your facility shall be discussed during the orientation. For example, where do you keep bloodborne pathogens kit? Who disposes the biohazards? 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: • Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 • Firsthand observation of the center's daily operations • Review of the center's operational policies, including the center's safe sleep policy for infants, • the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan • Instruction in the employee's assigned duties • Adequate supervision of children in accordance with 10A NCAC 09 .1801 • Instruction in the maintenance of a safe and healthy environment • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 • Prevention and control of infectious diseases, including immunization • Review of the center's purposes and goals • Review of the child care licensing law and rules • Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment • An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource • An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations • Prevention of and response to emergencies due to food and allergic reactions • Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff/Child Ratios and grouping: We discussed various cases of staff/child grouping situations. • Children under twelve (12) months cannot be grouped with children two (2) years and up. • Children between twelve (12) to twenty-four (24) months cannot be grouped with children three (3) years of age. These rules are causing hardships in the grouping of children at this facility. Technical assistance on the grouping of children was provided by Bonnie Mathis, Licensing supervisor, during the visit. I will communicate this matter with Sarah Upton, Child Care Consultant. Please see the rule below. If you have additional questions, please feel free to contact us at kaoru.eddins@dhhs.nc.gov, sarah.upton@dhhs.nc.gov, and bonnie.mathis@dhhs.nc.gov. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; and (9) when only one caregiver is required to meet the staff/child ratio, the operator shall select one of the following options for emergency relief: (A) the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; or (B) there shall be a second adult on the premises who is available to provide emergency relief. (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. We discussed Hold Harmless Bill, Stabilization grants and Credential test-out option. I have not received any updates on the change in the topics. As long as I receive the updates, I or Ms. Upton will communicate with you. Criminal Background Letter: One (1) staff member’s CBC letter will expire on 6/19/24. Per The application was completed, and the fingerprinting will be done today. 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: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/10/2024 Number Present: 22 Completed Date: 6/10/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins Child Care Consultant and also signed by Misty Berry, administrator , during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Berry accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one-hundred (100) percent as of today prior to this visit. Permit type – four-star center license issued on 4/21/14. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 5/13/24. The last shelter-in-place drill was practiced on 4/26/24. The last playground inspection was documented on 5/31/24. The last fire inspection was approved on 5/16/24. The last sanitation inspection was conducted on 3/6/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself and announced the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play with music instruments, toy vehicles and other toys. One (1) child played the toy piano and sang. No emergency medications are maintained in this classroom. Diaper creams and other creams were maintained, and I monitored the permission forms. One (1) teacher worked with a child on the Father’s day art work, while the other teachers took eight (8) children to the playground. On the playground, the children played with tricycles and other riding toys. Balance beams, metal vehicle structure and play house, and bars were available. The other playground is under maintenance, and the three (3) classrooms are currently using one (1) playground on rotations. Teacher interaction and supervision were adequate. In space #2, a group of three-to-five-year-old children played with playdough, toy vehicles and other materials. The teachers sat with the children and engaged in the conversation. Supervision was adequate. Various diaper creams and sunscreens were maintained in the classroom. The permission forms were monitored. In space #3, a group of infants and one-year-old children explored the environment. One (1) child was asleep on the back in the crib. Sleep checks were logged appropriately. Safe sleep poster and policy were posted. Feeding plans were posted as well. Diaper creams and the permission forms were monitored. Teachers were on the floor with the children. The interaction and supervision were adequate. Lunch was served during the visit. At this facility, morning snacks and afternoon snacks are provided by the school, and the parents are responsible for the children’s lunch. The school supplements missing components. I monitored the children in space #3 for lunch. One (1) child brought pizza, chicken nuggets, sliced fruits, carrots, yogurt pouch. Two (2) new staff files were monitored in full, and ten (10) staff files were monitored partially. No children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two feeding plans in space #3 were not signed by the parents. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The picnic tables on the playground has peeling paint, and woods on the benches are splinted. .0601(c) 847 Parent's medication authorization did not include required information. In space #1, the permission form for Equate Hydrocortisone cream expired on 5/22/23. In space #2, the permission form for A+D diaper rash ointment for a child expired on 3/4/23, and the other child on 3/16/24. The permission form for Neutrogena Pure and Free Baby sunscreen cream expired on 5/17/24 (space #2). The permission form for KIDS by Babyganics aerosol sunscreen spray expired on 4/11/24. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. plastic wrappers for diapers, grocery bags in a crate and several packets of baby wipes (Huggies Simply Clean and Parent Choice) were stored under the changing table. The baby proof device was installed but not used resulting is allowing access to the items by the children. .0604(q) 860 Balloons were accessible to children. During the outdoor play, the children from space #1 ranged from two-to-three years of age had access to a blue inflated balloon, and two (2) pieces of torn balloons. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. An orange pool noodle was accessible to the children under three (3) years of age on the playground. .0604(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. For the staff member hired on 4/8/24, the following topics were not reviewed with the staff member within the six (6) weeks of employment: Prevention of and response to emergencies due to food and allergic reactions, Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants, and review of enhanced standards. .1101(a)(b) Technical assistance was provided as follows: 541: Feeding plans Parent signatures are required for the feeding plans. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name,be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Peeling paint/splinted woods Splinted part of the picnic tables shall be sanded, and the peeling paint must be covered with new paint. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 847: Medication authorization form Medication authorization form is valid for twelve (12) months. Please ask the parents to renew the form when the form is expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 858: Easily torn plastics 860: Balloon 861: Styrofoam Easily torn plastics, including plastic wrappers for diapers, diaper wipes in the plastic bag, balloons and styrofoam are all considered choking hazard for children younger than three (3) years of age. Balloons are prohibited in the child care centers. Plastics and styrofoam shall be inaccessible to the children younger than three (3). 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1067: Orientation All topics on the orientation form shall be covered. Even though the topics are covered by the Health and Safety training, the matters related to the topics pertaining to your facility shall be discussed during the orientation. For example, where do you keep bloodborne pathogens kit? Who disposes the biohazards? 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: • Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 • Firsthand observation of the center's daily operations • Review of the center's operational policies, including the center's safe sleep policy for infants, • the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan • Instruction in the employee's assigned duties • Adequate supervision of children in accordance with 10A NCAC 09 .1801 • Instruction in the maintenance of a safe and healthy environment • Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment • Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 • Prevention and control of infectious diseases, including immunization • Review of the center's purposes and goals • Review of the child care licensing law and rules • Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment • An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource • An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations • Prevention of and response to emergencies due to food and allergic reactions • Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff/Child Ratios and grouping: We discussed various cases of staff/child grouping situations. • Children under twelve (12) months cannot be grouped with children two (2) years and up. • Children between twelve (12) to twenty-four (24) months cannot be grouped with children three (3) years of age. These rules are causing hardships in the grouping of children at this facility. Technical assistance on the grouping of children was provided by Bonnie Mathis, Licensing supervisor, during the visit. I will communicate this matter with Sarah Upton, Child Care Consultant. Please see the rule below. If you have additional questions, please feel free to contact us at kaoru.eddins@dhhs.nc.gov, sarah.upton@dhhs.nc.gov, and bonnie.mathis@dhhs.nc.gov. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; and (9) when only one caregiver is required to meet the staff/child ratio, the operator shall select one of the following options for emergency relief: (A) the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; or (B) there shall be a second adult on the premises who is available to provide emergency relief. (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. We discussed Hold Harmless Bill, Stabilization grants and Credential test-out option. I have not received any updates on the change in the topics. As long as I receive the updates, I or Ms. Upton will communicate with you. Criminal Background Letter: One (1) staff member’s CBC letter will expire on 6/19/24. Per The application was completed, and the fingerprinting will be done today. 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: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 27 Completed Date: 3/20/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced 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 Misty Berry, administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Berry. Today, Ms. Berry, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent as of March 20, 2024. This faclity is owned and operated by The Hampton School, Inc. According the NC Secretary of State this is a non-profit cooperation that is currently active as of March 20, 2024. Permit type – Four Star issued on April 21, 2014 Special Services/Restrictions – meets reduced ratios, meets enhanced space, daytime care only. Last Annual Compliance visit was conducted on March 31, 2023 The last fire drill was practiced on February 29, 2023 The last emergency drill was practiced on January 31, 2024 The last fire inspection was approved on May 18, 2023 The last sanitation inspection was conducted on March 06, 2024 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. This program currently uses Creative Curriculum. Upon arrival I introduced my presence to Ms. Berry. I observed the group with three- to five-year-old children during snack which consisted of oranges, Nilla Wafers and water. The group with two-to-three-year-old children were observed during free play and snack. The group with zero-to-one-year-old children were observed during free play. All lunches are brought in by the parents. 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 written Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers files it was noted that two (2) new teachers did not have a medical report prior to employment. RJ was hired on 09/13/23 but did not have a medical until 10/18/23. AM was hired on 2/12/24 but did not have a medical until 2/28/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of new teachers files it was noted that three (3) new teachers did not have a TB test prior to employment. RJ was hired on 09/13/23 but did not have a TB test until 10/20/23. AM was hired on 2/12/24 but did not have a TB until 3/01/24. JJ was hired on 1/25/24 TB was dated 2/14/24. .0701(a) Technical Assistance provided as follows: Item# 1032 All staff must have a medical statement on file prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report: A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item# 1033 All staff must have results that they are free of active TB. Documentation of this test or screening must be maintained in a separate, confidential file. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment Due Date: On or before first day of work. The violation listed above has been corrected and a letter of compliance is not required. Consultation is provided as follows: 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 me, 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 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: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 27 Completed Date: 3/20/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced 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 Misty Berry, administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Berry. Today, Ms. Berry, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent as of March 20, 2024. This faclity is owned and operated by The Hampton School, Inc. According the NC Secretary of State this is a non-profit cooperation that is currently active as of March 20, 2024. Permit type – Four Star issued on April 21, 2014 Special Services/Restrictions – meets reduced ratios, meets enhanced space, daytime care only. Last Annual Compliance visit was conducted on March 31, 2023 The last fire drill was practiced on February 29, 2023 The last emergency drill was practiced on January 31, 2024 The last fire inspection was approved on May 18, 2023 The last sanitation inspection was conducted on March 06, 2024 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. This program currently uses Creative Curriculum. Upon arrival I introduced my presence to Ms. Berry. I observed the group with three- to five-year-old children during snack which consisted of oranges, Nilla Wafers and water. The group with two-to-three-year-old children were observed during free play and snack. The group with zero-to-one-year-old children were observed during free play. All lunches are brought in by the parents. 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 written Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers files it was noted that two (2) new teachers did not have a medical report prior to employment. RJ was hired on 09/13/23 but did not have a medical until 10/18/23. AM was hired on 2/12/24 but did not have a medical until 2/28/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of new teachers files it was noted that three (3) new teachers did not have a TB test prior to employment. RJ was hired on 09/13/23 but did not have a TB test until 10/20/23. AM was hired on 2/12/24 but did not have a TB until 3/01/24. JJ was hired on 1/25/24 TB was dated 2/14/24. .0701(a) Technical Assistance provided as follows: Item# 1032 All staff must have a medical statement on file prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report: A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item# 1033 All staff must have results that they are free of active TB. Documentation of this test or screening must be maintained in a separate, confidential file. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment Due Date: On or before first day of work. The violation listed above has been corrected and a letter of compliance is not required. Consultation is provided as follows: 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 me, 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 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 .0701 · Violation

Name of Operation: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 27 Completed Date: 3/20/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced 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 Misty Berry, administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Berry. Today, Ms. Berry, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent as of March 20, 2024. This faclity is owned and operated by The Hampton School, Inc. According the NC Secretary of State this is a non-profit cooperation that is currently active as of March 20, 2024. Permit type – Four Star issued on April 21, 2014 Special Services/Restrictions – meets reduced ratios, meets enhanced space, daytime care only. Last Annual Compliance visit was conducted on March 31, 2023 The last fire drill was practiced on February 29, 2023 The last emergency drill was practiced on January 31, 2024 The last fire inspection was approved on May 18, 2023 The last sanitation inspection was conducted on March 06, 2024 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. This program currently uses Creative Curriculum. Upon arrival I introduced my presence to Ms. Berry. I observed the group with three- to five-year-old children during snack which consisted of oranges, Nilla Wafers and water. The group with two-to-three-year-old children were observed during free play and snack. The group with zero-to-one-year-old children were observed during free play. All lunches are brought in by the parents. 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 written Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers files it was noted that two (2) new teachers did not have a medical report prior to employment. RJ was hired on 09/13/23 but did not have a medical until 10/18/23. AM was hired on 2/12/24 but did not have a medical until 2/28/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of new teachers files it was noted that three (3) new teachers did not have a TB test prior to employment. RJ was hired on 09/13/23 but did not have a TB test until 10/20/23. AM was hired on 2/12/24 but did not have a TB until 3/01/24. JJ was hired on 1/25/24 TB was dated 2/14/24. .0701(a) Technical Assistance provided as follows: Item# 1032 All staff must have a medical statement on file prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report: A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item# 1033 All staff must have results that they are free of active TB. Documentation of this test or screening must be maintained in a separate, confidential file. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment Due Date: On or before first day of work. The violation listed above has been corrected and a letter of compliance is not required. Consultation is provided as follows: 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 me, 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 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: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 27 Completed Date: 3/20/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced 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 Misty Berry, administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Berry. Today, Ms. Berry, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent as of March 20, 2024. This faclity is owned and operated by The Hampton School, Inc. According the NC Secretary of State this is a non-profit cooperation that is currently active as of March 20, 2024. Permit type – Four Star issued on April 21, 2014 Special Services/Restrictions – meets reduced ratios, meets enhanced space, daytime care only. Last Annual Compliance visit was conducted on March 31, 2023 The last fire drill was practiced on February 29, 2023 The last emergency drill was practiced on January 31, 2024 The last fire inspection was approved on May 18, 2023 The last sanitation inspection was conducted on March 06, 2024 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. This program currently uses Creative Curriculum. Upon arrival I introduced my presence to Ms. Berry. I observed the group with three- to five-year-old children during snack which consisted of oranges, Nilla Wafers and water. The group with two-to-three-year-old children were observed during free play and snack. The group with zero-to-one-year-old children were observed during free play. All lunches are brought in by the parents. 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 written Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers files it was noted that two (2) new teachers did not have a medical report prior to employment. RJ was hired on 09/13/23 but did not have a medical until 10/18/23. AM was hired on 2/12/24 but did not have a medical until 2/28/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of new teachers files it was noted that three (3) new teachers did not have a TB test prior to employment. RJ was hired on 09/13/23 but did not have a TB test until 10/20/23. AM was hired on 2/12/24 but did not have a TB until 3/01/24. JJ was hired on 1/25/24 TB was dated 2/14/24. .0701(a) Technical Assistance provided as follows: Item# 1032 All staff must have a medical statement on file prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report: A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item# 1033 All staff must have results that they are free of active TB. Documentation of this test or screening must be maintained in a separate, confidential file. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment Due Date: On or before first day of work. The violation listed above has been corrected and a letter of compliance is not required. Consultation is provided as follows: 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 me, 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 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: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 27 Completed Date: 3/20/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced 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 Misty Berry, administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Berry. Today, Ms. Berry, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent as of March 20, 2024. This faclity is owned and operated by The Hampton School, Inc. According the NC Secretary of State this is a non-profit cooperation that is currently active as of March 20, 2024. Permit type – Four Star issued on April 21, 2014 Special Services/Restrictions – meets reduced ratios, meets enhanced space, daytime care only. Last Annual Compliance visit was conducted on March 31, 2023 The last fire drill was practiced on February 29, 2023 The last emergency drill was practiced on January 31, 2024 The last fire inspection was approved on May 18, 2023 The last sanitation inspection was conducted on March 06, 2024 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. This program currently uses Creative Curriculum. Upon arrival I introduced my presence to Ms. Berry. I observed the group with three- to five-year-old children during snack which consisted of oranges, Nilla Wafers and water. The group with two-to-three-year-old children were observed during free play and snack. The group with zero-to-one-year-old children were observed during free play. All lunches are brought in by the parents. 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 written Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers files it was noted that two (2) new teachers did not have a medical report prior to employment. RJ was hired on 09/13/23 but did not have a medical until 10/18/23. AM was hired on 2/12/24 but did not have a medical until 2/28/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of new teachers files it was noted that three (3) new teachers did not have a TB test prior to employment. RJ was hired on 09/13/23 but did not have a TB test until 10/20/23. AM was hired on 2/12/24 but did not have a TB until 3/01/24. JJ was hired on 1/25/24 TB was dated 2/14/24. .0701(a) Technical Assistance provided as follows: Item# 1032 All staff must have a medical statement on file prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report: A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item# 1033 All staff must have results that they are free of active TB. Documentation of this test or screening must be maintained in a separate, confidential file. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment Due Date: On or before first day of work. The violation listed above has been corrected and a letter of compliance is not required. Consultation is provided as follows: 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 me, 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 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: HAMPTON PRESCHOOL AND EARLY LEARNING CENTER Facility ID: 50000098 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 27 Completed Date: 3/20/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced 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 Misty Berry, administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Berry. Today, Ms. Berry, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent as of March 20, 2024. This faclity is owned and operated by The Hampton School, Inc. According the NC Secretary of State this is a non-profit cooperation that is currently active as of March 20, 2024. Permit type – Four Star issued on April 21, 2014 Special Services/Restrictions – meets reduced ratios, meets enhanced space, daytime care only. Last Annual Compliance visit was conducted on March 31, 2023 The last fire drill was practiced on February 29, 2023 The last emergency drill was practiced on January 31, 2024 The last fire inspection was approved on May 18, 2023 The last sanitation inspection was conducted on March 06, 2024 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. This program currently uses Creative Curriculum. Upon arrival I introduced my presence to Ms. Berry. I observed the group with three- to five-year-old children during snack which consisted of oranges, Nilla Wafers and water. The group with two-to-three-year-old children were observed during free play and snack. The group with zero-to-one-year-old children were observed during free play. All lunches are brought in by the parents. 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 written Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers files it was noted that two (2) new teachers did not have a medical report prior to employment. RJ was hired on 09/13/23 but did not have a medical until 10/18/23. AM was hired on 2/12/24 but did not have a medical until 2/28/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of new teachers files it was noted that three (3) new teachers did not have a TB test prior to employment. RJ was hired on 09/13/23 but did not have a TB test until 10/20/23. AM was hired on 2/12/24 but did not have a TB until 3/01/24. JJ was hired on 1/25/24 TB was dated 2/14/24. .0701(a) Technical Assistance provided as follows: Item# 1032 All staff must have a medical statement on file prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report: A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item# 1033 All staff must have results that they are free of active TB. Documentation of this test or screening must be maintained in a separate, confidential file. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment Due Date: On or before first day of work. The violation listed above has been corrected and a letter of compliance is not required. Consultation is provided as follows: 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 me, 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 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