10A NCAC 09 .0302 · Violation

Name of Operation: WEST COLUMBUS SCHOOL Facility ID: 24000115 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 32 Completed Date: 1/17/2024 Age: From 4 To 5 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 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 with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued August 25, 2022, earning 7 points in Education, 7 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 65 children 3-6 years of age, meets enhanced space, and meets enhanced ratios minus one from the seven-point level. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Guided Edition. The last annual compliance visit was conducted January 26, 2023. A Superior sanitation rating was earned June 6, 2023, and a fire inspection was conducted January 27, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 93%. Administrator, K. Beck, and Lead Teachers, C. Frink, K. Horton and B. Bass were present and available for consultation today. Three indoor spaces and one outdoor space are currently approved for use by children. Upon arrival, children enrolled in Space #19 were observed in free choice activities including stringing beads, building towers with blocks and pretending to serve a meal in the dramatic play kitchen. One staff member assisted individual children with using paint to make ladybugs. In Space #20, children were observed playing in the sensory table, using lacing beads and pretending to be at the doctor’s office. Children in Space #21 were observed doing indoor gross motor activities including playing hopscotch and hot potato and doing yoga poses. Lunch served in the cafeteria consisted of a choice of tortilla chips with beef and cheese or peanut butter and jelly sandwich, pinto beans, corn, fresh apples and milk. After lunch, children enrolled in Space #20 were observed on the fenced in outdoor playground, riding tricycles and using the climbing equipment. Children in Space #19 were also observed eating a snack of Goldfish crackers and milk. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. NC Pre-K Site Monitoring All three spaces are operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 7:30am to 3:00pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum, Brigance Developmental screening, and Teaching Strategies Gold for their ongoing assessments. Developmental screenings and health assessments including vision, hearing, and dental screenings were on file for all NC Pre-K children’s files reviewed. Evidence of on-going assessments was observed in reports filed in children’s files. The NC Pre-K Site Monitoring Tool for 2023-2024 was signed by Terri Ard, representative of contracting agency Columbus County Schools, during a site visit November 13, 2023. It was noted that all requirements were in compliance. NC Pre-K staff information was verified in the NC Pre-K Plan and all staff meet education requirements. The Early Childhood Environment Rating Scale-Revised (ECERS-R) score received on March 10, 2022 was 6.05. Child Care programs are expected to always achieve and maintain compliance with child care rules, 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 following violations were observed today and must be corrected immediately: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Current emergency information forms were not on file for the two substitute staff members present today. .0701(a) 1314 Emergency information did not name child's health care professional. A health care professional was not listed on the application for a child who enrolled November 23, 2023. .0802(c)(2) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not on file for a child who enrolled November 23, 2023. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for substitute staff member Sandy McGirt today. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Two inches of mulch was observed at the bottom of the slide on the playground rather than the six inches required by the height of the equipment. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A signed acknowledgement of this policy was not on file for a staff member who started employment November 27, 2023. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member who began employment November 17, 2022 has not yet completed this training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff member who began employment November 17, 2022 has not yet completed health and safety training. .1102(a) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. Neither substitute providers present today had a current health questionnaire on file. 10A NCAC 09 .0701(a) A compliance letter including detailed information about how all violations have been corrected must be received by January 31, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited A qualification letter was not on file for substitute staff member Sandy McGirt today. It was verified in the ABCMS portal that she is qualified through July 12, 2024, so just remember to send a copy of her letter and file it within two weeks as required. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. You must provide “soft” resilient surfacing at a depth of six inches under and around stationary playground equipment to prevent injuries. Today I suggested you till the compacted mulch first, then determine how much needs to be added. Remember to send pictures to verify compliance. As discussed, Recognizing and Responding to Suspicions of Child Maltreatment training is required within 90 days of employment. T. Lewis may complete this training online for free at www.preventchildabusenc.org. Remember to send a copy of the certificate to verify compliance, and file it upon completion. Technical assistance was provided today regarding completion of Health and Safety training topics, most of which are now available for FREE on DCDEE's training platform called Moodle. All topics must be completed within the first year of employment. As discussed, T. Lewis may use Moodle to complete the topics and it will also count towards on-going hours due for this year. Please see instructions for Moodle access below: 1. Visit https://www.dcdee.moodle.nc.gov/ 2. Log-in with your NCID and password. The log-in is in the upper right corner of the screen. 3. After log-in, scroll to the bottom of the page. In the ‘Search courses’ box, you should type in the short name “Year 2024 CCDF” and then click go. You should not register for prior year courses as they are no longer available. 4. After completing the course search, you should be able to enroll in the courses. 5. Once registered, you will then need to use the “ADDITIONAL DIRECTIONS” for step-by-step instructions. Medication in Child Care is a separate module which must be located using the same search directions as above, but search “medication” instead. Remember to use the Record of Health and Safety training, found under Provider Documents and Forms on the DCDEE website, to track completion of trainings. Additional technical assistance was provided regarding substitute staff file requirements and using the Staff and Training Worksheet as a tracking tool for deadlines. I reviewed the Substitute Staff File Checklist from the DCDEE website with you and discussed strategies for ensuring all “day one” items are on file prior to letting a substitute into a Pre-K classroom. If someone continues as a substitute in Pre-K, they should be added to the worksheet and training requirements such as CPR and First Aid and health and safety trainings should be tracked from their first day of employment in Pre-K. Remember to send copies of completed and/or updated forms as discussed to verify compliance. Regarding the missing child file items, I suggested you review the file checklist to obtain any missing documentation and submit copies to verify compliance. Moving forward, I encouraged you to use calendar reminders to ensure deadlines are not missed. Technical Assistance As protruding bolts on the black mulch barrier may become an issue, I suggest that you check them on a regular basis to determine if they need to be pushed back down in the ground. Protrusions are considered safety hazards as children may trip over them or fall on them. Bolts should be hammered down flush with the border. The definition of adequate supervision includes that staff should be moving around the indoor and outdoor space with children. The field of vision for supervision during outdoor play should not exceed 180 degrees. Closely supervise near high use or potentially dangerous areas such as the climbing structure. Ensure one piece of playground equipment does not block the view of others. If there is more than one teacher on the playground, swap places at least once during the play period. Technical assistance was provided today regarding staff/child ratios. As discussed, the NC Pre-K ratio of one staff member to nine children with a maximum group size of eighteen children has changed to one staff member to ten children with a maximum group size of twenty children. On November 8, 2023 I received a request for Space #20 to begin operating under the new ratio and group size. Due to the fact that the youngest child enrolled in this group is four years of age, this ratio may be utilized while still maintaining compliance with the restriction of reduced staff/child ratios and group sizes required at the seven-point level in Program Standards. Please be aware, however, when the youngest child in the group is three years of age, a ratio of one staff member to nine children with a maximum group size of eighteen children must be followed due to this restriction. Currently, this ratio and group size would apply to Spaces #19 and 21. Be sure your posted ratio charts are accurate and you keep this restriction in mind as you enroll children. If you choose to provide screen time at your facility, you must ensure that it is used to meet a developmental goal, that it is limited to 30 minutes per day and that the time is documented on a screen time log, and that free choice activities are offered for children not participating. You may print a sample screen time log from Provider Documents and Forms on the DCDEE website. Rated License Information Your facility’s three-year rated license reassessment was voluntarily conducted in August 2022, which means that your program has been assigned to “Cohort 3” in the recently announced “cohort model” of resuming reassessments. As discussed, 7/1/25-6/30/26 will be your “planning/preparation” year, and your next reassessment will be required between 7/1/26-6/30/27. As you typically have the Early Childhood Environment Rating Scales- Revised (ECERS-R) conducted, we discussed that you will have the option to request an ECERS-R assessment during your planning year if you wish, or you may wait until your reassessment year. You may also wish to request an outreach assessment from NCRLAP this year or next year. I will be in touch regarding timelines for reassessment as your planning year approaches. Regarding Education points and the Quality point, you are maintaining compliance, however staff member T. Lewis and the new staff member joining Pre-K soon will need to apply for DPI Teacher Assistant positions and upload the form shared with you today. Please let me know if you need assistance with the WORKS portal. Reminders You must schedule and obtain an approved fire inspection by January 27, 2024 to avoid a violation. Remember to submit a copy within one week as required. Save the date for a Zoom Provider Meeting! The meeting for center owners and directors will be held February 7, 2024 at 10am. Please refer to the email invitation with Zoom link sent January 12, 2024 for instructions on how to join. Child Care Rules were revised January 1, 2024, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. I strongly urge you to review the training information at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm, and contact Children’s Environmental Health Services with any questions. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. At the end of this visit, documentation was completed electronically, reviewed with you, and emailed to you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@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: WEST COLUMBUS SCHOOL Facility ID: 24000115 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 32 Completed Date: 1/17/2024 Age: From 4 To 5 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 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 with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued August 25, 2022, earning 7 points in Education, 7 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 65 children 3-6 years of age, meets enhanced space, and meets enhanced ratios minus one from the seven-point level. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Guided Edition. The last annual compliance visit was conducted January 26, 2023. A Superior sanitation rating was earned June 6, 2023, and a fire inspection was conducted January 27, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 93%. Administrator, K. Beck, and Lead Teachers, C. Frink, K. Horton and B. Bass were present and available for consultation today. Three indoor spaces and one outdoor space are currently approved for use by children. Upon arrival, children enrolled in Space #19 were observed in free choice activities including stringing beads, building towers with blocks and pretending to serve a meal in the dramatic play kitchen. One staff member assisted individual children with using paint to make ladybugs. In Space #20, children were observed playing in the sensory table, using lacing beads and pretending to be at the doctor’s office. Children in Space #21 were observed doing indoor gross motor activities including playing hopscotch and hot potato and doing yoga poses. Lunch served in the cafeteria consisted of a choice of tortilla chips with beef and cheese or peanut butter and jelly sandwich, pinto beans, corn, fresh apples and milk. After lunch, children enrolled in Space #20 were observed on the fenced in outdoor playground, riding tricycles and using the climbing equipment. Children in Space #19 were also observed eating a snack of Goldfish crackers and milk. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. NC Pre-K Site Monitoring All three spaces are operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 7:30am to 3:00pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum, Brigance Developmental screening, and Teaching Strategies Gold for their ongoing assessments. Developmental screenings and health assessments including vision, hearing, and dental screenings were on file for all NC Pre-K children’s files reviewed. Evidence of on-going assessments was observed in reports filed in children’s files. The NC Pre-K Site Monitoring Tool for 2023-2024 was signed by Terri Ard, representative of contracting agency Columbus County Schools, during a site visit November 13, 2023. It was noted that all requirements were in compliance. NC Pre-K staff information was verified in the NC Pre-K Plan and all staff meet education requirements. The Early Childhood Environment Rating Scale-Revised (ECERS-R) score received on March 10, 2022 was 6.05. Child Care programs are expected to always achieve and maintain compliance with child care rules, 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 following violations were observed today and must be corrected immediately: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Current emergency information forms were not on file for the two substitute staff members present today. .0701(a) 1314 Emergency information did not name child's health care professional. A health care professional was not listed on the application for a child who enrolled November 23, 2023. .0802(c)(2) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not on file for a child who enrolled November 23, 2023. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for substitute staff member Sandy McGirt today. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Two inches of mulch was observed at the bottom of the slide on the playground rather than the six inches required by the height of the equipment. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A signed acknowledgement of this policy was not on file for a staff member who started employment November 27, 2023. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member who began employment November 17, 2022 has not yet completed this training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff member who began employment November 17, 2022 has not yet completed health and safety training. .1102(a) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. Neither substitute providers present today had a current health questionnaire on file. 10A NCAC 09 .0701(a) A compliance letter including detailed information about how all violations have been corrected must be received by January 31, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited A qualification letter was not on file for substitute staff member Sandy McGirt today. It was verified in the ABCMS portal that she is qualified through July 12, 2024, so just remember to send a copy of her letter and file it within two weeks as required. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. You must provide “soft” resilient surfacing at a depth of six inches under and around stationary playground equipment to prevent injuries. Today I suggested you till the compacted mulch first, then determine how much needs to be added. Remember to send pictures to verify compliance. As discussed, Recognizing and Responding to Suspicions of Child Maltreatment training is required within 90 days of employment. T. Lewis may complete this training online for free at www.preventchildabusenc.org. Remember to send a copy of the certificate to verify compliance, and file it upon completion. Technical assistance was provided today regarding completion of Health and Safety training topics, most of which are now available for FREE on DCDEE's training platform called Moodle. All topics must be completed within the first year of employment. As discussed, T. Lewis may use Moodle to complete the topics and it will also count towards on-going hours due for this year. Please see instructions for Moodle access below: 1. Visit https://www.dcdee.moodle.nc.gov/ 2. Log-in with your NCID and password. The log-in is in the upper right corner of the screen. 3. After log-in, scroll to the bottom of the page. In the ‘Search courses’ box, you should type in the short name “Year 2024 CCDF” and then click go. You should not register for prior year courses as they are no longer available. 4. After completing the course search, you should be able to enroll in the courses. 5. Once registered, you will then need to use the “ADDITIONAL DIRECTIONS” for step-by-step instructions. Medication in Child Care is a separate module which must be located using the same search directions as above, but search “medication” instead. Remember to use the Record of Health and Safety training, found under Provider Documents and Forms on the DCDEE website, to track completion of trainings. Additional technical assistance was provided regarding substitute staff file requirements and using the Staff and Training Worksheet as a tracking tool for deadlines. I reviewed the Substitute Staff File Checklist from the DCDEE website with you and discussed strategies for ensuring all “day one” items are on file prior to letting a substitute into a Pre-K classroom. If someone continues as a substitute in Pre-K, they should be added to the worksheet and training requirements such as CPR and First Aid and health and safety trainings should be tracked from their first day of employment in Pre-K. Remember to send copies of completed and/or updated forms as discussed to verify compliance. Regarding the missing child file items, I suggested you review the file checklist to obtain any missing documentation and submit copies to verify compliance. Moving forward, I encouraged you to use calendar reminders to ensure deadlines are not missed. Technical Assistance As protruding bolts on the black mulch barrier may become an issue, I suggest that you check them on a regular basis to determine if they need to be pushed back down in the ground. Protrusions are considered safety hazards as children may trip over them or fall on them. Bolts should be hammered down flush with the border. The definition of adequate supervision includes that staff should be moving around the indoor and outdoor space with children. The field of vision for supervision during outdoor play should not exceed 180 degrees. Closely supervise near high use or potentially dangerous areas such as the climbing structure. Ensure one piece of playground equipment does not block the view of others. If there is more than one teacher on the playground, swap places at least once during the play period. Technical assistance was provided today regarding staff/child ratios. As discussed, the NC Pre-K ratio of one staff member to nine children with a maximum group size of eighteen children has changed to one staff member to ten children with a maximum group size of twenty children. On November 8, 2023 I received a request for Space #20 to begin operating under the new ratio and group size. Due to the fact that the youngest child enrolled in this group is four years of age, this ratio may be utilized while still maintaining compliance with the restriction of reduced staff/child ratios and group sizes required at the seven-point level in Program Standards. Please be aware, however, when the youngest child in the group is three years of age, a ratio of one staff member to nine children with a maximum group size of eighteen children must be followed due to this restriction. Currently, this ratio and group size would apply to Spaces #19 and 21. Be sure your posted ratio charts are accurate and you keep this restriction in mind as you enroll children. If you choose to provide screen time at your facility, you must ensure that it is used to meet a developmental goal, that it is limited to 30 minutes per day and that the time is documented on a screen time log, and that free choice activities are offered for children not participating. You may print a sample screen time log from Provider Documents and Forms on the DCDEE website. Rated License Information Your facility’s three-year rated license reassessment was voluntarily conducted in August 2022, which means that your program has been assigned to “Cohort 3” in the recently announced “cohort model” of resuming reassessments. As discussed, 7/1/25-6/30/26 will be your “planning/preparation” year, and your next reassessment will be required between 7/1/26-6/30/27. As you typically have the Early Childhood Environment Rating Scales- Revised (ECERS-R) conducted, we discussed that you will have the option to request an ECERS-R assessment during your planning year if you wish, or you may wait until your reassessment year. You may also wish to request an outreach assessment from NCRLAP this year or next year. I will be in touch regarding timelines for reassessment as your planning year approaches. Regarding Education points and the Quality point, you are maintaining compliance, however staff member T. Lewis and the new staff member joining Pre-K soon will need to apply for DPI Teacher Assistant positions and upload the form shared with you today. Please let me know if you need assistance with the WORKS portal. Reminders You must schedule and obtain an approved fire inspection by January 27, 2024 to avoid a violation. Remember to submit a copy within one week as required. Save the date for a Zoom Provider Meeting! The meeting for center owners and directors will be held February 7, 2024 at 10am. Please refer to the email invitation with Zoom link sent January 12, 2024 for instructions on how to join. Child Care Rules were revised January 1, 2024, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. I strongly urge you to review the training information at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm, and contact Children’s Environmental Health Services with any questions. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. At the end of this visit, documentation was completed electronically, reviewed with you, and emailed to you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@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: WEST COLUMBUS SCHOOL Facility ID: 24000115 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 32 Completed Date: 1/17/2024 Age: From 4 To 5 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 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 with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued August 25, 2022, earning 7 points in Education, 7 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 65 children 3-6 years of age, meets enhanced space, and meets enhanced ratios minus one from the seven-point level. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Guided Edition. The last annual compliance visit was conducted January 26, 2023. A Superior sanitation rating was earned June 6, 2023, and a fire inspection was conducted January 27, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 93%. Administrator, K. Beck, and Lead Teachers, C. Frink, K. Horton and B. Bass were present and available for consultation today. Three indoor spaces and one outdoor space are currently approved for use by children. Upon arrival, children enrolled in Space #19 were observed in free choice activities including stringing beads, building towers with blocks and pretending to serve a meal in the dramatic play kitchen. One staff member assisted individual children with using paint to make ladybugs. In Space #20, children were observed playing in the sensory table, using lacing beads and pretending to be at the doctor’s office. Children in Space #21 were observed doing indoor gross motor activities including playing hopscotch and hot potato and doing yoga poses. Lunch served in the cafeteria consisted of a choice of tortilla chips with beef and cheese or peanut butter and jelly sandwich, pinto beans, corn, fresh apples and milk. After lunch, children enrolled in Space #20 were observed on the fenced in outdoor playground, riding tricycles and using the climbing equipment. Children in Space #19 were also observed eating a snack of Goldfish crackers and milk. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. NC Pre-K Site Monitoring All three spaces are operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 7:30am to 3:00pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum, Brigance Developmental screening, and Teaching Strategies Gold for their ongoing assessments. Developmental screenings and health assessments including vision, hearing, and dental screenings were on file for all NC Pre-K children’s files reviewed. Evidence of on-going assessments was observed in reports filed in children’s files. The NC Pre-K Site Monitoring Tool for 2023-2024 was signed by Terri Ard, representative of contracting agency Columbus County Schools, during a site visit November 13, 2023. It was noted that all requirements were in compliance. NC Pre-K staff information was verified in the NC Pre-K Plan and all staff meet education requirements. The Early Childhood Environment Rating Scale-Revised (ECERS-R) score received on March 10, 2022 was 6.05. Child Care programs are expected to always achieve and maintain compliance with child care rules, 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 following violations were observed today and must be corrected immediately: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Current emergency information forms were not on file for the two substitute staff members present today. .0701(a) 1314 Emergency information did not name child's health care professional. A health care professional was not listed on the application for a child who enrolled November 23, 2023. .0802(c)(2) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not on file for a child who enrolled November 23, 2023. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for substitute staff member Sandy McGirt today. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Two inches of mulch was observed at the bottom of the slide on the playground rather than the six inches required by the height of the equipment. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A signed acknowledgement of this policy was not on file for a staff member who started employment November 27, 2023. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member who began employment November 17, 2022 has not yet completed this training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff member who began employment November 17, 2022 has not yet completed health and safety training. .1102(a) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. Neither substitute providers present today had a current health questionnaire on file. 10A NCAC 09 .0701(a) A compliance letter including detailed information about how all violations have been corrected must be received by January 31, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited A qualification letter was not on file for substitute staff member Sandy McGirt today. It was verified in the ABCMS portal that she is qualified through July 12, 2024, so just remember to send a copy of her letter and file it within two weeks as required. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. You must provide “soft” resilient surfacing at a depth of six inches under and around stationary playground equipment to prevent injuries. Today I suggested you till the compacted mulch first, then determine how much needs to be added. Remember to send pictures to verify compliance. As discussed, Recognizing and Responding to Suspicions of Child Maltreatment training is required within 90 days of employment. T. Lewis may complete this training online for free at www.preventchildabusenc.org. Remember to send a copy of the certificate to verify compliance, and file it upon completion. Technical assistance was provided today regarding completion of Health and Safety training topics, most of which are now available for FREE on DCDEE's training platform called Moodle. All topics must be completed within the first year of employment. As discussed, T. Lewis may use Moodle to complete the topics and it will also count towards on-going hours due for this year. Please see instructions for Moodle access below: 1. Visit https://www.dcdee.moodle.nc.gov/ 2. Log-in with your NCID and password. The log-in is in the upper right corner of the screen. 3. After log-in, scroll to the bottom of the page. In the ‘Search courses’ box, you should type in the short name “Year 2024 CCDF” and then click go. You should not register for prior year courses as they are no longer available. 4. After completing the course search, you should be able to enroll in the courses. 5. Once registered, you will then need to use the “ADDITIONAL DIRECTIONS” for step-by-step instructions. Medication in Child Care is a separate module which must be located using the same search directions as above, but search “medication” instead. Remember to use the Record of Health and Safety training, found under Provider Documents and Forms on the DCDEE website, to track completion of trainings. Additional technical assistance was provided regarding substitute staff file requirements and using the Staff and Training Worksheet as a tracking tool for deadlines. I reviewed the Substitute Staff File Checklist from the DCDEE website with you and discussed strategies for ensuring all “day one” items are on file prior to letting a substitute into a Pre-K classroom. If someone continues as a substitute in Pre-K, they should be added to the worksheet and training requirements such as CPR and First Aid and health and safety trainings should be tracked from their first day of employment in Pre-K. Remember to send copies of completed and/or updated forms as discussed to verify compliance. Regarding the missing child file items, I suggested you review the file checklist to obtain any missing documentation and submit copies to verify compliance. Moving forward, I encouraged you to use calendar reminders to ensure deadlines are not missed. Technical Assistance As protruding bolts on the black mulch barrier may become an issue, I suggest that you check them on a regular basis to determine if they need to be pushed back down in the ground. Protrusions are considered safety hazards as children may trip over them or fall on them. Bolts should be hammered down flush with the border. The definition of adequate supervision includes that staff should be moving around the indoor and outdoor space with children. The field of vision for supervision during outdoor play should not exceed 180 degrees. Closely supervise near high use or potentially dangerous areas such as the climbing structure. Ensure one piece of playground equipment does not block the view of others. If there is more than one teacher on the playground, swap places at least once during the play period. Technical assistance was provided today regarding staff/child ratios. As discussed, the NC Pre-K ratio of one staff member to nine children with a maximum group size of eighteen children has changed to one staff member to ten children with a maximum group size of twenty children. On November 8, 2023 I received a request for Space #20 to begin operating under the new ratio and group size. Due to the fact that the youngest child enrolled in this group is four years of age, this ratio may be utilized while still maintaining compliance with the restriction of reduced staff/child ratios and group sizes required at the seven-point level in Program Standards. Please be aware, however, when the youngest child in the group is three years of age, a ratio of one staff member to nine children with a maximum group size of eighteen children must be followed due to this restriction. Currently, this ratio and group size would apply to Spaces #19 and 21. Be sure your posted ratio charts are accurate and you keep this restriction in mind as you enroll children. If you choose to provide screen time at your facility, you must ensure that it is used to meet a developmental goal, that it is limited to 30 minutes per day and that the time is documented on a screen time log, and that free choice activities are offered for children not participating. You may print a sample screen time log from Provider Documents and Forms on the DCDEE website. Rated License Information Your facility’s three-year rated license reassessment was voluntarily conducted in August 2022, which means that your program has been assigned to “Cohort 3” in the recently announced “cohort model” of resuming reassessments. As discussed, 7/1/25-6/30/26 will be your “planning/preparation” year, and your next reassessment will be required between 7/1/26-6/30/27. As you typically have the Early Childhood Environment Rating Scales- Revised (ECERS-R) conducted, we discussed that you will have the option to request an ECERS-R assessment during your planning year if you wish, or you may wait until your reassessment year. You may also wish to request an outreach assessment from NCRLAP this year or next year. I will be in touch regarding timelines for reassessment as your planning year approaches. Regarding Education points and the Quality point, you are maintaining compliance, however staff member T. Lewis and the new staff member joining Pre-K soon will need to apply for DPI Teacher Assistant positions and upload the form shared with you today. Please let me know if you need assistance with the WORKS portal. Reminders You must schedule and obtain an approved fire inspection by January 27, 2024 to avoid a violation. Remember to submit a copy within one week as required. Save the date for a Zoom Provider Meeting! The meeting for center owners and directors will be held February 7, 2024 at 10am. Please refer to the email invitation with Zoom link sent January 12, 2024 for instructions on how to join. Child Care Rules were revised January 1, 2024, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. I strongly urge you to review the training information at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm, and contact Children’s Environmental Health Services with any questions. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. At the end of this visit, documentation was completed electronically, reviewed with you, and emailed to you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@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 .3009 · Violation

Name of Operation: WEST COLUMBUS SCHOOL Facility ID: 24000115 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 32 Completed Date: 1/17/2024 Age: From 4 To 5 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 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 with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued August 25, 2022, earning 7 points in Education, 7 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 65 children 3-6 years of age, meets enhanced space, and meets enhanced ratios minus one from the seven-point level. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Guided Edition. The last annual compliance visit was conducted January 26, 2023. A Superior sanitation rating was earned June 6, 2023, and a fire inspection was conducted January 27, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 93%. Administrator, K. Beck, and Lead Teachers, C. Frink, K. Horton and B. Bass were present and available for consultation today. Three indoor spaces and one outdoor space are currently approved for use by children. Upon arrival, children enrolled in Space #19 were observed in free choice activities including stringing beads, building towers with blocks and pretending to serve a meal in the dramatic play kitchen. One staff member assisted individual children with using paint to make ladybugs. In Space #20, children were observed playing in the sensory table, using lacing beads and pretending to be at the doctor’s office. Children in Space #21 were observed doing indoor gross motor activities including playing hopscotch and hot potato and doing yoga poses. Lunch served in the cafeteria consisted of a choice of tortilla chips with beef and cheese or peanut butter and jelly sandwich, pinto beans, corn, fresh apples and milk. After lunch, children enrolled in Space #20 were observed on the fenced in outdoor playground, riding tricycles and using the climbing equipment. Children in Space #19 were also observed eating a snack of Goldfish crackers and milk. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. NC Pre-K Site Monitoring All three spaces are operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 7:30am to 3:00pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum, Brigance Developmental screening, and Teaching Strategies Gold for their ongoing assessments. Developmental screenings and health assessments including vision, hearing, and dental screenings were on file for all NC Pre-K children’s files reviewed. Evidence of on-going assessments was observed in reports filed in children’s files. The NC Pre-K Site Monitoring Tool for 2023-2024 was signed by Terri Ard, representative of contracting agency Columbus County Schools, during a site visit November 13, 2023. It was noted that all requirements were in compliance. NC Pre-K staff information was verified in the NC Pre-K Plan and all staff meet education requirements. The Early Childhood Environment Rating Scale-Revised (ECERS-R) score received on March 10, 2022 was 6.05. Child Care programs are expected to always achieve and maintain compliance with child care rules, 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 following violations were observed today and must be corrected immediately: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Current emergency information forms were not on file for the two substitute staff members present today. .0701(a) 1314 Emergency information did not name child's health care professional. A health care professional was not listed on the application for a child who enrolled November 23, 2023. .0802(c)(2) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not on file for a child who enrolled November 23, 2023. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for substitute staff member Sandy McGirt today. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Two inches of mulch was observed at the bottom of the slide on the playground rather than the six inches required by the height of the equipment. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A signed acknowledgement of this policy was not on file for a staff member who started employment November 27, 2023. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member who began employment November 17, 2022 has not yet completed this training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff member who began employment November 17, 2022 has not yet completed health and safety training. .1102(a) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. Neither substitute providers present today had a current health questionnaire on file. 10A NCAC 09 .0701(a) A compliance letter including detailed information about how all violations have been corrected must be received by January 31, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited A qualification letter was not on file for substitute staff member Sandy McGirt today. It was verified in the ABCMS portal that she is qualified through July 12, 2024, so just remember to send a copy of her letter and file it within two weeks as required. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. You must provide “soft” resilient surfacing at a depth of six inches under and around stationary playground equipment to prevent injuries. Today I suggested you till the compacted mulch first, then determine how much needs to be added. Remember to send pictures to verify compliance. As discussed, Recognizing and Responding to Suspicions of Child Maltreatment training is required within 90 days of employment. T. Lewis may complete this training online for free at www.preventchildabusenc.org. Remember to send a copy of the certificate to verify compliance, and file it upon completion. Technical assistance was provided today regarding completion of Health and Safety training topics, most of which are now available for FREE on DCDEE's training platform called Moodle. All topics must be completed within the first year of employment. As discussed, T. Lewis may use Moodle to complete the topics and it will also count towards on-going hours due for this year. Please see instructions for Moodle access below: 1. Visit https://www.dcdee.moodle.nc.gov/ 2. Log-in with your NCID and password. The log-in is in the upper right corner of the screen. 3. After log-in, scroll to the bottom of the page. In the ‘Search courses’ box, you should type in the short name “Year 2024 CCDF” and then click go. You should not register for prior year courses as they are no longer available. 4. After completing the course search, you should be able to enroll in the courses. 5. Once registered, you will then need to use the “ADDITIONAL DIRECTIONS” for step-by-step instructions. Medication in Child Care is a separate module which must be located using the same search directions as above, but search “medication” instead. Remember to use the Record of Health and Safety training, found under Provider Documents and Forms on the DCDEE website, to track completion of trainings. Additional technical assistance was provided regarding substitute staff file requirements and using the Staff and Training Worksheet as a tracking tool for deadlines. I reviewed the Substitute Staff File Checklist from the DCDEE website with you and discussed strategies for ensuring all “day one” items are on file prior to letting a substitute into a Pre-K classroom. If someone continues as a substitute in Pre-K, they should be added to the worksheet and training requirements such as CPR and First Aid and health and safety trainings should be tracked from their first day of employment in Pre-K. Remember to send copies of completed and/or updated forms as discussed to verify compliance. Regarding the missing child file items, I suggested you review the file checklist to obtain any missing documentation and submit copies to verify compliance. Moving forward, I encouraged you to use calendar reminders to ensure deadlines are not missed. Technical Assistance As protruding bolts on the black mulch barrier may become an issue, I suggest that you check them on a regular basis to determine if they need to be pushed back down in the ground. Protrusions are considered safety hazards as children may trip over them or fall on them. Bolts should be hammered down flush with the border. The definition of adequate supervision includes that staff should be moving around the indoor and outdoor space with children. The field of vision for supervision during outdoor play should not exceed 180 degrees. Closely supervise near high use or potentially dangerous areas such as the climbing structure. Ensure one piece of playground equipment does not block the view of others. If there is more than one teacher on the playground, swap places at least once during the play period. Technical assistance was provided today regarding staff/child ratios. As discussed, the NC Pre-K ratio of one staff member to nine children with a maximum group size of eighteen children has changed to one staff member to ten children with a maximum group size of twenty children. On November 8, 2023 I received a request for Space #20 to begin operating under the new ratio and group size. Due to the fact that the youngest child enrolled in this group is four years of age, this ratio may be utilized while still maintaining compliance with the restriction of reduced staff/child ratios and group sizes required at the seven-point level in Program Standards. Please be aware, however, when the youngest child in the group is three years of age, a ratio of one staff member to nine children with a maximum group size of eighteen children must be followed due to this restriction. Currently, this ratio and group size would apply to Spaces #19 and 21. Be sure your posted ratio charts are accurate and you keep this restriction in mind as you enroll children. If you choose to provide screen time at your facility, you must ensure that it is used to meet a developmental goal, that it is limited to 30 minutes per day and that the time is documented on a screen time log, and that free choice activities are offered for children not participating. You may print a sample screen time log from Provider Documents and Forms on the DCDEE website. Rated License Information Your facility’s three-year rated license reassessment was voluntarily conducted in August 2022, which means that your program has been assigned to “Cohort 3” in the recently announced “cohort model” of resuming reassessments. As discussed, 7/1/25-6/30/26 will be your “planning/preparation” year, and your next reassessment will be required between 7/1/26-6/30/27. As you typically have the Early Childhood Environment Rating Scales- Revised (ECERS-R) conducted, we discussed that you will have the option to request an ECERS-R assessment during your planning year if you wish, or you may wait until your reassessment year. You may also wish to request an outreach assessment from NCRLAP this year or next year. I will be in touch regarding timelines for reassessment as your planning year approaches. Regarding Education points and the Quality point, you are maintaining compliance, however staff member T. Lewis and the new staff member joining Pre-K soon will need to apply for DPI Teacher Assistant positions and upload the form shared with you today. Please let me know if you need assistance with the WORKS portal. Reminders You must schedule and obtain an approved fire inspection by January 27, 2024 to avoid a violation. Remember to submit a copy within one week as required. Save the date for a Zoom Provider Meeting! The meeting for center owners and directors will be held February 7, 2024 at 10am. Please refer to the email invitation with Zoom link sent January 12, 2024 for instructions on how to join. Child Care Rules were revised January 1, 2024, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. I strongly urge you to review the training information at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm, and contact Children’s Environmental Health Services with any questions. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. At the end of this visit, documentation was completed electronically, reviewed with you, and emailed to you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@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: WEST COLUMBUS SCHOOL Facility ID: 24000115 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 32 Completed Date: 1/17/2024 Age: From 4 To 5 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 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 with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued August 25, 2022, earning 7 points in Education, 7 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 65 children 3-6 years of age, meets enhanced space, and meets enhanced ratios minus one from the seven-point level. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Guided Edition. The last annual compliance visit was conducted January 26, 2023. A Superior sanitation rating was earned June 6, 2023, and a fire inspection was conducted January 27, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 93%. Administrator, K. Beck, and Lead Teachers, C. Frink, K. Horton and B. Bass were present and available for consultation today. Three indoor spaces and one outdoor space are currently approved for use by children. Upon arrival, children enrolled in Space #19 were observed in free choice activities including stringing beads, building towers with blocks and pretending to serve a meal in the dramatic play kitchen. One staff member assisted individual children with using paint to make ladybugs. In Space #20, children were observed playing in the sensory table, using lacing beads and pretending to be at the doctor’s office. Children in Space #21 were observed doing indoor gross motor activities including playing hopscotch and hot potato and doing yoga poses. Lunch served in the cafeteria consisted of a choice of tortilla chips with beef and cheese or peanut butter and jelly sandwich, pinto beans, corn, fresh apples and milk. After lunch, children enrolled in Space #20 were observed on the fenced in outdoor playground, riding tricycles and using the climbing equipment. Children in Space #19 were also observed eating a snack of Goldfish crackers and milk. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. NC Pre-K Site Monitoring All three spaces are operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 7:30am to 3:00pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum, Brigance Developmental screening, and Teaching Strategies Gold for their ongoing assessments. Developmental screenings and health assessments including vision, hearing, and dental screenings were on file for all NC Pre-K children’s files reviewed. Evidence of on-going assessments was observed in reports filed in children’s files. The NC Pre-K Site Monitoring Tool for 2023-2024 was signed by Terri Ard, representative of contracting agency Columbus County Schools, during a site visit November 13, 2023. It was noted that all requirements were in compliance. NC Pre-K staff information was verified in the NC Pre-K Plan and all staff meet education requirements. The Early Childhood Environment Rating Scale-Revised (ECERS-R) score received on March 10, 2022 was 6.05. Child Care programs are expected to always achieve and maintain compliance with child care rules, 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 following violations were observed today and must be corrected immediately: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Current emergency information forms were not on file for the two substitute staff members present today. .0701(a) 1314 Emergency information did not name child's health care professional. A health care professional was not listed on the application for a child who enrolled November 23, 2023. .0802(c)(2) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not on file for a child who enrolled November 23, 2023. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for substitute staff member Sandy McGirt today. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Two inches of mulch was observed at the bottom of the slide on the playground rather than the six inches required by the height of the equipment. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A signed acknowledgement of this policy was not on file for a staff member who started employment November 27, 2023. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member who began employment November 17, 2022 has not yet completed this training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff member who began employment November 17, 2022 has not yet completed health and safety training. .1102(a) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. Neither substitute providers present today had a current health questionnaire on file. 10A NCAC 09 .0701(a) A compliance letter including detailed information about how all violations have been corrected must be received by January 31, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited A qualification letter was not on file for substitute staff member Sandy McGirt today. It was verified in the ABCMS portal that she is qualified through July 12, 2024, so just remember to send a copy of her letter and file it within two weeks as required. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. You must provide “soft” resilient surfacing at a depth of six inches under and around stationary playground equipment to prevent injuries. Today I suggested you till the compacted mulch first, then determine how much needs to be added. Remember to send pictures to verify compliance. As discussed, Recognizing and Responding to Suspicions of Child Maltreatment training is required within 90 days of employment. T. Lewis may complete this training online for free at www.preventchildabusenc.org. Remember to send a copy of the certificate to verify compliance, and file it upon completion. Technical assistance was provided today regarding completion of Health and Safety training topics, most of which are now available for FREE on DCDEE's training platform called Moodle. All topics must be completed within the first year of employment. As discussed, T. Lewis may use Moodle to complete the topics and it will also count towards on-going hours due for this year. Please see instructions for Moodle access below: 1. Visit https://www.dcdee.moodle.nc.gov/ 2. Log-in with your NCID and password. The log-in is in the upper right corner of the screen. 3. After log-in, scroll to the bottom of the page. In the ‘Search courses’ box, you should type in the short name “Year 2024 CCDF” and then click go. You should not register for prior year courses as they are no longer available. 4. After completing the course search, you should be able to enroll in the courses. 5. Once registered, you will then need to use the “ADDITIONAL DIRECTIONS” for step-by-step instructions. Medication in Child Care is a separate module which must be located using the same search directions as above, but search “medication” instead. Remember to use the Record of Health and Safety training, found under Provider Documents and Forms on the DCDEE website, to track completion of trainings. Additional technical assistance was provided regarding substitute staff file requirements and using the Staff and Training Worksheet as a tracking tool for deadlines. I reviewed the Substitute Staff File Checklist from the DCDEE website with you and discussed strategies for ensuring all “day one” items are on file prior to letting a substitute into a Pre-K classroom. If someone continues as a substitute in Pre-K, they should be added to the worksheet and training requirements such as CPR and First Aid and health and safety trainings should be tracked from their first day of employment in Pre-K. Remember to send copies of completed and/or updated forms as discussed to verify compliance. Regarding the missing child file items, I suggested you review the file checklist to obtain any missing documentation and submit copies to verify compliance. Moving forward, I encouraged you to use calendar reminders to ensure deadlines are not missed. Technical Assistance As protruding bolts on the black mulch barrier may become an issue, I suggest that you check them on a regular basis to determine if they need to be pushed back down in the ground. Protrusions are considered safety hazards as children may trip over them or fall on them. Bolts should be hammered down flush with the border. The definition of adequate supervision includes that staff should be moving around the indoor and outdoor space with children. The field of vision for supervision during outdoor play should not exceed 180 degrees. Closely supervise near high use or potentially dangerous areas such as the climbing structure. Ensure one piece of playground equipment does not block the view of others. If there is more than one teacher on the playground, swap places at least once during the play period. Technical assistance was provided today regarding staff/child ratios. As discussed, the NC Pre-K ratio of one staff member to nine children with a maximum group size of eighteen children has changed to one staff member to ten children with a maximum group size of twenty children. On November 8, 2023 I received a request for Space #20 to begin operating under the new ratio and group size. Due to the fact that the youngest child enrolled in this group is four years of age, this ratio may be utilized while still maintaining compliance with the restriction of reduced staff/child ratios and group sizes required at the seven-point level in Program Standards. Please be aware, however, when the youngest child in the group is three years of age, a ratio of one staff member to nine children with a maximum group size of eighteen children must be followed due to this restriction. Currently, this ratio and group size would apply to Spaces #19 and 21. Be sure your posted ratio charts are accurate and you keep this restriction in mind as you enroll children. If you choose to provide screen time at your facility, you must ensure that it is used to meet a developmental goal, that it is limited to 30 minutes per day and that the time is documented on a screen time log, and that free choice activities are offered for children not participating. You may print a sample screen time log from Provider Documents and Forms on the DCDEE website. Rated License Information Your facility’s three-year rated license reassessment was voluntarily conducted in August 2022, which means that your program has been assigned to “Cohort 3” in the recently announced “cohort model” of resuming reassessments. As discussed, 7/1/25-6/30/26 will be your “planning/preparation” year, and your next reassessment will be required between 7/1/26-6/30/27. As you typically have the Early Childhood Environment Rating Scales- Revised (ECERS-R) conducted, we discussed that you will have the option to request an ECERS-R assessment during your planning year if you wish, or you may wait until your reassessment year. You may also wish to request an outreach assessment from NCRLAP this year or next year. I will be in touch regarding timelines for reassessment as your planning year approaches. Regarding Education points and the Quality point, you are maintaining compliance, however staff member T. Lewis and the new staff member joining Pre-K soon will need to apply for DPI Teacher Assistant positions and upload the form shared with you today. Please let me know if you need assistance with the WORKS portal. Reminders You must schedule and obtain an approved fire inspection by January 27, 2024 to avoid a violation. Remember to submit a copy within one week as required. Save the date for a Zoom Provider Meeting! The meeting for center owners and directors will be held February 7, 2024 at 10am. Please refer to the email invitation with Zoom link sent January 12, 2024 for instructions on how to join. Child Care Rules were revised January 1, 2024, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. I strongly urge you to review the training information at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm, and contact Children’s Environmental Health Services with any questions. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. At the end of this visit, documentation was completed electronically, reviewed with you, and emailed to you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@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: WEST COLUMBUS SCHOOL Facility ID: 24000115 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 32 Completed Date: 1/17/2024 Age: From 4 To 5 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 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 with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued August 25, 2022, earning 7 points in Education, 7 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 65 children 3-6 years of age, meets enhanced space, and meets enhanced ratios minus one from the seven-point level. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Guided Edition. The last annual compliance visit was conducted January 26, 2023. A Superior sanitation rating was earned June 6, 2023, and a fire inspection was conducted January 27, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 93%. Administrator, K. Beck, and Lead Teachers, C. Frink, K. Horton and B. Bass were present and available for consultation today. Three indoor spaces and one outdoor space are currently approved for use by children. Upon arrival, children enrolled in Space #19 were observed in free choice activities including stringing beads, building towers with blocks and pretending to serve a meal in the dramatic play kitchen. One staff member assisted individual children with using paint to make ladybugs. In Space #20, children were observed playing in the sensory table, using lacing beads and pretending to be at the doctor’s office. Children in Space #21 were observed doing indoor gross motor activities including playing hopscotch and hot potato and doing yoga poses. Lunch served in the cafeteria consisted of a choice of tortilla chips with beef and cheese or peanut butter and jelly sandwich, pinto beans, corn, fresh apples and milk. After lunch, children enrolled in Space #20 were observed on the fenced in outdoor playground, riding tricycles and using the climbing equipment. Children in Space #19 were also observed eating a snack of Goldfish crackers and milk. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. NC Pre-K Site Monitoring All three spaces are operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 7:30am to 3:00pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum, Brigance Developmental screening, and Teaching Strategies Gold for their ongoing assessments. Developmental screenings and health assessments including vision, hearing, and dental screenings were on file for all NC Pre-K children’s files reviewed. Evidence of on-going assessments was observed in reports filed in children’s files. The NC Pre-K Site Monitoring Tool for 2023-2024 was signed by Terri Ard, representative of contracting agency Columbus County Schools, during a site visit November 13, 2023. It was noted that all requirements were in compliance. NC Pre-K staff information was verified in the NC Pre-K Plan and all staff meet education requirements. The Early Childhood Environment Rating Scale-Revised (ECERS-R) score received on March 10, 2022 was 6.05. Child Care programs are expected to always achieve and maintain compliance with child care rules, 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 following violations were observed today and must be corrected immediately: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Current emergency information forms were not on file for the two substitute staff members present today. .0701(a) 1314 Emergency information did not name child's health care professional. A health care professional was not listed on the application for a child who enrolled November 23, 2023. .0802(c)(2) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not on file for a child who enrolled November 23, 2023. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for substitute staff member Sandy McGirt today. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Two inches of mulch was observed at the bottom of the slide on the playground rather than the six inches required by the height of the equipment. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A signed acknowledgement of this policy was not on file for a staff member who started employment November 27, 2023. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member who began employment November 17, 2022 has not yet completed this training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff member who began employment November 17, 2022 has not yet completed health and safety training. .1102(a) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. Neither substitute providers present today had a current health questionnaire on file. 10A NCAC 09 .0701(a) A compliance letter including detailed information about how all violations have been corrected must be received by January 31, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited A qualification letter was not on file for substitute staff member Sandy McGirt today. It was verified in the ABCMS portal that she is qualified through July 12, 2024, so just remember to send a copy of her letter and file it within two weeks as required. Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. You must provide “soft” resilient surfacing at a depth of six inches under and around stationary playground equipment to prevent injuries. Today I suggested you till the compacted mulch first, then determine how much needs to be added. Remember to send pictures to verify compliance. As discussed, Recognizing and Responding to Suspicions of Child Maltreatment training is required within 90 days of employment. T. Lewis may complete this training online for free at www.preventchildabusenc.org. Remember to send a copy of the certificate to verify compliance, and file it upon completion. Technical assistance was provided today regarding completion of Health and Safety training topics, most of which are now available for FREE on DCDEE's training platform called Moodle. All topics must be completed within the first year of employment. As discussed, T. Lewis may use Moodle to complete the topics and it will also count towards on-going hours due for this year. Please see instructions for Moodle access below: 1. Visit https://www.dcdee.moodle.nc.gov/ 2. Log-in with your NCID and password. The log-in is in the upper right corner of the screen. 3. After log-in, scroll to the bottom of the page. In the ‘Search courses’ box, you should type in the short name “Year 2024 CCDF” and then click go. You should not register for prior year courses as they are no longer available. 4. After completing the course search, you should be able to enroll in the courses. 5. Once registered, you will then need to use the “ADDITIONAL DIRECTIONS” for step-by-step instructions. Medication in Child Care is a separate module which must be located using the same search directions as above, but search “medication” instead. Remember to use the Record of Health and Safety training, found under Provider Documents and Forms on the DCDEE website, to track completion of trainings. Additional technical assistance was provided regarding substitute staff file requirements and using the Staff and Training Worksheet as a tracking tool for deadlines. I reviewed the Substitute Staff File Checklist from the DCDEE website with you and discussed strategies for ensuring all “day one” items are on file prior to letting a substitute into a Pre-K classroom. If someone continues as a substitute in Pre-K, they should be added to the worksheet and training requirements such as CPR and First Aid and health and safety trainings should be tracked from their first day of employment in Pre-K. Remember to send copies of completed and/or updated forms as discussed to verify compliance. Regarding the missing child file items, I suggested you review the file checklist to obtain any missing documentation and submit copies to verify compliance. Moving forward, I encouraged you to use calendar reminders to ensure deadlines are not missed. Technical Assistance As protruding bolts on the black mulch barrier may become an issue, I suggest that you check them on a regular basis to determine if they need to be pushed back down in the ground. Protrusions are considered safety hazards as children may trip over them or fall on them. Bolts should be hammered down flush with the border. The definition of adequate supervision includes that staff should be moving around the indoor and outdoor space with children. The field of vision for supervision during outdoor play should not exceed 180 degrees. Closely supervise near high use or potentially dangerous areas such as the climbing structure. Ensure one piece of playground equipment does not block the view of others. If there is more than one teacher on the playground, swap places at least once during the play period. Technical assistance was provided today regarding staff/child ratios. As discussed, the NC Pre-K ratio of one staff member to nine children with a maximum group size of eighteen children has changed to one staff member to ten children with a maximum group size of twenty children. On November 8, 2023 I received a request for Space #20 to begin operating under the new ratio and group size. Due to the fact that the youngest child enrolled in this group is four years of age, this ratio may be utilized while still maintaining compliance with the restriction of reduced staff/child ratios and group sizes required at the seven-point level in Program Standards. Please be aware, however, when the youngest child in the group is three years of age, a ratio of one staff member to nine children with a maximum group size of eighteen children must be followed due to this restriction. Currently, this ratio and group size would apply to Spaces #19 and 21. Be sure your posted ratio charts are accurate and you keep this restriction in mind as you enroll children. If you choose to provide screen time at your facility, you must ensure that it is used to meet a developmental goal, that it is limited to 30 minutes per day and that the time is documented on a screen time log, and that free choice activities are offered for children not participating. You may print a sample screen time log from Provider Documents and Forms on the DCDEE website. Rated License Information Your facility’s three-year rated license reassessment was voluntarily conducted in August 2022, which means that your program has been assigned to “Cohort 3” in the recently announced “cohort model” of resuming reassessments. As discussed, 7/1/25-6/30/26 will be your “planning/preparation” year, and your next reassessment will be required between 7/1/26-6/30/27. As you typically have the Early Childhood Environment Rating Scales- Revised (ECERS-R) conducted, we discussed that you will have the option to request an ECERS-R assessment during your planning year if you wish, or you may wait until your reassessment year. You may also wish to request an outreach assessment from NCRLAP this year or next year. I will be in touch regarding timelines for reassessment as your planning year approaches. Regarding Education points and the Quality point, you are maintaining compliance, however staff member T. Lewis and the new staff member joining Pre-K soon will need to apply for DPI Teacher Assistant positions and upload the form shared with you today. Please let me know if you need assistance with the WORKS portal. Reminders You must schedule and obtain an approved fire inspection by January 27, 2024 to avoid a violation. Remember to submit a copy within one week as required. Save the date for a Zoom Provider Meeting! The meeting for center owners and directors will be held February 7, 2024 at 10am. Please refer to the email invitation with Zoom link sent January 12, 2024 for instructions on how to join. Child Care Rules were revised January 1, 2024, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. I strongly urge you to review the training information at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm, and contact Children’s Environmental Health Services with any questions. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. At the end of this visit, documentation was completed electronically, reviewed with you, and emailed to you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@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