Ballantyne Elementary Asep

10A NCAC 09 .0803 · Violation

Name of Operation: BALLANTYNE ELEMENTARY ASEP Facility ID: 60002975 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/1/2024 Number Present: 34 Completed Date: 10/1/2024 Age: From 5 To 10 Total Minutes: 140 Time In: 02:50 PM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility had a Five-Star License issued May 3, 2018, meeting enhanced space and reduced enhanced minus one ratio. The eighteen-month compliance history score of 97% prior to today’s visit. The last Routine Unannounced was completed May 22, 2024. Upon arrival, I checked in at the main office and was greeted by Jo Lewis, Associate. Ms. Lewis escorted me to the cafeteria. Ms. Lewis explained to me that Ms. Sharpe would be here soon. Staff files are locked in the ASEP office and Ms. Lewis does not have a key. I reviewed the program bulletin board while I waited for Ms. Sharpe to arrive. Amy DeFabio, Assistant, arrived and monitored the space for general safety hazards and hazardous materials. Ms. Lewis and Ms. DeFabio explained to me that a PTSA meeting had been rescheduled for tonight. All materials were set up prior to the children arriving. All required items were current and posted. Each group has a current activity plan posted. Ms. Lakeisha Sharpe, Program Coordinator, arrived prior to dismissal and accessed the program records for me after walking to classrooms to get the Kindergarteners from their classrooms. I was able to review the staff files and program records while children were arriving for the day. Each staff has a current DCDEE qualifying letter, CPR/FA certification and BSAC training. Each staff is current with their health and safety trainings. Each staff was listed on the current Public School Off-Site Verification Form for Staff Records. All staff reviewed the site-based crisis plan and emergency medical care plan August 22, 2024. There are two (2) groups of after schoolers. I observed the children arriving to the cafeteria for the afterschool program, attendance taken as children arrived, and staff interacting with the students. I observed bathroom and handwashing routines. I observed the children eating baked cheetoh’s and juice for snack. After snack, the after schoolers washed their hands again and began homework and participated in the different activity centers. Each group had activity areas set up with adequate and accessible materials. The following child care requirements were monitored and observed today: Supervision: Each group of children were adequately supervised during the visit. Nurturing and engaging tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. Check in was observed and attendance records were reviewed and found in compliance. CPR: All staff are current with CPR certification. First Aid: All staff are current with First Aid certification. Special Training: Staff members have completed all required special training. CBC Qualification: Each staff member was current with CBC qualification letter. Emergency Medical Care Plan: The Emergency Care Plan posted up to date and in compliance. Administration and Storage of Medication: Three children require medication. The medication is stored in the program coordinator’s office, it was stored properly today. Current written permission to administer is on file. The program coordinator went to get the medications at 4:10 pm. She stated that she usually is on-site at 1:00 pm for set up and always brings the medications to the approved area in a back pack. There were violations cited. Please see violations and technical assistance section in the visit summary. Storage of Hazardous Substances: I observed cleaning supplies stored properly. I did not observe any hazards accessible to children. General Safety: I monitored general safety requirements and found them meeting compliance. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted. The last monthly fire drill was September 19, 2024. The last shelter in pace drill was August 30, 2024. I observed a current playground safety inspection dated September 18, 2024 and monthly records meeting compliance. The last Fire Inspection Report was conducted March 12, 2024. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was conducted March 8, 2024, with 8 demerits and a Superior rating. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One student did not have Albuterol in original labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. One child did not have permission to administer/medical authorization for CMS students on file for Auvi-Q.One child did not have permission to administer/medical authorization for CMS students on file for Mylan epi-pen. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One child has expired allergy relief medication and Auvi-Q . .0803(12) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, October 15, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. Technical Assistance Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Access to Records and Medication: I recommended that records and medications be accessible by another ASEP staff member in the event you are unable to be present. Emergency Medication Rules: Please review all requirements for emergency medications found in Chapter 9 10A NCAC 09 .0803 ADMINISTERING MEDICATION (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; (b) if pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; and (v) the date the instructions were signed by the physician or other health professional; (c) shall be administered only to the child for whom they were prescribed; and (d) shall be administered according to the prescription, using amount and frequency of dosage specified on the label. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns, please contact me at 980-748-6270 or by email at Lisa.Eddins-Smith@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: BALLANTYNE ELEMENTARY ASEP Facility ID: 60002975 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/1/2024 Number Present: 34 Completed Date: 10/1/2024 Age: From 5 To 10 Total Minutes: 140 Time In: 02:50 PM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility had a Five-Star License issued May 3, 2018, meeting enhanced space and reduced enhanced minus one ratio. The eighteen-month compliance history score of 97% prior to today’s visit. The last Routine Unannounced was completed May 22, 2024. Upon arrival, I checked in at the main office and was greeted by Jo Lewis, Associate. Ms. Lewis escorted me to the cafeteria. Ms. Lewis explained to me that Ms. Sharpe would be here soon. Staff files are locked in the ASEP office and Ms. Lewis does not have a key. I reviewed the program bulletin board while I waited for Ms. Sharpe to arrive. Amy DeFabio, Assistant, arrived and monitored the space for general safety hazards and hazardous materials. Ms. Lewis and Ms. DeFabio explained to me that a PTSA meeting had been rescheduled for tonight. All materials were set up prior to the children arriving. All required items were current and posted. Each group has a current activity plan posted. Ms. Lakeisha Sharpe, Program Coordinator, arrived prior to dismissal and accessed the program records for me after walking to classrooms to get the Kindergarteners from their classrooms. I was able to review the staff files and program records while children were arriving for the day. Each staff has a current DCDEE qualifying letter, CPR/FA certification and BSAC training. Each staff is current with their health and safety trainings. Each staff was listed on the current Public School Off-Site Verification Form for Staff Records. All staff reviewed the site-based crisis plan and emergency medical care plan August 22, 2024. There are two (2) groups of after schoolers. I observed the children arriving to the cafeteria for the afterschool program, attendance taken as children arrived, and staff interacting with the students. I observed bathroom and handwashing routines. I observed the children eating baked cheetoh’s and juice for snack. After snack, the after schoolers washed their hands again and began homework and participated in the different activity centers. Each group had activity areas set up with adequate and accessible materials. The following child care requirements were monitored and observed today: Supervision: Each group of children were adequately supervised during the visit. Nurturing and engaging tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. Check in was observed and attendance records were reviewed and found in compliance. CPR: All staff are current with CPR certification. First Aid: All staff are current with First Aid certification. Special Training: Staff members have completed all required special training. CBC Qualification: Each staff member was current with CBC qualification letter. Emergency Medical Care Plan: The Emergency Care Plan posted up to date and in compliance. Administration and Storage of Medication: Three children require medication. The medication is stored in the program coordinator’s office, it was stored properly today. Current written permission to administer is on file. The program coordinator went to get the medications at 4:10 pm. She stated that she usually is on-site at 1:00 pm for set up and always brings the medications to the approved area in a back pack. There were violations cited. Please see violations and technical assistance section in the visit summary. Storage of Hazardous Substances: I observed cleaning supplies stored properly. I did not observe any hazards accessible to children. General Safety: I monitored general safety requirements and found them meeting compliance. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted. The last monthly fire drill was September 19, 2024. The last shelter in pace drill was August 30, 2024. I observed a current playground safety inspection dated September 18, 2024 and monthly records meeting compliance. The last Fire Inspection Report was conducted March 12, 2024. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was conducted March 8, 2024, with 8 demerits and a Superior rating. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One student did not have Albuterol in original labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. One child did not have permission to administer/medical authorization for CMS students on file for Auvi-Q.One child did not have permission to administer/medical authorization for CMS students on file for Mylan epi-pen. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One child has expired allergy relief medication and Auvi-Q . .0803(12) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before Tuesday, October 15, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. Technical Assistance Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Access to Records and Medication: I recommended that records and medications be accessible by another ASEP staff member in the event you are unable to be present. Emergency Medication Rules: Please review all requirements for emergency medications found in Chapter 9 10A NCAC 09 .0803 ADMINISTERING MEDICATION (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; (b) if pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; and (v) the date the instructions were signed by the physician or other health professional; (c) shall be administered only to the child for whom they were prescribed; and (d) shall be administered according to the prescription, using amount and frequency of dosage specified on the label. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns, please contact me at 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov . If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: BALLANTYNE ELEMENTARY ASEP Facility ID: 60002975 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 37 Completed Date: 2/8/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 03:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor applicable child care requirements during the annual compliance visit. A checklist was used to monitor the facility. Upon my arrival I met with LaKeisha Sharpe, the program coordinator. I explained the purpose of today's visit. I accompanied you to the Cafeteria so you could help set up interest centers for your group before dismissal. Two groups were observed today. A total of 37 children were present between the two groups. The children were observed arriving to the program, washing hands, eating snack, and center play. The cafeteria was set up in centers. Five interest centers were set up for each group to utilize. Supervision and staff/child ratio were maintained. The current activity plans for both groups were reviewed, you did not complete page 2 of the activity plan that has the gross motor and center activities listed. Material was found to be clean, in good repair, and developmentally appropriate for the age range served. The monthly playground inspections were reviewed today and found meeting compliance. You stated that when the mulch is not meeting compliance with adequate depth you do not use that stationary equipment, you mainly use the the field and blacktop during outdoor time, taking gross motor material to use. You had a licensing notebook that had all the information I needed to review. The Public School Off Site Verification form for Staff, Children and Transportation records was current and found meeting compliance. The staff and training worksheet was completed and provided, one group leader has not completed the health and safety training within her first year of hire. All three staff have current CPR/FA certification, BSAC and current DCDEE qualifying letters. Program records were reviewed and found meeting compliance. The last fire inspection was conducted on 8-8-23. The last sanitation inspection was conducted on 11-23-23. The emergency drill log was reviewed and found meeting compliance. All information required to be posted was found posted on the ASEP bulletin board outside the cafeteria. The following violations were cited today. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Both groups (1&2) only had a teacher directed activity posted, they were missing the second page that lists outdoor activities and interest centers offered daily. GS 110-91(12); .0508(a) 1898 Staff did not complete the health and safety training within one year of employment. One staff hired 10-17-22 has not completed all topics of Health and Safety Training. .1102(a) Compliance Letter: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. LaKeisha Sharpe, program coordinator, will email a compliance letter explaining how the violations cited today have been corrected, along with providing copies of the health and safety training certificates. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before February 22, 2024. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance was provided on the following: Children's arrival: THose children that have special school groups (girls on the run, chess, etc.) they attend need to go directly to those clubs from day school and not be released to you to take. Once a child arrives, they are considered in your care and all DCDEE child care requirements apply. You would need to have to maintain ratios as one of your staff take children to their clubs, you will also need written permission from the child's parent to release them to the staff member in charge of the club. I encourage you to speak with your Principal regarding this matter. You stated they do clubs in the a.m. too. They arrive to you and you have to take them to their morning clubs. I encourage you to write a generic statement saying parent allows you to release their child to the club, list all the clubs and have the parents mark which club their child can be release too and have them sign and date. You will need to maintain ratio at all times, so if taking children to club and you would leave the other group leaders out of ratio take enough children with you to drop children off to maintain ratio. Health and Safety Trainings: As long as you stay employed with CMS and are required to complete the health and safety trainings, per licensure, you will need to complete the required topic areas applicable to ASEP (you do not need to take ITS/SIDS or Shaken Baby Abusive Head Trauma) within every 5 years. Moodle is available, but not the only approved training available to you, it is just free. Currently NCID has been having issues and Moodle has been hard to log into. I have provided other resources to your supervisor to find the training elsewhere if needed. Rated License Reassessment: Your facility is in Cohort 1, meaning currently you are in the preparation year until June 30, 2024. You will be required to be reassessed during the year of July 1, 2024 to June 30, 2025. Today, we discussed submitting education information to WORKS. Group 1 Group Leader and Asst. Group Leader each have a WORKS account, however there has been no education and BSAC information submitted to be evaluated. You stated they were having a hard time logging into WORKS. NCID is case sensitive and I sent you an email regarding NCID today, please discuss that with your staff. Two staff need to upload their BSAC information and mark their position to be evaluated. NCRLAP.org is the rated license assessment project website, it has SACERS-U resources, I encourage you to utilize as you prepare to be reassessed. If you have any questions please feel free to contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 andrea.anderson@dhhd.nc.gov (704)594-0039 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