Berewick Elementary Asep

10A NCAC 09 .0604 · Violation

Name of Operation: BEREWICK ELEMENTARY ASEP Facility ID: 60003083 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 5/5/2025 Number Present: 31 Completed Date: 5/5/2025 Age: From 5 To 11 Total Minutes: 140 Time In: 02:00 PM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility’s last annual compliance visit was conducted September 10, 2024, however, the facility is closed during the summer and the 2025-26 school year does not begin until August 25, 2025, an annual visit was conducted today to ensure the annual compliance is conducted before September 10, 2025. The facility currently operates with a four-star license, issued April 17, 2019, earning six points in the education component, five points in the program standards component and one quality point by offering a staff benefits package, infrastructure of parent involvement and having approved enhanced policies. The facility also operates before school and has a total of nineteen children enrolled. Program Coordinator, A. Lipscomb assisted me with today’s visit. The children use the cafeteria as their primary space. Activity areas set up for the children today included reading, writing, math, science, art and global world studies. I observed children participating in arrival procedures, personal care routines, transitions and snack. Snack consisted of baked Doritos and a choice of 1% low-fat milk or 100% berry juice. A sanitation inspection was conducted on November 27. 2024, with a “Superior” classification. A fire inspection was conducted on April 23, 2025. A shelter-in-place drill was conducted February 21, 2025, and the last fire drill on April 25, 2025. Playground safety checklists were monitored and occurring monthly as required. Public School Off-Site Records Verification forms for staff and children for the 2024-2025 school year were reviewed today. The Staff and Training Worksheet was received today. One new employee has been hired since the last annual compliance visit conducted on September 10, 2024. The new employee’s file was monitored and 10% of existing staff. A substitute was present today. Required documentation was on file for the substitute. There were two violations observed today. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were four outlets in the cafeteria that were not protected by safety covers. 10A NCAC 09 .0604(c) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. The EMC plan listed an alternate name however, the person listed in no longer employed at the facility. .0802(a)(1)(A-B); 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before May 19, 2025, 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: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov Technical Assistance/General Information: Emergency Medical Care Plan (EMC)- The written plan must be updated when changes occur with staff that would affect the names listed on the EMC plan. The name of the person and at least one alternative responsible for carrying out the plan of action and determining the level of care needed must be kept current. The EMC plan must be reviewed with staff annually and when the plan is revised. QRIS- A conversation was held with the Program Coordinator regarding the SACERS-U assessment. The facility is participating in the outreach assessment and is in their four-week window to have the assessment conducted. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: BEREWICK ELEMENTARY ASEP Facility ID: 60003083 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 5/5/2025 Number Present: 31 Completed Date: 5/5/2025 Age: From 5 To 11 Total Minutes: 140 Time In: 02:00 PM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility’s last annual compliance visit was conducted September 10, 2024, however, the facility is closed during the summer and the 2025-26 school year does not begin until August 25, 2025, an annual visit was conducted today to ensure the annual compliance is conducted before September 10, 2025. The facility currently operates with a four-star license, issued April 17, 2019, earning six points in the education component, five points in the program standards component and one quality point by offering a staff benefits package, infrastructure of parent involvement and having approved enhanced policies. The facility also operates before school and has a total of nineteen children enrolled. Program Coordinator, A. Lipscomb assisted me with today’s visit. The children use the cafeteria as their primary space. Activity areas set up for the children today included reading, writing, math, science, art and global world studies. I observed children participating in arrival procedures, personal care routines, transitions and snack. Snack consisted of baked Doritos and a choice of 1% low-fat milk or 100% berry juice. A sanitation inspection was conducted on November 27. 2024, with a “Superior” classification. A fire inspection was conducted on April 23, 2025. A shelter-in-place drill was conducted February 21, 2025, and the last fire drill on April 25, 2025. Playground safety checklists were monitored and occurring monthly as required. Public School Off-Site Records Verification forms for staff and children for the 2024-2025 school year were reviewed today. The Staff and Training Worksheet was received today. One new employee has been hired since the last annual compliance visit conducted on September 10, 2024. The new employee’s file was monitored and 10% of existing staff. A substitute was present today. Required documentation was on file for the substitute. There were two violations observed today. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were four outlets in the cafeteria that were not protected by safety covers. 10A NCAC 09 .0604(c) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. The EMC plan listed an alternate name however, the person listed in no longer employed at the facility. .0802(a)(1)(A-B); 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before May 19, 2025, 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: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov Technical Assistance/General Information: Emergency Medical Care Plan (EMC)- The written plan must be updated when changes occur with staff that would affect the names listed on the EMC plan. The name of the person and at least one alternative responsible for carrying out the plan of action and determining the level of care needed must be kept current. The EMC plan must be reviewed with staff annually and when the plan is revised. QRIS- A conversation was held with the Program Coordinator regarding the SACERS-U assessment. The facility is participating in the outreach assessment and is in their four-week window to have the assessment conducted. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: BEREWICK ELEMENTARY ASEP Facility ID: 60003083 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 9/10/2024 Number Present: 29 Completed Date: 9/10/2024 Age: From 5 To 11 Total Minutes: 120 Time In: 02:30 PM Time Out: 04:30 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 compliance of applicable child care requirements during the annual compliance visit. A checklist was used to monitor the facility. I arrived before the school age children were dismissed to your program. I met with the site coordinator, Anna Lipscomb. You provided the current year's licensing information for my review. You informed me you have one new staff who works with you in the Before School. We walked down to the cafeteria so you could set up centers for your group. You explained that the first 20 days of the program you all go over school rules and introduce material. you plans for the first 20 days all are titled PBIS activities. Each group set up four interest centers. You had an outdoor activity posted and marked which centers you are offering this week. Material was observed in good repair and developmentally appropriate for the ages served. While you and Group Leader 1 was setting centers for your groups I reviewed the notebook you provided for my review and reviewed information posted on the bulletin board. Parents sign children out each day in a notebook at the back door and you mark each child in daily on your attendance, both were reviewed and found meeting compliance today. The public school off site verification forms for Staff Records, Children Records and Transportation were all signed 7/10/24 and have current staff and children lists attached. I completed the staff and training worksheet based on what I reviewed in the staff files you provided me today. The newest staff that began on 9-3-24 did not have emergency information on file and you did not have proof of reviewed the crisis management plan or current emergency care plan, all other information was available for review. She will have until 12-3-24 to obtain CPR/First Aid Certification, complete Recognizing and Responding to Suspicions of Child Maltreatment, and BSAC training. You informed me that you do not have any children required to have medication while in your care. You also informed me that you are currently not using the stationary equipment because the mulch is not maintained. You stated you use the black top and the patio off the cafeteria during outdoor play and take gross motor material with each group to use while outdoors. The monthly playground inspections were reviewed and found meeting compliance. The last fire inspection was conducted on 10/20/23. The emergency drill log was reviewed and found meeting compliance. You have not had any incidents yet this year, but have the incident log and reports available in case. The last sanitation inspection was conducted on 10-18-23. Information required to be posted was posted on the ASEP Bulletin Board in the hallway leading to the cafeteria. Supervision and staff/child ratio were observed being maintained in both groups today. I observed children's arrival, snack, homework and free choice center play. Staff were observed moving about the indoor environment monitoring children. The following violations were observed today: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. There was no proof on file regarding reviewing the current EMC plan with the newest staff member, hired 9-3-24. 10A NCAC 09 .0802(a) 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. Emergency information for the newest staff, hired 9-3-24, was not on file for my review today. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. There was no proof on file, proving you have reviewed the current CMS Crisis Management Plan with your newest staff who started 9/3/24. .0607(e) 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. Anna Lipscomb, site coordinator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the Licensing Supervisor, michele.sullivan@dhhs.nc.gov, on or before September 24, 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: EMC plan: Currently you and your PM Group Leader 1 are listed on the EMC plan, she does not work in the morning. I encourage you add the AM staff to the plan, review it with her so she understands what she is to do in your absence should an emergency occur. The first day of employment at your site, I encourage you have the new hire complete the emergency information, and you review the current crisis management plan and EMC plan. Make sure once you review the information you have them sign a statement that they received the review, have the sign and date the statement. Reminders: You have not transported in awhile and this year you will be going on field trips. You will need to add photographs to your emergency information that you take with you on the field trips. This requirement can be found in 10A NCAC 09. 1003(d) You will be sending the compliance statement to my supervisor, as I am retiring this Friday. A new consultant has not been assigned to you yet. Until one is assigned you may contact Michele Sullivan, Licensing Supervisor michele.sullivan@dhhs.nc.gov (704)594-594-0147 or Amy Italiano, Lead Consultant amy.italiano@dhhs.nc.gov (704)936-6065 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. 1003 · Violation

Name of Operation: BEREWICK ELEMENTARY ASEP Facility ID: 60003083 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 9/10/2024 Number Present: 29 Completed Date: 9/10/2024 Age: From 5 To 11 Total Minutes: 120 Time In: 02:30 PM Time Out: 04:30 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 compliance of applicable child care requirements during the annual compliance visit. A checklist was used to monitor the facility. I arrived before the school age children were dismissed to your program. I met with the site coordinator, Anna Lipscomb. You provided the current year's licensing information for my review. You informed me you have one new staff who works with you in the Before School. We walked down to the cafeteria so you could set up centers for your group. You explained that the first 20 days of the program you all go over school rules and introduce material. you plans for the first 20 days all are titled PBIS activities. Each group set up four interest centers. You had an outdoor activity posted and marked which centers you are offering this week. Material was observed in good repair and developmentally appropriate for the ages served. While you and Group Leader 1 was setting centers for your groups I reviewed the notebook you provided for my review and reviewed information posted on the bulletin board. Parents sign children out each day in a notebook at the back door and you mark each child in daily on your attendance, both were reviewed and found meeting compliance today. The public school off site verification forms for Staff Records, Children Records and Transportation were all signed 7/10/24 and have current staff and children lists attached. I completed the staff and training worksheet based on what I reviewed in the staff files you provided me today. The newest staff that began on 9-3-24 did not have emergency information on file and you did not have proof of reviewed the crisis management plan or current emergency care plan, all other information was available for review. She will have until 12-3-24 to obtain CPR/First Aid Certification, complete Recognizing and Responding to Suspicions of Child Maltreatment, and BSAC training. You informed me that you do not have any children required to have medication while in your care. You also informed me that you are currently not using the stationary equipment because the mulch is not maintained. You stated you use the black top and the patio off the cafeteria during outdoor play and take gross motor material with each group to use while outdoors. The monthly playground inspections were reviewed and found meeting compliance. The last fire inspection was conducted on 10/20/23. The emergency drill log was reviewed and found meeting compliance. You have not had any incidents yet this year, but have the incident log and reports available in case. The last sanitation inspection was conducted on 10-18-23. Information required to be posted was posted on the ASEP Bulletin Board in the hallway leading to the cafeteria. Supervision and staff/child ratio were observed being maintained in both groups today. I observed children's arrival, snack, homework and free choice center play. Staff were observed moving about the indoor environment monitoring children. The following violations were observed today: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. There was no proof on file regarding reviewing the current EMC plan with the newest staff member, hired 9-3-24. 10A NCAC 09 .0802(a) 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. Emergency information for the newest staff, hired 9-3-24, was not on file for my review today. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. There was no proof on file, proving you have reviewed the current CMS Crisis Management Plan with your newest staff who started 9/3/24. .0607(e) 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. Anna Lipscomb, site coordinator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the Licensing Supervisor, michele.sullivan@dhhs.nc.gov, on or before September 24, 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: EMC plan: Currently you and your PM Group Leader 1 are listed on the EMC plan, she does not work in the morning. I encourage you add the AM staff to the plan, review it with her so she understands what she is to do in your absence should an emergency occur. The first day of employment at your site, I encourage you have the new hire complete the emergency information, and you review the current crisis management plan and EMC plan. Make sure once you review the information you have them sign a statement that they received the review, have the sign and date the statement. Reminders: You have not transported in awhile and this year you will be going on field trips. You will need to add photographs to your emergency information that you take with you on the field trips. This requirement can be found in 10A NCAC 09. 1003(d) You will be sending the compliance statement to my supervisor, as I am retiring this Friday. A new consultant has not been assigned to you yet. Until one is assigned you may contact Michele Sullivan, Licensing Supervisor michele.sullivan@dhhs.nc.gov (704)594-594-0147 or Amy Italiano, Lead Consultant amy.italiano@dhhs.nc.gov (704)936-6065 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: BEREWICK ELEMENTARY ASEP Facility ID: 60003083 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 19 Completed Date: 4/23/2024 Age: From 5 To 10 Total Minutes: 100 Time In: 02:40 PM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Prior to today’s visit, the facility’s 18 month compliance history was 86%. Upon my arrival I met with Anne Lipscomb, Site Coordinator. Children had not arrived for the day, so I was able to review the staff files and program records. After review of the staff files, each staff has current DCDEE qualifying letter, CPR/FA certification and BSAC training. Each staff is current with their health and safety trainings. A sub was used today; a group leader from a nearby afterschool program, she arrived prior to children’s dismissal. I was able to review her DCDEE current qualifying letter, current CPR/FA and BSAC certification. Program records I found meeting compliance were the monthly playground inspections, emergency care plan, and emergency drill log. You have been filing the incident reports but not logging them. Today, I explained the requirement to you; you corrected this during today’s visit. The last fire inspection was conducted on 10/20/23. The last sanitation inspection was conducted on 10/18/23. Information required to be posted was observed posted on the ASEP Bulletin Board. Currently, you do not have any medications on site to administer. I observed cleaning supplies stored properly. I did not observe any hazards accessible to children. I monitored general safety requirements and found them meeting compliance. As the children arrived, I observed them place their belongings down, sit with the group, attendance conducted, and then they began preparing for snack. I did not observe any discipline issues. Staff were heard engaged in conversations with the children, each group had six interest centers set up to choose activities. The current activity plans were reviewed and found meeting compliance. Each group had five interest centers set up for use. Each group was observed in adequate/approved space. The current license was observed posted and all permit restrictions were observed meeting compliance. The following violation was cited during today’s visit: Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. You have not been logging the completed, signed incident reports on the incident log. You have been filing them once signed and a copy given to the parent. .0802(g)(1-6) Compliance Statement: Because you corrected the violation cited during today's visit you are not required to submit a compliance statement. Technical Assistance was provided on the following: Incident Log: I reviewed requirement 10A NCAC 09 .0802(f)(g) with you. Once the parent signs the incident report you will maintain a signed copy and give the parent a signed copy. You will then log the incident report on the current Incident Log (which can be found on the DCDEE website, under provider documents) and then file the incident report in the child's file. You will only send me the incident report, within 7 days of the incident, if outside medical treatment is required. Rated License Reassessment: Your facility is in Cohort 2, your prep year will be July 2024-June 2025 and you will be required to be reassessed in June 2025 - July 2026 year. You may request a practice SACERS-U in your prep year if you would like. I encourage you to review the SACERS-U booklet and complete a self assessment. NCRLAP.org has resources regarding SACERS-U, I encourage you to utilize their website and review the additional notes and resources they have available to you. We an discuss this more at your annual compliance visit as well. 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 .1000 · Violation

Name of Operation: BEREWICK ELEMENTARY ASEP Facility ID: 60003083 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 9/18/2023 Number Present: 23 Completed Date: 9/18/2023 Age: From 5 To 10 Total Minutes: 120 Time In: 02:30 PM Time Out: 04:30 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 compliance of applicable child care requirements during the annual compliance visit. A checklist was used to monitor your facility and was provided for your records at the end of the visit. The current 4 star rated license was issued in 2019. The current 18 month compliance history prior to today's visit was 84%. I met with Anna Lipscomb, Site Coordinator, upon my arrival. I arrived before the school age children were dismissed to the program. We were able to talk a few minutes and you provided me with the licensing notebook you have organized with records I review and you provided the staff files. I reviewed children, staff and program records while you and one group leader set up centers in the cafeteria for two groups. The current Public School Off Site Verification Forms for Staff Records, Children Records were current and on file. One group leader transferred from another CMS ASEP Program and did not have proof of completing health and safety trainings or her required on-going training certificates. You stated you have contacted that site and are trying to obtain the information. If you are unsuccessful; she will need to complete the health and safety trainings and place current certificates on file. She can take those trainings free of charge on the DCDEE MOODLE webiste. Each group set up five centers for children to utilize. The current activity plans and daily schedule were posted in the cafeteria and found meeting compliance. Material was observed in good repair and developmentally appropriate for the ages served. The last fire inspection was conducted on 2-22-23. The last sanitation inspection was conducted on 1-28-23. The emergency drill log, incident log, and playground inspections were reviewed and found meeting compliance. I reviewed daily attendance where you log in arrival, parents sign children out at the door, you ensure they document the time they leave. Currently you do not have any children required to have medication administered during operating hours. You do not use the stationary equipment, for outdoor gross motor space because the mulch depth is not maintained. Today we walked to the equipment and the mulch didn't measure 1" in many areas of the fall zone, you report mulch was added last school year. You use the bus black top, the courtyard outside the cafeteria and the grassy fields. You have a gross motor cart of material each group can use while outdoors and you all provide a teacher directed outdoor activity. You informed me that your first field trip will be in November 2023. The current Public School Off Site Verification Form for Transportation was signed on 7/3/23. Before your first field trip I reminded you to ensure each child's emergency information has a current photograph attached and obtain permission from parents prior to each field trip. I observed children's arrival to the program, hand washing, snack time, homework time and center play during today's visit. Supervision and enhanced staff/child ratios were observed being maintained today. Nurturing tones were heard when staff greeted children at arrival and throughout the observation. The current menu was reviewed and found meeting compliance. The refrigerator thermometer read 33 degrees. The following violation was cited during today's visit: Violation Number Comment Rule 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff, hired 10/2020 and transferred to this site in August 2023 from another CMS ASEP, does not have proof of her annual on-going training on site. .1103(a) 1898 Staff did not complete the health and safety training within one year of employment. One staff, hired 10/2020 and transferred to this location in August 2023 from another CMS ASEP does not have proof of completing the required health and safety trainings on file. .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. Anna Lipscomb, Program Coordinator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter, along with training slips for the staff missing information on file, must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before October 2, 2023. 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: Rated License Reassessment: Your facility is in Cohort 2, your prep year will be July 2024-June 2025 and you will be required to be reassessed in June 2025 - July 2026 year. You may request a practice SACERS-U in your prep year if you would like. We will talk more about this at your routine unannounced visit or next year's annual compliance visit. I encourage you to review the SACERS-U booklet and complete a self assessment. NCRLAP.org has resources regarding SACERS-U, I encourage you to utilize their website and review the additional notes and resources they have available to you. Transportation: I encourage you to review 10A NCAC 09 .1000 Transportation Requirements prior to your Field Trip in November to ensure you have all required information prior to transporting children. Playgrounds: You are not required to use the stationary equipment. If you use it you must ensure it maintains compliance at all times. We walked out the equipment today; it does not have adequate depth of resilient surfacing, it didn't even measure 1" in the fall zone areas. You reported that you haven't use the equipment this year. I explained to not use it unless you know it meets outdoor requirements and has adequate depth of resilient surfacing. You have a gross motor cart and provide a teacher directed gross motor activity daily, continue to utilize the black top, patio outside the cafeteria, and grassy field for outdoor gross motor. Reminder: Group Leader #1 is required to obtain 15 hours of annual on-going training a year, based on the amount of hours she works and education. You are required to obtain 10 hours of annual on-going training each year. If you have any question, please contact me: Andrea Anderson PO Box 49339 Charlotte, NC 28277 andrea.anderson@dhhs.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