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Home › NC › Charlotte › Clear Creek Elementary Asep
13501 Albemarle Road, Charlotte NC 28227 · License #60002859 · Center · Child Care Center
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G.S. 110-91 · Violation
Name of Operation: CLEAR CREEK ELEMENTARY ASEP Facility ID: 60002859 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 5/20/2026 Number Present: 23 Completed Date: 5/20/2026 Age: From 6 To 11 Total Minutes: 60 Time In: 03:15 PM Time Out: 04:15 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival I was greeted by Ms. Mason, Program Coordinator, I shared the reason for the visit, and you were able to assist me. Ebony Duncan, Licensing Supervisor, accompanied me on today’s visit. Permit Information: The program currently operates with a Four-Star Center License effective 10/31/25. The license was posted, with the following restrictions: - 1st Shift - School Age Only - Meets Enhanced Ratios - Meets Enhanced Space - Meets Reduced Enhanced Ratios - Minus one in each group As a reminder, this facility follows the “Highest Voluntary Enhanced Ratios” which are: - 5- to 6-year-old children ratio of 1:14 with a max group size of 25 - 6-year-old children and up, ratio of 1:19 with a max group size of 25 I monitored the following items: supervision, staff/child ratio, licensed spaces, capacity, health, safety, and program records. Indoor Learning Environment: I observed children in the multipurpose room (cafeteria/auditorium) and found supervision and staff/child ratios in compliance. Children were completing bathroom routines, I observed departure, teacher directed activities, homework and free play. Please remember that while children use the restroom to ensure that a group leader is in proximity to hear or see the children. Program Records: The last fire drill was conducted on 4/23/26 and the last emergency drill was conducted on 4/17/26. The ABCMS roster was complete and updated. Staff Records: A new substitute was present today, they were not listed in the off-site verification form for staff, this was corrected during the visit. Please ensure to add substitutes that visit your site on this form. Medication: It was reported that there is no emergency medication. Weapons: It was reported that the facility was in compliance with child care requirements regarding firearms. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The substitute present was not listed on the off-site verification form for staff. G.S. 110-91(9); .0304(g); .2318 The violation cited was corrected, therefore there is no further action. Compliance History: The program’s compliance history was ninety-three percent (93%) prior to today’s visit. Rated License Information: The QRIS rulemaking process has been completed, this means that hold harmless is no longer in place. We are actively planning for the implementation of the new QRIS requirements. Lead in Water/Paint and Asbestos: As of today, this facility has completed the lead in water testing. The sections for lead-based paint and asbestos are under survey review. Resources and Reminders: Please ensure that all on-going training hours are being completed and documented as required for yourself and all staff members and that any annual documents are being updated and completed. These items will be monitored for completion at your annual compliance visit: - Staff Development Plans - Annual Evaluations for Staff - Medical Forms (Health Questionnaire/Emergency Info) - Polices (EMC, EPR, and any other policies that are amended) Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you, Ms. Mason. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov or Ebony Duncan, Supervisor at 704-594-0043 or via email at ebony.duncan@dhhs.nc.gov. Thank you for your assistance. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: CLEAR CREEK ELEMENTARY ASEP Facility ID: 60002859 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 29 Completed Date: 10/29/2025 Age: From 5 To 10 Total Minutes: 80 Time In: 03:20 PM Time Out: 04:40 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 your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival I was greeted by Ms. Barbour and Program Coordinator, Ashley Mason. I shared the reason for the visit. Permit Information: The program currently operates with a Four-Star Center License effective 7/22/25. The license was posted, with the following restrictions: - 1st shift - meets enhanced ratios - meets enhanced space - meets reduced enhanced ratios - minus one in each group As a reminder, this facility follows the “Highest Voluntary Enhanced Ratios” which are: - 5- to 6-year-old children ratio of 1:14 with a max group size of 25 - 6-year-old children and up, ratio of 1:19 with a max group size of 25 I monitored the following items: supervision, staff/child ratio, licensed spaces, capacity, staff and children’s records, health, safety, and program records. The following spaces are being used: - Multipurpose Room (Gym, Auditorium, Cafeteria) - Restrooms - Outdoor Learning Environment Indoor Learning Environment: I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in afternoon snack, reading activities and teacher directed activities. Program Records: The last fire drill was conducted on 9/23/25 a fire drill is due by tomorrow 10/31/25 for the month of 10/2025. The last emergency drill was conducted on 8/27/25. Staff Records: The staff-training worksheet was completed. There were no new staff files to review the verification form for staff was completed. A.N.B. did not have a current qualification letter on file. It has been reported that they have tried to start the process to update their criminal background letter however there is an issue with the system having two (2) accounts. I reviewed that the individual has fifteen (15) days to complete the application and get a current qualification letter on file. I will review the ABCMS portal after the (15) days and if it is not reflected in the portal by 11/13/25, the individual cannot work nor be onsite caregiving for children until they are qualified. The First Aid/CPR certification for one (1) staff member expired on 10/4/25, the training was completed on 10/27/25, verification was given to me during the visit, this was corrected. Children’s Records: The verification form for children was not fully completed, please remember that rosters must be attached of all children currently enrolled. Children’s files were monitored. Medication: It was reported that there are no medications. Nutrition: This center only serves afternoon snacks. Weapons: It was reported that the facility was in compliance with child care requirements regarding firearms. Transportation: Transportation is not provided at this facility. Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A. N. B's qualification letter expired on 8/17/25. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member did not complete their recertification by the due date of 10/4/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member did not complete their recertification by the due date of 10/4/25. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A. N. B. did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) Corrective Action Plan: The violations not corrected during the visit must be corrected immediately. On or before 11/12/25, 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. Please ensure that all these components are in your compliance letter: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the reoccurrence of each violation (you need to specify how you will prevent the violation • from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was ninety-one percent (91%) prior to today’s visit. Rated License: The QRIS rulemaking process has been completed, this means that hold harmless is no longer in place. We are actively planning for the implementation of the new QRIS requirements. The QRIS Conversation Template was completed during the visit. Lead in Water/Paint and Asbestos: As of today, your facility has completed the lead in water testing. “Survey Review by RTI” is showing for lead in paint and asbestos. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Mason. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0304 · Violation
Name of Operation: CLEAR CREEK ELEMENTARY ASEP Facility ID: 60002859 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 5/30/2025 Number Present: 32 Completed Date: 5/30/2025 Age: From 6 To 9 Total Minutes: 65 Time In: 03:30 PM Time Out: 04:35 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival I was greeted by Ms. Mason, Program Coordinator, I shared the reason for the visit, and you were able to assist me. Permit Information: The program currently operates with a Four-Star Center License effective 11/7/24. The license was posted, and the following restrictions were in compliance: - 1st Shift - Meets Enhanced Ratios - Meets Enhanced Space - Meets Reduced Enhanced Ratios - Minus one in each group - Playground area does not meet safety standards. As a reminder, this facility follows the “Highest Voluntary Enhanced Ratios” which are: - 5- to 6-year-old children ratio of 1:14 with a max group size of 25 - 6-year-old children and up, ratio of 1:19 with a max group size of 25 I monitored the following items: supervision, staff/child ratio, licensed spaces, capacity, health, safety, and program records. Inspections: The program's last fire inspection on file with DCDEE was completed on 4/17/25. I had discussed prior to your visit today that this was out of compliance due to the inspection being sent on 4/28/25. I continue to encourage school staff to communicate with you regarding what items the licensed program requires and for them to send you the items you need within the required timeframes. As a reminder your fire inspection needs to be completed annually and the form for the fire inspector to use is located on our website under the provider tab and provider documents. Once the inspection is complete, please send me a copy of the report within seven (7) days. The program's recent sanitation inspection was conducted on 5/8/25. The program received zero (0) demerits and received a superior classification. Indoor Learning Environment: I observed children in the multipurpose room (cafeteria/auditorium) and found supervision and staff/child ratios in compliance. Children were completing bathroom routines, I observed reading time and free play. Outdoor Learning Environment: The outdoor learning environment was monitored. Program Records: The last fire drill was conducted on 5/19/25 and the last emergency drill was conducted on 5/16/25. The last playground inspection was conducted on 5/21/25. Staff Records: There were no new staff files for review. Medication: It was reported that there is no emergency medication. Weapons: You reported that the facility was in compliance with child care requirements regarding firearms. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. On 4/28/25, I received the fire inspection report which was completed for 4/17/25, the report was not sent within seven (7) days of completion. 10A NCAC 09 .0304(a) The violation cited was corrected, therefore there is no further action. Compliance History: The program’s compliance history was ninety percent (90%) prior to today’s visit. Technical Assistance: Please update the summary of the law that is currently posted, there is a new copy on our website dated for 2/2025. The First Aid and CPR certification for A.B will expire 10/2025, please ensure that the certification is renewed before the expiration date. I shared with you to ensure that your office door remains locked due to hazardous items being observed. Rated License Information: Hold harmless has been extended until the new QRIS (Quality Rating and Improvement System) is implemented, this is also known as SB 425 (Senate Bill 425). Providers in Cohort #1 are not required to go any further with a rated license assessment unless requested, and providers in Cohort #2 do not need to start their preparation year unless a rated license assessment is requested. Lead in Water/Paint and Asbestos: As of today, this facility has completed the lead in water testing. The sections for lead-based paint and asbestos is under survey review. Resources and Reminders: Please visit the U.S. Consumer Product Safety Commission and the U.S. Food and Drug Administration (FDA) websites on a regular basis to have updates on recalled items. The web address is: https://www.cpsc.gov/ if your facility has any of the listed items present, please remove them immediately. Please ensure that all on-going training hours are being completed and documented as required for yourself and all staff members and that any annual documents are being updated and completed. These items will be monitored for completion at your annual compliance visit: - Staff Development Plans - Annual Evaluations for Staff - Medical Forms (Health Questionnaire/Emergency Info) - Polices (EMC, EPR, and any other policies that are amended) Please ensure to update your Emergency Preparedness Plan (EPR) to reflect all current information regarding your enrollment, contact numbers and any updates to your emergency plans. This will be reviewed at your annual compliance visit. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you, Ms. Mason. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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 .2818 · Violation
Name of Operation: CLEAR CREEK ELEMENTARY ASEP Facility ID: 60002859 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 19 Completed Date: 5/17/2024 Age: From 5 To 11 Total Minutes: 80 Time In: 02:45 PM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit follow-up is to monitor applicable child care rules and regulations with a focus on staff/child ratios and qualification letters. Upon arrival I walked over to the multipurpose/cafeteria and was greeted by Ms. Ashley Mason, Program Coordinator. I shared the reason for the visit. I monitored the following items: supervision, staff/child ratios, adequate/approved space, and permit restrictions. During the walkthrough there were nineteen (19) children present. The children were observed completing bathroom routines and afternoon snack. You reported that your group leader was absent today and that you were by yourself with two (2) groups. Staff/child ratios were not in compliance during today’s visit, this is a repeat violation. During the visit, the ratio went down to 1:14 and this was corrected. Please remember that staff/child ratios need to be maintained at all times. It is important to prepare for staff leave, staff callouts, staff shortages, illnesses, or other circumstances. The after-school program needs to plan accordingly and notify families that care cannot be provided in unsafe environments. If there are not enough staff with current qualification letters on file, childcare cannot be provided to all children enrolled. I encourage you to notify your team as soon as possible if you will be alone, in order to plan ahead and have another qualified group leader assist you. I confirmed that per your permit restrictions, that states, “meets reduced enhanced ratios” that your facility must maintain the following ratios based on the “Highest Voluntary Enhanced Requirements”: - The staff to child ratio for children as young as five (5) years old is 1:14 - The staff to child ratio for children as young as six (6) years old is 1:19 The max group size per group is twenty-five (25) children. It was reported that E.K will no longer assist in “emergency cases” and they were not assisting with the groups of children during the visit. As a reminder, substitutes need to have a qualification letter to be counted in ratio this is also known as the criminal background check from DCDEE. For any new staff or new substitutes, please have them complete this if they are to step in and assist with maintaining ratios and compliance. To plan accordingly please prepare and complete all paperwork for substitutes that will be proving support to the afterschool program. The checklist “Substitute Staff File Checklist – Center” was left with you at the previous visit. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. I observed nineteen (19) children with one (1) caregiver for approximately sixty (60) minutes. 10A NCAC 09 .2818 Compliance History: The program’s compliance history was ninety-two percent (92%) prior to today’s visit. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you, Ms. Mason. An unannounced follow-up visit will be conducted in the future. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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 .2818 · Violation
Name of Operation: CLEAR CREEK ELEMENTARY ASEP Facility ID: 60002859 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 5/3/2024 Number Present: 21 Completed Date: 5/3/2024 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: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival I was greeted by the office staff. I then met with Ms. Barbour, Group Leader and I shared the reason for the visit. Ms. Barbour notified me that you, Ms. Ashley Mason, Program Coordinator, was in a meeting and that you would arrive later this afternoon. At about 3:30PM you arrived and were able to assist Ms. Barbour and me with the visit. Your program currently operates with a Four-Star Center License effective 2/27/19. The license was posted, and the following restrictions were in compliance: - 1st Shift - Meets Enhanced Ratios - Meets Enhanced Space - Meets Reduced Enhanced Ratios Upon arrival children were being dismissed from the school day and into the after school program. I observed twenty-one (21) children with one (1) caregiver. Ratios were out of compliance for a total of forty-five (45) minutes. At 3pm, an individual (E.K) joined Ms. Barbour to help until you arrived Ms. Mason. E.K reported that she assists in “emergency cases” I reviewed the requirements with you regarding substitutes and staff qualifications to be counted in ratio including have a criminal background check on file with DCDEE. E.K does not have a DCDEE background check therefore cannot assist with the ASEP until this requirement is met. Please have them complete this if they are to step in and assist with maintaining ratios and compliance. As a reminder, this facility follows the “Highest Voluntary Enhanced Ratios” which are: - A group of 5- to 6-year-old children will have a ratio of 1:14 with a max group size of 25 - A group of 6-year-old children and up will have a ratio of 1:19 with a max group size of 25 I monitored the following items: supervision, staff/child ratio, licensed spaces, capacity, new staff, health, safety, and program records. Inspections: The program's last fire inspection on file with DCDEE was completed on 11/6/23. As a reminder your fire inspection needs to be completed annually and the form for the fire inspector to use is located on our website under the provider tab and provider documents. Once the inspection is complete, please send me a copy of the report within seven (7) days. I received a fire inspection for the entire school completed on 4/3/24, the fire inspection had violations and stated that there was no re-inspection needed. I shared with you to inquire about when your annual fire inspection will be completed moving forward since your previous inspection was completed on 11/6/23. The program's recent sanitation inspection was conducted on 1/5/24. The program received four (4) demerits and received a superior classification. Indoor Learning Environment: I observed children in the multipurpose room (cafeteria/auditorium) and found supervision and staff/child ratios out of compliance. Children were transitioning from their school day into the after-school program into the multipurpose room. Children completed bathroom routines, afternoon snack and free play. During the walkthrough, I did not see a current activity plan posted, I left you a copy of a blank form and explained how to complete the form reflecting your TDA activities and centers that are open. I monitored the multipurpose room, bathrooms, and the outdoor learning environments. Outdoor Learning Environment: The outdoor learning environment was monitored and in compliance. Program Records: The last fire drill was conducted on 4/26/24 and the last emergency drill was conducted on 4/26/24. I observed that emergency drills are not being conducted every three (3) months. Please ensure to schedule these and plan for them ahead of time to ensure that you and staff are practicing these drills as required. Emergency drills were recorded for 8/29/23, 1/19/24, and 4/26/24. An emergency drill should have been completed in the month of November and so forth every three (3) months. The last playground inspection was conducted on 4/26/24. Staff Records: There were no new staff files for review. I left you a copy of a substitute checklist to review with E. K please note that volunteers can not be counted in ratio. Nutrition: The facility was in compliance with child care meal pattern requirements. This center only serves afternoon snack. Medication: Medication is not administered. Medication is kept in the nurse’s office, and you stated that you have access to the medication. The nurse’s office is located at the front office near the multipurpose room. Transportation: Transportation is not provided. Weapons: You reported that the facility was in compliance with child care requirements regarding firearms. The following violations were cited: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted. GS 110-91(12); .0508(a) 1041 Prior to employment a Criminal Background Check was not completed. Elvenia Croutch did not complete a DCDEE criminal background prior to employment. G.S. 110-90.2(b) 1756 Enhanced staff/child ratios and group sizes were not met. I observed twenty one (21) children with one (1) caregiver for approximately forty-five (45) minutes. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. Elvenia Croutch did not have a DCDEE background letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Emergency drills were not conducted every three (3) months, a drill took place on 8/29/23 then five (5) months later on 1/19/24. .0604(u);.0302(d)(8) The violations not corrected during the visit must be corrected immediately. On or before 5/17/24, 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. Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was ninety-seven percent (97%) prior to today’s visit. Rated License Information: This facility is in Cohort #2 and your preparation year is from 7/1/24 to 6/30/25. Your reassessment year will be from 7/1/25 to 6/30/26. Resources and Reminders: Please ensure that you are using the most updated Child Care Rule Book also known as Chapter 9 - Child Care Rules. The new version was updated in January of 2024. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking water, identify lead based paint hazards, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina. Additional information can be found in the Raise North Carolina Newsletter sent via email on 12/7/23 from DCDEE. Please ensure that all on-going training hours are being completed and documented as required for yourself and all staff members and that any annual documents are being updated and completed. These items will be monitored for completion at your annual compliance visit: - Staff Development Plans - Annual Evaluations for Staff - Medical Forms (Health Questionnaire/Emergency Info) - Polices (EMC, EPR, and any other policies that are amended) Please ensure to update your Emergency Preparedness Plan (EPR) to reflect all current information regarding your enrollment, contact numbers and any updates to your emergency plans. This will be reviewed at your annual compliance visit. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Mason. A follow-up visit will be conducted in the near future. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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.
G.S. 110-90 · Violation
Name of Operation: CLEAR CREEK ELEMENTARY ASEP Facility ID: 60002859 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 5/3/2024 Number Present: 21 Completed Date: 5/3/2024 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: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival I was greeted by the office staff. I then met with Ms. Barbour, Group Leader and I shared the reason for the visit. Ms. Barbour notified me that you, Ms. Ashley Mason, Program Coordinator, was in a meeting and that you would arrive later this afternoon. At about 3:30PM you arrived and were able to assist Ms. Barbour and me with the visit. Your program currently operates with a Four-Star Center License effective 2/27/19. The license was posted, and the following restrictions were in compliance: - 1st Shift - Meets Enhanced Ratios - Meets Enhanced Space - Meets Reduced Enhanced Ratios Upon arrival children were being dismissed from the school day and into the after school program. I observed twenty-one (21) children with one (1) caregiver. Ratios were out of compliance for a total of forty-five (45) minutes. At 3pm, an individual (E.K) joined Ms. Barbour to help until you arrived Ms. Mason. E.K reported that she assists in “emergency cases” I reviewed the requirements with you regarding substitutes and staff qualifications to be counted in ratio including have a criminal background check on file with DCDEE. E.K does not have a DCDEE background check therefore cannot assist with the ASEP until this requirement is met. Please have them complete this if they are to step in and assist with maintaining ratios and compliance. As a reminder, this facility follows the “Highest Voluntary Enhanced Ratios” which are: - A group of 5- to 6-year-old children will have a ratio of 1:14 with a max group size of 25 - A group of 6-year-old children and up will have a ratio of 1:19 with a max group size of 25 I monitored the following items: supervision, staff/child ratio, licensed spaces, capacity, new staff, health, safety, and program records. Inspections: The program's last fire inspection on file with DCDEE was completed on 11/6/23. As a reminder your fire inspection needs to be completed annually and the form for the fire inspector to use is located on our website under the provider tab and provider documents. Once the inspection is complete, please send me a copy of the report within seven (7) days. I received a fire inspection for the entire school completed on 4/3/24, the fire inspection had violations and stated that there was no re-inspection needed. I shared with you to inquire about when your annual fire inspection will be completed moving forward since your previous inspection was completed on 11/6/23. The program's recent sanitation inspection was conducted on 1/5/24. The program received four (4) demerits and received a superior classification. Indoor Learning Environment: I observed children in the multipurpose room (cafeteria/auditorium) and found supervision and staff/child ratios out of compliance. Children were transitioning from their school day into the after-school program into the multipurpose room. Children completed bathroom routines, afternoon snack and free play. During the walkthrough, I did not see a current activity plan posted, I left you a copy of a blank form and explained how to complete the form reflecting your TDA activities and centers that are open. I monitored the multipurpose room, bathrooms, and the outdoor learning environments. Outdoor Learning Environment: The outdoor learning environment was monitored and in compliance. Program Records: The last fire drill was conducted on 4/26/24 and the last emergency drill was conducted on 4/26/24. I observed that emergency drills are not being conducted every three (3) months. Please ensure to schedule these and plan for them ahead of time to ensure that you and staff are practicing these drills as required. Emergency drills were recorded for 8/29/23, 1/19/24, and 4/26/24. An emergency drill should have been completed in the month of November and so forth every three (3) months. The last playground inspection was conducted on 4/26/24. Staff Records: There were no new staff files for review. I left you a copy of a substitute checklist to review with E. K please note that volunteers can not be counted in ratio. Nutrition: The facility was in compliance with child care meal pattern requirements. This center only serves afternoon snack. Medication: Medication is not administered. Medication is kept in the nurse’s office, and you stated that you have access to the medication. The nurse’s office is located at the front office near the multipurpose room. Transportation: Transportation is not provided. Weapons: You reported that the facility was in compliance with child care requirements regarding firearms. The following violations were cited: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted. GS 110-91(12); .0508(a) 1041 Prior to employment a Criminal Background Check was not completed. Elvenia Croutch did not complete a DCDEE criminal background prior to employment. G.S. 110-90.2(b) 1756 Enhanced staff/child ratios and group sizes were not met. I observed twenty one (21) children with one (1) caregiver for approximately forty-five (45) minutes. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. Elvenia Croutch did not have a DCDEE background letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Emergency drills were not conducted every three (3) months, a drill took place on 8/29/23 then five (5) months later on 1/19/24. .0604(u);.0302(d)(8) The violations not corrected during the visit must be corrected immediately. On or before 5/17/24, 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. Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was ninety-seven percent (97%) prior to today’s visit. Rated License Information: This facility is in Cohort #2 and your preparation year is from 7/1/24 to 6/30/25. Your reassessment year will be from 7/1/25 to 6/30/26. Resources and Reminders: Please ensure that you are using the most updated Child Care Rule Book also known as Chapter 9 - Child Care Rules. The new version was updated in January of 2024. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking water, identify lead based paint hazards, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina. Additional information can be found in the Raise North Carolina Newsletter sent via email on 12/7/23 from DCDEE. Please ensure that all on-going training hours are being completed and documented as required for yourself and all staff members and that any annual documents are being updated and completed. These items will be monitored for completion at your annual compliance visit: - Staff Development Plans - Annual Evaluations for Staff - Medical Forms (Health Questionnaire/Emergency Info) - Polices (EMC, EPR, and any other policies that are amended) Please ensure to update your Emergency Preparedness Plan (EPR) to reflect all current information regarding your enrollment, contact numbers and any updates to your emergency plans. This will be reviewed at your annual compliance visit. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Mason. A follow-up visit will be conducted in the near future. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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: CLEAR CREEK ELEMENTARY ASEP Facility ID: 60002859 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 5/3/2024 Number Present: 21 Completed Date: 5/3/2024 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: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival I was greeted by the office staff. I then met with Ms. Barbour, Group Leader and I shared the reason for the visit. Ms. Barbour notified me that you, Ms. Ashley Mason, Program Coordinator, was in a meeting and that you would arrive later this afternoon. At about 3:30PM you arrived and were able to assist Ms. Barbour and me with the visit. Your program currently operates with a Four-Star Center License effective 2/27/19. The license was posted, and the following restrictions were in compliance: - 1st Shift - Meets Enhanced Ratios - Meets Enhanced Space - Meets Reduced Enhanced Ratios Upon arrival children were being dismissed from the school day and into the after school program. I observed twenty-one (21) children with one (1) caregiver. Ratios were out of compliance for a total of forty-five (45) minutes. At 3pm, an individual (E.K) joined Ms. Barbour to help until you arrived Ms. Mason. E.K reported that she assists in “emergency cases” I reviewed the requirements with you regarding substitutes and staff qualifications to be counted in ratio including have a criminal background check on file with DCDEE. E.K does not have a DCDEE background check therefore cannot assist with the ASEP until this requirement is met. Please have them complete this if they are to step in and assist with maintaining ratios and compliance. As a reminder, this facility follows the “Highest Voluntary Enhanced Ratios” which are: - A group of 5- to 6-year-old children will have a ratio of 1:14 with a max group size of 25 - A group of 6-year-old children and up will have a ratio of 1:19 with a max group size of 25 I monitored the following items: supervision, staff/child ratio, licensed spaces, capacity, new staff, health, safety, and program records. Inspections: The program's last fire inspection on file with DCDEE was completed on 11/6/23. As a reminder your fire inspection needs to be completed annually and the form for the fire inspector to use is located on our website under the provider tab and provider documents. Once the inspection is complete, please send me a copy of the report within seven (7) days. I received a fire inspection for the entire school completed on 4/3/24, the fire inspection had violations and stated that there was no re-inspection needed. I shared with you to inquire about when your annual fire inspection will be completed moving forward since your previous inspection was completed on 11/6/23. The program's recent sanitation inspection was conducted on 1/5/24. The program received four (4) demerits and received a superior classification. Indoor Learning Environment: I observed children in the multipurpose room (cafeteria/auditorium) and found supervision and staff/child ratios out of compliance. Children were transitioning from their school day into the after-school program into the multipurpose room. Children completed bathroom routines, afternoon snack and free play. During the walkthrough, I did not see a current activity plan posted, I left you a copy of a blank form and explained how to complete the form reflecting your TDA activities and centers that are open. I monitored the multipurpose room, bathrooms, and the outdoor learning environments. Outdoor Learning Environment: The outdoor learning environment was monitored and in compliance. Program Records: The last fire drill was conducted on 4/26/24 and the last emergency drill was conducted on 4/26/24. I observed that emergency drills are not being conducted every three (3) months. Please ensure to schedule these and plan for them ahead of time to ensure that you and staff are practicing these drills as required. Emergency drills were recorded for 8/29/23, 1/19/24, and 4/26/24. An emergency drill should have been completed in the month of November and so forth every three (3) months. The last playground inspection was conducted on 4/26/24. Staff Records: There were no new staff files for review. I left you a copy of a substitute checklist to review with E. K please note that volunteers can not be counted in ratio. Nutrition: The facility was in compliance with child care meal pattern requirements. This center only serves afternoon snack. Medication: Medication is not administered. Medication is kept in the nurse’s office, and you stated that you have access to the medication. The nurse’s office is located at the front office near the multipurpose room. Transportation: Transportation is not provided. Weapons: You reported that the facility was in compliance with child care requirements regarding firearms. The following violations were cited: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted. GS 110-91(12); .0508(a) 1041 Prior to employment a Criminal Background Check was not completed. Elvenia Croutch did not complete a DCDEE criminal background prior to employment. G.S. 110-90.2(b) 1756 Enhanced staff/child ratios and group sizes were not met. I observed twenty one (21) children with one (1) caregiver for approximately forty-five (45) minutes. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. Elvenia Croutch did not have a DCDEE background letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Emergency drills were not conducted every three (3) months, a drill took place on 8/29/23 then five (5) months later on 1/19/24. .0604(u);.0302(d)(8) The violations not corrected during the visit must be corrected immediately. On or before 5/17/24, 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. Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was ninety-seven percent (97%) prior to today’s visit. Rated License Information: This facility is in Cohort #2 and your preparation year is from 7/1/24 to 6/30/25. Your reassessment year will be from 7/1/25 to 6/30/26. Resources and Reminders: Please ensure that you are using the most updated Child Care Rule Book also known as Chapter 9 - Child Care Rules. The new version was updated in January of 2024. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking water, identify lead based paint hazards, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina. Additional information can be found in the Raise North Carolina Newsletter sent via email on 12/7/23 from DCDEE. Please ensure that all on-going training hours are being completed and documented as required for yourself and all staff members and that any annual documents are being updated and completed. These items will be monitored for completion at your annual compliance visit: - Staff Development Plans - Annual Evaluations for Staff - Medical Forms (Health Questionnaire/Emergency Info) - Polices (EMC, EPR, and any other policies that are amended) Please ensure to update your Emergency Preparedness Plan (EPR) to reflect all current information regarding your enrollment, contact numbers and any updates to your emergency plans. This will be reviewed at your annual compliance visit. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Mason. A follow-up visit will be conducted in the near future. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0304 · Violation
Name of Operation: CLEAR CREEK ELEMENTARY ASEP Facility ID: 60002859 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 11/1/2023 Number Present: 19 Completed Date: 11/1/2023 Age: From 5 To 10 Total Minutes: 120 Time In: 02:00 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival I was greeted by the office staff and program coordinator, Ashley Mason. I shared the reason for the visit. Your program currently operates with a Four-Star Center License effective 2/27/19. The license was posted, with restrictions to: - 1st shift - meets enhanced ratios - meets enhanced space - meets reduced enhanced ratios I monitored the following items: supervision, staff/child ratio, staff and children’s records, health, safety, and program records. The following licensed spaces are being used: - Multipurpose Room (Gym, Auditorium, Cafeteria) - Restrooms - Outdoor Learning Environment Inspections: All inspections were monitored. The last fire drill was conducted on 10/30/23 and the last emergency drill was conducted on 8/29/23. The program's last fire inspection on file with DCDEE was completed on 9/29/22. I obtained a copy of the most current fire inspection that was completed on 8/17/23. The fire inspection had a notation that a re-inspection was required per the Fire Marshal. It was reported that you were not aware of any other inspection that was completed/on file. Please reach out to your Fire Marshal and Administration team to obtain more information and send me a copy of the most current inspection. As a reminder, fire inspections are to be completed prior to the previous year’s inspection and sent to your consultant within seven (7) days. The program's recent sanitation inspection on file with DCDEE was conducted on 9/20/23. The program received two (2) demerits and received a Superior classification. Indoor Learning Environment: I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were participating in transitions from the school day into the after-school program. I observed children participating in afternoon snack and completing rest room routines. During rest room routines, I observed children taking turns entering the bathroom spaces and the group leader seated in the cafeteria. The placement where the group leader was seated could allow for hearing or seeing of children. I shared with the group leader to ensure that better supervision is taking place. In addition, you want to ensure that proper handwashing is taking place. Outdoor Learning Environment: The outdoor learning environment was monitored and in compliance. Program Records: I reviewed all the required records. Staff Records: The staff-training worksheet was completed. There were no new staff files to review and one (1) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. On-going training hours were not recorded in the on-going training log, this was corrected during the visit. I reviewed that according to your education on file with DCDEE Works, that ten (10) on-going training hours are required. As a reminder, only half of the required ongoing training hours can carry over to the next year. Children’s Records: Two (2) children’s files were reviewed, please refer to the children’s worksheet to review which files were monitored. Medication: Medication is stored in the nurses’ office. It was reported that the ASEP site has access to those medications. Nutrition: The facility was in compliance with child care meal pattern requirements. This center only serves afternoon snacks. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation is not provided at this facility. Two (2) violations were observed today. One (1) was corrected during the visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection on file with DCDEE was dated for 9/29/22. 10A NCAC 09 .0304(a) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. Training was not recorded on the ongoing training log indicating all applicable information. .1106(a) The violations not corrected during the visit must be corrected immediately. On or before 11/15/23, 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. Email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was ninety-eight percent (98%) prior to today’s visit. Rated License: This facility is in Cohort #2 and your preparation year is from 7/1/24 to 6/30/25. Your reassessment year will be from 7/1/25 to 6/30/26. Technical Assistance with Violations Cited: 106- As a reminder your fire inspection needs to be completed annually and the form for the fire inspector to use is located on our website under the provider tab and provider documents. Once the inspection is complete, please send a copy of the report within seven (7) days. Due to the fire inspection needing a re-inspection, please reach out to your Fire Marshal and or Administrative team to obtain information of a re-inspection being completed. 1068- Please ensure to document all ongoing training hours on the ongoing training log. I suggest that once training has been completed, for you to print out the certificate and immediately log it on the documentation log. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Mason. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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.
G.S. 110-91 · Violation
Name of Operation: CLEAR CREEK ELEMENTARY ASEP Facility ID: 60002859 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 11/1/2023 Number Present: 19 Completed Date: 11/1/2023 Age: From 5 To 10 Total Minutes: 120 Time In: 02:00 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival I was greeted by the office staff and program coordinator, Ashley Mason. I shared the reason for the visit. Your program currently operates with a Four-Star Center License effective 2/27/19. The license was posted, with restrictions to: - 1st shift - meets enhanced ratios - meets enhanced space - meets reduced enhanced ratios I monitored the following items: supervision, staff/child ratio, staff and children’s records, health, safety, and program records. The following licensed spaces are being used: - Multipurpose Room (Gym, Auditorium, Cafeteria) - Restrooms - Outdoor Learning Environment Inspections: All inspections were monitored. The last fire drill was conducted on 10/30/23 and the last emergency drill was conducted on 8/29/23. The program's last fire inspection on file with DCDEE was completed on 9/29/22. I obtained a copy of the most current fire inspection that was completed on 8/17/23. The fire inspection had a notation that a re-inspection was required per the Fire Marshal. It was reported that you were not aware of any other inspection that was completed/on file. Please reach out to your Fire Marshal and Administration team to obtain more information and send me a copy of the most current inspection. As a reminder, fire inspections are to be completed prior to the previous year’s inspection and sent to your consultant within seven (7) days. The program's recent sanitation inspection on file with DCDEE was conducted on 9/20/23. The program received two (2) demerits and received a Superior classification. Indoor Learning Environment: I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were participating in transitions from the school day into the after-school program. I observed children participating in afternoon snack and completing rest room routines. During rest room routines, I observed children taking turns entering the bathroom spaces and the group leader seated in the cafeteria. The placement where the group leader was seated could allow for hearing or seeing of children. I shared with the group leader to ensure that better supervision is taking place. In addition, you want to ensure that proper handwashing is taking place. Outdoor Learning Environment: The outdoor learning environment was monitored and in compliance. Program Records: I reviewed all the required records. Staff Records: The staff-training worksheet was completed. There were no new staff files to review and one (1) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. On-going training hours were not recorded in the on-going training log, this was corrected during the visit. I reviewed that according to your education on file with DCDEE Works, that ten (10) on-going training hours are required. As a reminder, only half of the required ongoing training hours can carry over to the next year. Children’s Records: Two (2) children’s files were reviewed, please refer to the children’s worksheet to review which files were monitored. Medication: Medication is stored in the nurses’ office. It was reported that the ASEP site has access to those medications. Nutrition: The facility was in compliance with child care meal pattern requirements. This center only serves afternoon snacks. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation is not provided at this facility. Two (2) violations were observed today. One (1) was corrected during the visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection on file with DCDEE was dated for 9/29/22. 10A NCAC 09 .0304(a) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. Training was not recorded on the ongoing training log indicating all applicable information. .1106(a) The violations not corrected during the visit must be corrected immediately. On or before 11/15/23, 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. Email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was ninety-eight percent (98%) prior to today’s visit. Rated License: This facility is in Cohort #2 and your preparation year is from 7/1/24 to 6/30/25. Your reassessment year will be from 7/1/25 to 6/30/26. Technical Assistance with Violations Cited: 106- As a reminder your fire inspection needs to be completed annually and the form for the fire inspector to use is located on our website under the provider tab and provider documents. Once the inspection is complete, please send a copy of the report within seven (7) days. Due to the fire inspection needing a re-inspection, please reach out to your Fire Marshal and or Administrative team to obtain information of a re-inspection being completed. 1068- Please ensure to document all ongoing training hours on the ongoing training log. I suggest that once training has been completed, for you to print out the certificate and immediately log it on the documentation log. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Mason. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.