10A NCAC 09 .0606 · Violation

Name of Operation: COVENANT PRESBYTERIAN CHILD DEVELOPMENT CENTER Facility ID: 60003980 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 75 Completed Date: 11/14/2023 Age: From 0 To 5 Total Minutes: 390 Time In: 10:30 AM Time Out: 05:00 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 for compliance with applicable child care requirements during the Annual Compliance Visit. The last annual compliance visit was completed September 27, 2022. Upon arrival at the center, I was greeted at the front desk on ground level by a church receptionist. The receptionist contacted the center administrator, Ms. Janice Price, and she came upstairs to meet me. The center continues to operate a five-star rated facility and continues to meet enhanced space and ratios. The 18-month center compliance history percentage was 97% prior to the visit. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. Spaces #1-7, kitchen and outdoor learning environments were monitored for compliance. The program continues not to provide transportation to children. Children were monitored engaged in tummy time, eating lunch, napping on cots with linen, group activities, and daily outdoor play. Nine children’s files were monitored for compliance. Three infant files monitored had signed ITS-SIDS policies in each file however, the signed policy was not customized and just a sample policy. In space #2 and ITS-SIDS poster was monitored but the center’s adopted ITS-SIDS policy was not posted. Staff obtained the customized policy posted in space #1, made a copy of it and then posted it in space #2 during the visit. The center utilized the following implemented curriculum, “Creative Curriculum.” Staff and Training worksheets were presented to me handwritten. It was recommended to Ms. Price the importance of maintaining the data electronically when there are almost thirty (30) staff employed at the child care center. It was highly recommended to have Ms. Erin, assistant administrator, to key in the data on the provided template. It was difficult to read Ms. Price’s handwriting and it will be easier to maintain current records if the data is saved and stored electronically. We discussed the importance of maintaining the most current DCDEE WORKS status letter for each staff member on file. There were two new staff hired since the last Routine Unannounced visit was completed April 4, 2023. Their files were monitored for compliance. One staff medical report on file was issued from the doctor’s office and on the doctor’s office letterhead instead of the medical report being completed by the doctor on the DCDEE Medical Report form. Ms. Price did not write on the worksheets the number of annual in-service training hours received for each existing staff on to the staff and training worksheets. Annual in-service training logs were completed but not reviewed. Ms. Price was asked to fill in the annual hours received for each existing member of staff, and that a return visit would be completed to review tracking tools, documentation of annual training hours for each staff person. A WORKS review will be completed for each staff member after the visit due to system access issues. The outdoor learning environment was monitored for compliance. We discussed the surfacing and signs of deterioration to the foam surfacing around exit points and bases/legs of the stationary equipment. We discussed getting the outdoor equipment pressure washed due to build up of dirt visible on to top of stationary equipment. Monthly outdoor inspections were monitored completed and current. Documentation for quarterly safety drills and monthly fire drills were monitored for compliance and found to meet child care requirements. It was recommended to conduct one monthly fire drill in the light misty rain and towards the end of nap time at least once per year. The center’s EPR plan and Ready to Go File were not monitored for compliance. The kitchen was monitored for compliance with a current posted allergy list and menu and proper storage of foods. Test kits were monitored stored in the kitchen. The last sanitation inspection was conducted June 23, 2023, with four (4) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed September 29, 2022. It is highly recommended to begin your annual inspection process four to six weeks prior to expiration. There were changes in the City of Charlotte Fire Inspectors last year. Many providers stated having difficulty tracking down their newly assigned inspector. Based on the DCDEE plan to reassess all existing facilities after COVID-19 pandemic the program is listed under Cohort #3. The last Rated License Assessment was processed November 1, 2021. The program last completed Environmental Rating Scales October 19, 2021. Violation Number Comment Rule 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The center's adopted policy was not posted in space #2. The policy was posted in space #1, then copied and posted in space #2 during the visit. .0606(b) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Three safe sleep policies monitored on file were not customized and was a sample only. 10A NCAC 09 .0606(c) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff person was past due three hours of annual in-service training. .1103(a) 1898 Staff did not complete the health and safety training within one year of employment. Eighteen staff were monitored who did not complete H & S training within one year of employment. Seventeen staff completed the training and only one staff person needs to complete the required training as of today (11/13/23). .1102(a) 9995 A violation was found for which there is no item number. 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (a) In child care centers, all rooms and enclosed areas shall be lighted by natural or artificial light. Lighting shall be capable of illumination to at least 50 foot-candles at work surfaces. Lighting shall be capable of illumination to at least 10 foot-candles of light, at 30 inches above the floor, in all other areas, including storage rooms. Light fixtures in all areas shall be kept clean and in good repair. Shielded or shatterproof bulbs shall be used in food preparation, storage, and serving areas and in all rooms used by children. Space #2 was monitored too dark, with the blinds closed, overhead ceiling lights off and only a small blue light that shined on a portion of the countertop. The administrator, Ms. Price informed the three staff twice to raise the blinds in the classroom before the blinds were raised and natural light made the space much more visible. Technical Assistance Provided and General Discussion: 1. The visit summary was not finalized at the end of the visit due to time and reoccurring computer issues that prevented my ability for the visit to be keyed into the DCDEE Regulatory system. The cited violations were reviewed with Ms. Price prior to the end of the visit. Ms. Price was informed two (2) violations were cited. 2. We discussed pressure washing the climbing structures in the outdoor learning environments. 3. We discussed use of the rainy-day space for the younger toddlers to use for vendor services or indoor gross motor space. Ms. Price inquired if children could access and use the Art space upstairs. Further research will need to be completed because the identified space does not have a direct exit to the outdoors, small children would either need to use the elevator or a stairwell with many steps inside or have to walk around the outside and enter the building from the front entrance. I expressed concern if children and especially toddlers were permitted to use an elevator or stairwells with many steps. Follow up will be completed with Mecklenburg County Building and Standards in conjunction with the Licensing Supervisor. Please do not have the children access the Art room until it is confirmed and approved to use as requested. 4. We discussed lighting in all classrooms during nap time. A couple of the rooms monitored during nap time did not have much natural lighting or any other kind of lights to assist staff with visually seeing children breathing during nap time. It was recommended to allow some of the natural lighting in the rooms during nap time or supply the room with alternative lighting like LED lights or end table lamps. 5. Ms. Price was informed DCDEE now considered an Elementary Education degree as a degree in the field. 6. We discussed the medical action plans templates and child care rules regarding prescription medications and medications considered to be life altering. It was recommended to have administration review and track children's medical action plans to ensure the correct information is listed and required documentation does not expire. 7. The program was encouraged to have parents submit any medications, medical action plans, permission slips to administer medications to the administration first. This would allow administrators to review the presented paperwork and medications and then ensure the applicable staff are trained. A system to track when the medication expires and when the permission to administer the medication form also expires are areas that should be enhanced but also consistent. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, October 10, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.