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Home › NC › Charlotte › Cranfield Academy Providence
11745 Providence Road, Charlotte NC 28277 · License #60003652 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
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10A NCAC 09 .0803 · Violation
Name of Operation: CRANFIELD ACADEMY PROVIDENCE Facility ID: 60003652 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 120 Completed Date: 11/19/2025 Age: From 0 To 5 Total Minutes: 355 Time In: 09:05 AM Time Out: 03:00 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 operates with a Five Star Rated License with an effective date of June 25, 2018. S. Price, Director assisted me with the visit. We completed a walk-through of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, group time and transitions. Staff members were observed leading group time, supervising activities and assisting with personal care routines. A sanitation inspection was completed June 25, 2025, with a “Superior” classification. The last fire inspection was received on April 10, 2025, and your facility was approved for daytime care only. The last fire drill was conducted on November 6, 2025, and a shelter-in-place on November 7, 2025. Playground safety checklists were also monitored and are occurring each month as required. The NC Secretary of State website was reviewed on November 18, 2025, and Endeavor Providence Opco LLC Inc was listed as current- active. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. There have been three new staff hired since a routine unannounced visit was conducted July 17, 2025. Files for all new staff and ten percent of existing staff files were monitored. The following violations were observed today. Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. Review of activity plans indicated that the NC Foundations for Early Learning and Development is not being used in conjunction with the curriculum. .0508(b)(1-5) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, a child's hands were not washed after a diaper change. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The key to the kitchen door was in the lock with no one present in the kitchen. In space #7, the key to door was in the lock. A staff member's purse was stored in the closet and was less than five feet above the floor. In space #7, there was a bottle of colored sand located on top of a shelf. The bottle read "not for children under three years of age". The children enrolled in space #7 are all two years of age. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #3, there were two diapers creams present that were not labeled with either child's name. In space #4, there was diaper cream present for one child that was not labeled with the child's name. In space #5, there were also two diaper creams present that were not labeled with either child's name. 10A NCAC 09 .0803(4) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Ten children did not have verification on file that emergency medical care information had been updated annually or as changes occurred. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child had a medical report on file completed by a physician however, the top portion was not completed by a parent. GS 110-91(1);.0302(d)(2); .0304(g) 1878 A drug or medicine was administered in a manner not authorized by the child's parent, physician or other authorized health professional. In space #4, there was Benadryl cream and cortisone cream present for two children one year of age with authorization from the parent. The directions on both read "children under two years of age, ask a doctor". .0803(1)(c ) 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 December 3, 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 The following technical assistance was provided: A conversation was held with the Director regarding Pathway to the Stars. The Director requested a technical assistance visit to discuss in greater detail. A visit was scheduled for December 9, 2025. The following items were discussed with the Director during the walk through of the facility: labeling of over-the-counter medications with children’s names, authorization for over-the-counter medications that have directions indicating not for children under two years of age unless consulted by a doctor, North Carolina Foundations for Early Learning and Development, and keys left in door locks, etc. Thank you for your time today. If you have 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
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.
GS 110-91 · Violation
Name of Operation: CRANFIELD ACADEMY PROVIDENCE Facility ID: 60003652 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 120 Completed Date: 11/19/2025 Age: From 0 To 5 Total Minutes: 355 Time In: 09:05 AM Time Out: 03:00 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 operates with a Five Star Rated License with an effective date of June 25, 2018. S. Price, Director assisted me with the visit. We completed a walk-through of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, group time and transitions. Staff members were observed leading group time, supervising activities and assisting with personal care routines. A sanitation inspection was completed June 25, 2025, with a “Superior” classification. The last fire inspection was received on April 10, 2025, and your facility was approved for daytime care only. The last fire drill was conducted on November 6, 2025, and a shelter-in-place on November 7, 2025. Playground safety checklists were also monitored and are occurring each month as required. The NC Secretary of State website was reviewed on November 18, 2025, and Endeavor Providence Opco LLC Inc was listed as current- active. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. There have been three new staff hired since a routine unannounced visit was conducted July 17, 2025. Files for all new staff and ten percent of existing staff files were monitored. The following violations were observed today. Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. Review of activity plans indicated that the NC Foundations for Early Learning and Development is not being used in conjunction with the curriculum. .0508(b)(1-5) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, a child's hands were not washed after a diaper change. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The key to the kitchen door was in the lock with no one present in the kitchen. In space #7, the key to door was in the lock. A staff member's purse was stored in the closet and was less than five feet above the floor. In space #7, there was a bottle of colored sand located on top of a shelf. The bottle read "not for children under three years of age". The children enrolled in space #7 are all two years of age. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #3, there were two diapers creams present that were not labeled with either child's name. In space #4, there was diaper cream present for one child that was not labeled with the child's name. In space #5, there were also two diaper creams present that were not labeled with either child's name. 10A NCAC 09 .0803(4) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Ten children did not have verification on file that emergency medical care information had been updated annually or as changes occurred. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child had a medical report on file completed by a physician however, the top portion was not completed by a parent. GS 110-91(1);.0302(d)(2); .0304(g) 1878 A drug or medicine was administered in a manner not authorized by the child's parent, physician or other authorized health professional. In space #4, there was Benadryl cream and cortisone cream present for two children one year of age with authorization from the parent. The directions on both read "children under two years of age, ask a doctor". .0803(1)(c ) 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 December 3, 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 The following technical assistance was provided: A conversation was held with the Director regarding Pathway to the Stars. The Director requested a technical assistance visit to discuss in greater detail. A visit was scheduled for December 9, 2025. The following items were discussed with the Director during the walk through of the facility: labeling of over-the-counter medications with children’s names, authorization for over-the-counter medications that have directions indicating not for children under two years of age unless consulted by a doctor, North Carolina Foundations for Early Learning and Development, and keys left in door locks, etc. Thank you for your time today. If you have 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
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: CRANFIELD ACADEMY PROVIDENCE Facility ID: 60003652 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 120 Completed Date: 11/19/2025 Age: From 0 To 5 Total Minutes: 355 Time In: 09:05 AM Time Out: 03:00 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 operates with a Five Star Rated License with an effective date of June 25, 2018. S. Price, Director assisted me with the visit. We completed a walk-through of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, group time and transitions. Staff members were observed leading group time, supervising activities and assisting with personal care routines. A sanitation inspection was completed June 25, 2025, with a “Superior” classification. The last fire inspection was received on April 10, 2025, and your facility was approved for daytime care only. The last fire drill was conducted on November 6, 2025, and a shelter-in-place on November 7, 2025. Playground safety checklists were also monitored and are occurring each month as required. The NC Secretary of State website was reviewed on November 18, 2025, and Endeavor Providence Opco LLC Inc was listed as current- active. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. There have been three new staff hired since a routine unannounced visit was conducted July 17, 2025. Files for all new staff and ten percent of existing staff files were monitored. The following violations were observed today. Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. Review of activity plans indicated that the NC Foundations for Early Learning and Development is not being used in conjunction with the curriculum. .0508(b)(1-5) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, a child's hands were not washed after a diaper change. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The key to the kitchen door was in the lock with no one present in the kitchen. In space #7, the key to door was in the lock. A staff member's purse was stored in the closet and was less than five feet above the floor. In space #7, there was a bottle of colored sand located on top of a shelf. The bottle read "not for children under three years of age". The children enrolled in space #7 are all two years of age. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #3, there were two diapers creams present that were not labeled with either child's name. In space #4, there was diaper cream present for one child that was not labeled with the child's name. In space #5, there were also two diaper creams present that were not labeled with either child's name. 10A NCAC 09 .0803(4) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Ten children did not have verification on file that emergency medical care information had been updated annually or as changes occurred. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child had a medical report on file completed by a physician however, the top portion was not completed by a parent. GS 110-91(1);.0302(d)(2); .0304(g) 1878 A drug or medicine was administered in a manner not authorized by the child's parent, physician or other authorized health professional. In space #4, there was Benadryl cream and cortisone cream present for two children one year of age with authorization from the parent. The directions on both read "children under two years of age, ask a doctor". .0803(1)(c ) 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 December 3, 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 The following technical assistance was provided: A conversation was held with the Director regarding Pathway to the Stars. The Director requested a technical assistance visit to discuss in greater detail. A visit was scheduled for December 9, 2025. The following items were discussed with the Director during the walk through of the facility: labeling of over-the-counter medications with children’s names, authorization for over-the-counter medications that have directions indicating not for children under two years of age unless consulted by a doctor, North Carolina Foundations for Early Learning and Development, and keys left in door locks, etc. Thank you for your time today. If you have 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
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0606 · Violation
Name of Operation: CRANFIELD ACADEMY PROVIDENCE Facility ID: 60003652 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 122 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 09:05 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Five Star Rated License with an effective date of June 25, 2018. The program’s 18-month compliance history before today’s visit was 90%. S. Price, Director assisted me with the visit. We completed a walk-through of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, group time and transitions. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The facility’s last annual compliance visit was conducted on December 6, 2024. A sanitation inspection was completed May 21, 2024, with a “Superior” classification. The last fire inspection was received on May 20, 2024, and your facility was approved for daytime care only. The last fire drill was conducted on November 4, 2024. A lockdown drill was conducted on September 13, 2024. Playground safety checklists were also monitored and are occurring each month as required. The NC Secretary of State website was reviewed on December 3, 2024, and Endeavor Providence Opco LLC Inc was listed as current- active. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. There have been five new staff hired since an administrative action follow-up visit was conducted May 7, 2024. Files for all new staff and ten percent of existing staff files were monitored. The following violations were observed today. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Cots throughout the building were observed in poor repair. The plasitc legs on the bottom of the cots were broken and cracked. A tricyle on the preschool playground was missing a seat. .0601(c) 871 Center staff did not comply with the safe sleep policy. In space #1, an infant was not placed in a crib after falling asleep. The teacher reported and documented the infant fell asleep at 9:05. I observed the infant in a seat asleep at 9:20. 10A NCAC 09 .0606(a) 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 December 17, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: Safe Sleep Practices- Infants 12 months or younger must be moved to a crib, bassinet, play pen, mat or cot if they fall asleep. In space #1, I observed an infant asleep in a seat. The teacher reported that the infant fell asleep at 9:05. At the time of my observation, it was 9:20. The teacher reported on the safe sleep chart that the infant was asleep at 9:05 and placed on his back. The infant was moved from the seat and placed in a crib while I was in the classroom. Safe Environment- All indoor and outdoor furnishings and equipment must be sturdy, stable, and free of hazards. A suggestion was made to remind staff to monitor their classroom and outdoor learning environment to ensure furnishings/equipment that are in poor repair are removed and reported to Administration. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401. Thank you for your time today. If you have 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
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: CRANFIELD ACADEMY PROVIDENCE Facility ID: 60003652 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 122 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 09:05 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Five Star Rated License with an effective date of June 25, 2018. The program’s 18-month compliance history before today’s visit was 90%. S. Price, Director assisted me with the visit. We completed a walk-through of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, group time and transitions. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The facility’s last annual compliance visit was conducted on December 6, 2024. A sanitation inspection was completed May 21, 2024, with a “Superior” classification. The last fire inspection was received on May 20, 2024, and your facility was approved for daytime care only. The last fire drill was conducted on November 4, 2024. A lockdown drill was conducted on September 13, 2024. Playground safety checklists were also monitored and are occurring each month as required. The NC Secretary of State website was reviewed on December 3, 2024, and Endeavor Providence Opco LLC Inc was listed as current- active. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. There have been five new staff hired since an administrative action follow-up visit was conducted May 7, 2024. Files for all new staff and ten percent of existing staff files were monitored. The following violations were observed today. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Cots throughout the building were observed in poor repair. The plasitc legs on the bottom of the cots were broken and cracked. A tricyle on the preschool playground was missing a seat. .0601(c) 871 Center staff did not comply with the safe sleep policy. In space #1, an infant was not placed in a crib after falling asleep. The teacher reported and documented the infant fell asleep at 9:05. I observed the infant in a seat asleep at 9:20. 10A NCAC 09 .0606(a) 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 December 17, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: Safe Sleep Practices- Infants 12 months or younger must be moved to a crib, bassinet, play pen, mat or cot if they fall asleep. In space #1, I observed an infant asleep in a seat. The teacher reported that the infant fell asleep at 9:05. At the time of my observation, it was 9:20. The teacher reported on the safe sleep chart that the infant was asleep at 9:05 and placed on his back. The infant was moved from the seat and placed in a crib while I was in the classroom. Safe Environment- All indoor and outdoor furnishings and equipment must be sturdy, stable, and free of hazards. A suggestion was made to remind staff to monitor their classroom and outdoor learning environment to ensure furnishings/equipment that are in poor repair are removed and reported to Administration. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401. Thank you for your time today. If you have 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: CRANFIELD ACADEMY PROVIDENCE Facility ID: 60003652 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 122 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 09:05 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates with a Five Star Rated License with an effective date of June 25, 2018. The program’s 18-month compliance history before today’s visit was 90%. S. Price, Director assisted me with the visit. We completed a walk-through of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, group time and transitions. Staff members were observed leading group time, supervising activities and assisting with personal care routines. The facility’s last annual compliance visit was conducted on December 6, 2024. A sanitation inspection was completed May 21, 2024, with a “Superior” classification. The last fire inspection was received on May 20, 2024, and your facility was approved for daytime care only. The last fire drill was conducted on November 4, 2024. A lockdown drill was conducted on September 13, 2024. Playground safety checklists were also monitored and are occurring each month as required. The NC Secretary of State website was reviewed on December 3, 2024, and Endeavor Providence Opco LLC Inc was listed as current- active. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. There have been five new staff hired since an administrative action follow-up visit was conducted May 7, 2024. Files for all new staff and ten percent of existing staff files were monitored. The following violations were observed today. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Cots throughout the building were observed in poor repair. The plasitc legs on the bottom of the cots were broken and cracked. A tricyle on the preschool playground was missing a seat. .0601(c) 871 Center staff did not comply with the safe sleep policy. In space #1, an infant was not placed in a crib after falling asleep. The teacher reported and documented the infant fell asleep at 9:05. I observed the infant in a seat asleep at 9:20. 10A NCAC 09 .0606(a) 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 December 17, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: Safe Sleep Practices- Infants 12 months or younger must be moved to a crib, bassinet, play pen, mat or cot if they fall asleep. In space #1, I observed an infant asleep in a seat. The teacher reported that the infant fell asleep at 9:05. At the time of my observation, it was 9:20. The teacher reported on the safe sleep chart that the infant was asleep at 9:05 and placed on his back. The infant was moved from the seat and placed in a crib while I was in the classroom. Safe Environment- All indoor and outdoor furnishings and equipment must be sturdy, stable, and free of hazards. A suggestion was made to remind staff to monitor their classroom and outdoor learning environment to ensure furnishings/equipment that are in poor repair are removed and reported to Administration. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401. Thank you for your time today. If you have 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 .0601 · Violation
Name of Operation: CRANFIELD ACADEMY PROVIDENCE Facility ID: 60003652 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 120 Completed Date: 12/6/2023 Age: From 0 To 5 Total Minutes: 450 Time In: 09:15 AM Time Out: 04:45 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 along with the current child care rules and requirements to monitor the facility. Upon my arrival I explained the purpose of today's visit. Suzanne Price, Administrator, was covering in a classroom. I began the visit my monitoring program records. The last fire inspection was conducted on 5/30/23. The emergency drill log was reviewed and found meeting compliance. The last sanitation inspection was conducted on 11/8/23. Information required to be posted was observed posted as you enter the facility and on the bulletin board in the lobby of the facility. Ms. Price was able to join me as I completed a walkthrough of the facility. While in the infant room I observed bottle feedings, infants resting visual safe sleep checks being conducted and documented and infants having floor time. Staff were attentive to infants needs. Nurturing tones were heard as staff spoke to infants in their care. While in Space 1 bottles were not labeled properly. One infant's bottles were dated 12/4-12/8, they must be dated daily for the current date and not for the week. One infant's bottle was dated with yesterday's date. I encourage staff when greeting parents to make sure they write the correct date or check to bottles to ensure the correct date is noted on each bottle. The low storage shelves were observed with dirt and crumb build up. I reminded staff, that even though they are cleaning and sanitizing the toys daily and throughout the day, they need to be wiping the shelves and storage containers down on a regular basis, at least weekly to ensure they remain clean and in good repair. The classrooms serving toddlers were observed coming inside from outdoor play, hand washing in free choice activities. Staff were engaged with the children assisting with handwashing and holding children who were upset when someone new was in the classroom. I also observed rest time, while in Space 4 one cot was up against another cot and I reminded staff they must be at least 18" apart. While observing in classrooms serving two year olds I observed a diaper change, hand washing, children cleaning up centers and preparing for lunch. Staff were observed assisting children as they cleaned, washed hands and read and sang song as children waited for their lunch plates to be served. Preschool children were observed during outdoor play, center play, washing hands, and lunch. Children were observed playing independently and in group play. Staff were engaged with children, using nurturing tones, on children's eye levels, asking open ended questions. Supervision and enhanced staff/child ratio was maintained in each classroom. While in each classroom I reviewed current activity plans. Material accessible allowed for the current play to be implemented. Medications were monitored in each classroom that had medication to administer, please see violation and technical assistance portion of this documentation. The outdoor environment was monitored today. The preschool playground has a tripping hazard that I observed, the surfacing is lifting is a corner, children's feet can easily get caught. While reviewing the monthly playground inspections this has been noted for the last three months and has not been fixed. This will need to repaired immediately. You do not offer transportation. A sample of children's files were reviewed and found meeting compliance. 136 children are currently enrolled and 136 children's files were present and counted. The current staff and training worksheets were provided, reviewed and new staff files were reviewed and found meeting compliance. Part of today's visit, I also verified the violation cited during the last unannounced visit has been corrected. While monitoring supervision today, I observed a transition being conducted with a group transitioning from the outdoor environment to the indoor environment. The staff completed the name to face transition procedures and supervision was maintained. The violation is considered corrected. The following violations were observed during today's visit: Violation Number Comment Rule 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. While in Space 1 I observed one child's bottles dated 12/4-12/8 and one child's bottles dated 12/5. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Space 3 refrigerator thermometer read 48 degrees. 15A NCAC 18A .2806(j)(2) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. During nap time cots were not spaced at least 18" apart in space 4. I observed one cot laying up against the base of another cot. 15A NCAC 18A .2821(e) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. The low storage shelves in the infant rooms, Space 1 and Space 2, were observed with dirt build up. .2822(a)(1-4) 705 Equipment and furnishings were not sturdy, stable and free of hazards. While in Space 3 I observed a soft block that was in poor repair, the corners had come unraveled. Space 4, books were observed in poor repair (missing covers, missing or torn pages), Space 8 a teacher chair was observed cracked and a storage bucket was observed cracked. Space 9. The dramatic play refrigerator/sink is missing one side of the refrigerator door. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors on the preschool playground I observed a tripping hazards where the matted surfacing is coming up from the ground causing a tripping hazard; it has been noted on the monthly playground inspections for the last three months with no correction. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. While in Space 7, I observed a used Mr. Clean cleaning sponge on the counter. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi pen in space 5, needed for a child in care, does not have a pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. Space 4 serves children one year of age, one child has written permission from the parent to administer cortisone cream for a rash, the cream states not to use on children under 2, and most consult a doctor, it also states not to use for diaper rash without consulting a doctor. In Space 6, serving two year olds, a medical action plan a physician completed states to provide 2.5 ml of Benadryl medication for allergic reaction, the parent's permission states to provide 4 ml of Benadryl. 10A NCAC 09 .0803(4)(6-9) Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Suzanne Price, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before December 20,2023. 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: Bottle Labeling: You currently ask parents to label all bottles. You have a basket at the front entrance of each infant classroom, where you store tape for parents to label bottles if they haven't prior to coming into the center. I encourage you put "Today's Date is" as a reminder. I also encourage staff to check before the parent leaves each morning or checking behind the parent to ensure all bottles are labeled and dated properly each morning. Cleaning material and material/equipment in good repair: I encourage each classroom have an opening/closing or some form of weekly checklist that has cleaning tasks. They clean and sanitize toys daily, but they need to remember to clean storage bins, shelving units that hold the toys and material at least weekly as well. Also on the checklist it can remind staff to be looking at the material and equipment to ensure they are in good repair and remove any that aren't and let you know what has been removed and needs repair or replacement. Medications: When accepting medications to administer you need to read the instructions on over the counter medications to ensure the permission the parent writes follows the manufacturers guidelines, if not you may need a doctor's note. Also if prescribed a parent can't ask you to administer more than what the doctor states to administer. It's really important to read carefully and ensure everything is filled out accurately, you have all required documents and signatures prior to allowing the medication to be left on site. I encourage you to notify parents when bringing in medications to make time because you will need to verify information is accurate. I also encourage you to add the medication requirements to you medication notebook for quick reference. If you have any questions please contact me: Andrea Anderson PO Box 49335 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
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0803 · Violation
Name of Operation: CRANFIELD ACADEMY PROVIDENCE Facility ID: 60003652 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 120 Completed Date: 12/6/2023 Age: From 0 To 5 Total Minutes: 450 Time In: 09:15 AM Time Out: 04:45 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 along with the current child care rules and requirements to monitor the facility. Upon my arrival I explained the purpose of today's visit. Suzanne Price, Administrator, was covering in a classroom. I began the visit my monitoring program records. The last fire inspection was conducted on 5/30/23. The emergency drill log was reviewed and found meeting compliance. The last sanitation inspection was conducted on 11/8/23. Information required to be posted was observed posted as you enter the facility and on the bulletin board in the lobby of the facility. Ms. Price was able to join me as I completed a walkthrough of the facility. While in the infant room I observed bottle feedings, infants resting visual safe sleep checks being conducted and documented and infants having floor time. Staff were attentive to infants needs. Nurturing tones were heard as staff spoke to infants in their care. While in Space 1 bottles were not labeled properly. One infant's bottles were dated 12/4-12/8, they must be dated daily for the current date and not for the week. One infant's bottle was dated with yesterday's date. I encourage staff when greeting parents to make sure they write the correct date or check to bottles to ensure the correct date is noted on each bottle. The low storage shelves were observed with dirt and crumb build up. I reminded staff, that even though they are cleaning and sanitizing the toys daily and throughout the day, they need to be wiping the shelves and storage containers down on a regular basis, at least weekly to ensure they remain clean and in good repair. The classrooms serving toddlers were observed coming inside from outdoor play, hand washing in free choice activities. Staff were engaged with the children assisting with handwashing and holding children who were upset when someone new was in the classroom. I also observed rest time, while in Space 4 one cot was up against another cot and I reminded staff they must be at least 18" apart. While observing in classrooms serving two year olds I observed a diaper change, hand washing, children cleaning up centers and preparing for lunch. Staff were observed assisting children as they cleaned, washed hands and read and sang song as children waited for their lunch plates to be served. Preschool children were observed during outdoor play, center play, washing hands, and lunch. Children were observed playing independently and in group play. Staff were engaged with children, using nurturing tones, on children's eye levels, asking open ended questions. Supervision and enhanced staff/child ratio was maintained in each classroom. While in each classroom I reviewed current activity plans. Material accessible allowed for the current play to be implemented. Medications were monitored in each classroom that had medication to administer, please see violation and technical assistance portion of this documentation. The outdoor environment was monitored today. The preschool playground has a tripping hazard that I observed, the surfacing is lifting is a corner, children's feet can easily get caught. While reviewing the monthly playground inspections this has been noted for the last three months and has not been fixed. This will need to repaired immediately. You do not offer transportation. A sample of children's files were reviewed and found meeting compliance. 136 children are currently enrolled and 136 children's files were present and counted. The current staff and training worksheets were provided, reviewed and new staff files were reviewed and found meeting compliance. Part of today's visit, I also verified the violation cited during the last unannounced visit has been corrected. While monitoring supervision today, I observed a transition being conducted with a group transitioning from the outdoor environment to the indoor environment. The staff completed the name to face transition procedures and supervision was maintained. The violation is considered corrected. The following violations were observed during today's visit: Violation Number Comment Rule 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. While in Space 1 I observed one child's bottles dated 12/4-12/8 and one child's bottles dated 12/5. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Space 3 refrigerator thermometer read 48 degrees. 15A NCAC 18A .2806(j)(2) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. During nap time cots were not spaced at least 18" apart in space 4. I observed one cot laying up against the base of another cot. 15A NCAC 18A .2821(e) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. The low storage shelves in the infant rooms, Space 1 and Space 2, were observed with dirt build up. .2822(a)(1-4) 705 Equipment and furnishings were not sturdy, stable and free of hazards. While in Space 3 I observed a soft block that was in poor repair, the corners had come unraveled. Space 4, books were observed in poor repair (missing covers, missing or torn pages), Space 8 a teacher chair was observed cracked and a storage bucket was observed cracked. Space 9. The dramatic play refrigerator/sink is missing one side of the refrigerator door. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors on the preschool playground I observed a tripping hazards where the matted surfacing is coming up from the ground causing a tripping hazard; it has been noted on the monthly playground inspections for the last three months with no correction. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. While in Space 7, I observed a used Mr. Clean cleaning sponge on the counter. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi pen in space 5, needed for a child in care, does not have a pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. Space 4 serves children one year of age, one child has written permission from the parent to administer cortisone cream for a rash, the cream states not to use on children under 2, and most consult a doctor, it also states not to use for diaper rash without consulting a doctor. In Space 6, serving two year olds, a medical action plan a physician completed states to provide 2.5 ml of Benadryl medication for allergic reaction, the parent's permission states to provide 4 ml of Benadryl. 10A NCAC 09 .0803(4)(6-9) Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Suzanne Price, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before December 20,2023. 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: Bottle Labeling: You currently ask parents to label all bottles. You have a basket at the front entrance of each infant classroom, where you store tape for parents to label bottles if they haven't prior to coming into the center. I encourage you put "Today's Date is" as a reminder. I also encourage staff to check before the parent leaves each morning or checking behind the parent to ensure all bottles are labeled and dated properly each morning. Cleaning material and material/equipment in good repair: I encourage each classroom have an opening/closing or some form of weekly checklist that has cleaning tasks. They clean and sanitize toys daily, but they need to remember to clean storage bins, shelving units that hold the toys and material at least weekly as well. Also on the checklist it can remind staff to be looking at the material and equipment to ensure they are in good repair and remove any that aren't and let you know what has been removed and needs repair or replacement. Medications: When accepting medications to administer you need to read the instructions on over the counter medications to ensure the permission the parent writes follows the manufacturers guidelines, if not you may need a doctor's note. Also if prescribed a parent can't ask you to administer more than what the doctor states to administer. It's really important to read carefully and ensure everything is filled out accurately, you have all required documents and signatures prior to allowing the medication to be left on site. I encourage you to notify parents when bringing in medications to make time because you will need to verify information is accurate. I also encourage you to add the medication requirements to you medication notebook for quick reference. If you have any questions please contact me: Andrea Anderson PO Box 49335 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
10A NCAC 09 .1800 · Violation
Name of Operation: CRANFIELD ACADEMY PROVIDENCE Facility ID: 60003652 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: 1123-064L Visit Date: 11/13/2023 Number Present: 127 Completed Date: 11/13/2023 Age: From 0 To 5 Total Minutes: 280 Time In: 09:40 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was investigate allegations of violations of child care requirements. The 18 month compliance history prior to today’s visit was 91%. Upon my arrival I met with Shelby Alexander, Administrator. I explained the purpose of today’s visit. Allegations: There are concerns that inappropriate discipline was used. That children are not being adequately supervised. Staff are not interacting with children in their care in a nurturing and caring manner. When a child is injured in care, documentation is not being provided. Findings: During the visit I interviewed administrative staff and staff working with preschool children. Concerns that inappropriate discipline was used: About a month ago a parent asked the administrative team if teachers were supposed to reward children with food. It was reported that a teacher was handing out raisins to children who listened and sat on the carpet for circle time. Once the administrative team was informed, they questioned the staff. The staff admitted to using raisins as a reward system. She was told that could not happen and she stopped immediately. Administration spoke with both staff and explained proper discipline and provided suggestions on ways to reward behavior in the classroom. During today’s staff interviews both staff admitted they were using raisings as a reward when children listened and sat on the carpet when asked. They were told they couldn’t use food as a reward or form of discipline about a month ago and stopped using food to reward or discipline children in their care. Both staff received a verbal warning. You also discussed that two families of children potty training in the classroom want you to reward their child with food if they use the potty. I explained that rewarding a child is a form of discipline and food cannot be used as a form of discipline. I reviewed 10A NCAC 09 .1803(a) (4) no food shall be withheld as punishment or given as a means of reward. You informed me since this incident you have implemented a Kindness Project in all your Preschool Classrooms based on the “Have you Filled Your Bucket Today” book. Children will place a pom pom in the class bucket every time they catch a friend doing a kind act. One the bucket is filled the entire class will get a special something that everyone in the group will enjoy. You also stated that at the next staff meeting you will be reviewing Child Care Discipline Requirements found in 10A NCAC 09 .1800. Based on today’s interviews, this allegation is substantiated. Children are not adequately supervised: During today’s visit supervision was maintained. I completed a walkthrough and observed each group. Staff were observed maintaining staff/child ratio and supervision. Staff were observed assisting children with hand washing, seated with them as they ate, helping with cleaning centers as they prepare for lunch and assisting children as they take coats off, wash hands and get water before playing in centers. Staff were observed speaking to children on their eye level. During interviews it was discussed that biting is occurring in a preschool classroom. Mainly with one child doing the biting and typically biting one child in the room. The two children play together often in the classroom and often outside of preschool. You explained that you have had a conference with the parents of the biter, provided resources and have a plan in place to help the child overcome his biting phase. You do not believe it is a supervision issue, more of a personnel space issue. The child that is getting bitten is loving and likes to get close up to friends and the biter doesn’t like closeness as much or as often. Staff are working on teaching the children in the room personal space, sharing and conflict resolution. During the staff interviews both staff stated they could be seated with the biter and can turn their head a split second and the child will bite. They are shadowing, separating the children during center play, ensuring they have enough material, and encouraging children use their words all day. Based on staff interviews and today’s observations this allegation is unsubstantiated. Staff are not interacting with children in their care in a nurturing and caring manner. In October you had a parent share a concern that they didn’t feel the teacher was welcoming at the morning drop off or pick up. You have not had any other concerns from any other families and from your observations didn’t feel that you there were issues with the way staff greeted families at arrival and departure, however you did set up a zoom meeting with the parents and the teacher. The teacher reports the meeting went well. And no other concerns have been brought to your attention regarding nurture and care. During today’s staff interviews I asked staff if they had ever heard their co-teacher tell a child “if they were naughty they wouldn’t be able to attend the Halloween party”. Neither teacher ever heard a staff say that to a child in their care. Each staff stated they felt comfortable telling a co-teacher or administrator they heard a staff say something inappropriate. I asked each staff what they thought would be threatening or inappropriate. I was given the example of staff cannot say “If you don’t listen, I’m going to call you mom (that is a threat)” “You’re being bad! (is inappropriate and belittling)” I observed in the preschool classroom today, nurturing tones were heard as staff were directing children to clean up centers to prepare for lunch. They also assisted children in the clean up process, talking with them as they helped. Based on today’s observation and staff interviews this allegation is unsubstantiated. When a child is injured in care, documentation is not being provided. During the interviews it was reported that a parent brought to the teacher’s attention that their child bruised their nose and reported he did it by jumping off a table at school. You, nor the teachers observed this happening and don’t believe the child jumped off the table. When they asked the child what happened the child reported that his mom and dad told him he jumped off the table at school. They did not fill out an incident report because they didn’t believe the incident occurred at school. This same child fell on the playground on August 18, 2023 and hurt his foot. The report stated the child was running on the playground that morning and tripped on the concrete, he was checked and did not have scratches or bruises. After naptime they noticed him limping, checked him again and asked him what hurt and he pointed to his foot. The parent was notified in person on 8/18/23 at 4:10. The incident report was signed by the parent on 8/21/23. The parent notified the staff she took her child to get checked by a doctor, received and x-ray and was fine. The incident report was not submitted to the Child Care Consultant within 7 days of being notified the child received medical treatment outside the facility. During the teacher’s interview she stated that when the child hurt his foot she saw him fall in the morning but he got up and was playing normally after she checked him and didn’t see any marks, so she didn’t write an incident report. Then after nap when she saw him limping, they ate snack and went outside and mom came at 4:10 she hadn’t written the report up yet but verbally told her about the incident. Before leaving her shift she completed the incident report and mom signed upon returning that following Monday. She states she did not complete an incident report on the bruised nose because she didn’t see him jump off the table, the children in her classroom don’t climb on the tables and she doesn’t believe the incident happened at school, the child cries out when something is bothering him and there were no incidents the day before. Opening staff were interviewed and they do not recall the child climbing on tables in their classroom either. Based on today’s staff interviews and review of the incident log and child’s file this allegation is substantiated. The following violations were cited today: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. A child had a bruise across the bridge of his nose and the parent informed the teachers that their child stated it happened at school when the child jumped off a table, she did not receive and incident report. .0802 (e) 907 Discipline was related to food, rest or toileting. About a month ago preschool staff used raisins to reward children who listened to directives. They also used raisins to reward children who used the potty while potty training. .1803(a)(4-6) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. On 8-18-23 a child tripped on the playground in the morning, in the afternoon the staff observed the child limping and told the parent, the incident report was signed on 8-21-23. The parent informed the teacher the child was seen by a doctor and an x-ray was taken and the child was fine, the signed incident report was not submitted to the DCDEE Child Care Consultant within 7 days of the receiving the medical treatment and the center staff being notified. .0802(f) Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Suzanne Price, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before November 27, 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. Appropriate Discipline: During the staff interviews I discussed appropriate discipline. I also provided the challenging behaviors helpline, I encourage you all to reach out to the helpline when staff need resources as well as contact CCRI Behavioral Specialist. I resent the flyer via email to you today. Incident reports: I explained that anytime a child or parent brings to your attention an incident or questions whether an incident occurs at school, you need to have the discussion with all staff that could have been witness and write up an incident report based on what is known, what the parent/child stated and what you find out. Incident reports must be submitted to your child care licensing consultant within 7 days of the child being taken to a medical professional for treatment from an incident occurring on premise. If you have any questions please contact me: Andrea Anderson PO Box 49335 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
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1803 · Violation
Name of Operation: CRANFIELD ACADEMY PROVIDENCE Facility ID: 60003652 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: 1123-064L Visit Date: 11/13/2023 Number Present: 127 Completed Date: 11/13/2023 Age: From 0 To 5 Total Minutes: 280 Time In: 09:40 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was investigate allegations of violations of child care requirements. The 18 month compliance history prior to today’s visit was 91%. Upon my arrival I met with Shelby Alexander, Administrator. I explained the purpose of today’s visit. Allegations: There are concerns that inappropriate discipline was used. That children are not being adequately supervised. Staff are not interacting with children in their care in a nurturing and caring manner. When a child is injured in care, documentation is not being provided. Findings: During the visit I interviewed administrative staff and staff working with preschool children. Concerns that inappropriate discipline was used: About a month ago a parent asked the administrative team if teachers were supposed to reward children with food. It was reported that a teacher was handing out raisins to children who listened and sat on the carpet for circle time. Once the administrative team was informed, they questioned the staff. The staff admitted to using raisins as a reward system. She was told that could not happen and she stopped immediately. Administration spoke with both staff and explained proper discipline and provided suggestions on ways to reward behavior in the classroom. During today’s staff interviews both staff admitted they were using raisings as a reward when children listened and sat on the carpet when asked. They were told they couldn’t use food as a reward or form of discipline about a month ago and stopped using food to reward or discipline children in their care. Both staff received a verbal warning. You also discussed that two families of children potty training in the classroom want you to reward their child with food if they use the potty. I explained that rewarding a child is a form of discipline and food cannot be used as a form of discipline. I reviewed 10A NCAC 09 .1803(a) (4) no food shall be withheld as punishment or given as a means of reward. You informed me since this incident you have implemented a Kindness Project in all your Preschool Classrooms based on the “Have you Filled Your Bucket Today” book. Children will place a pom pom in the class bucket every time they catch a friend doing a kind act. One the bucket is filled the entire class will get a special something that everyone in the group will enjoy. You also stated that at the next staff meeting you will be reviewing Child Care Discipline Requirements found in 10A NCAC 09 .1800. Based on today’s interviews, this allegation is substantiated. Children are not adequately supervised: During today’s visit supervision was maintained. I completed a walkthrough and observed each group. Staff were observed maintaining staff/child ratio and supervision. Staff were observed assisting children with hand washing, seated with them as they ate, helping with cleaning centers as they prepare for lunch and assisting children as they take coats off, wash hands and get water before playing in centers. Staff were observed speaking to children on their eye level. During interviews it was discussed that biting is occurring in a preschool classroom. Mainly with one child doing the biting and typically biting one child in the room. The two children play together often in the classroom and often outside of preschool. You explained that you have had a conference with the parents of the biter, provided resources and have a plan in place to help the child overcome his biting phase. You do not believe it is a supervision issue, more of a personnel space issue. The child that is getting bitten is loving and likes to get close up to friends and the biter doesn’t like closeness as much or as often. Staff are working on teaching the children in the room personal space, sharing and conflict resolution. During the staff interviews both staff stated they could be seated with the biter and can turn their head a split second and the child will bite. They are shadowing, separating the children during center play, ensuring they have enough material, and encouraging children use their words all day. Based on staff interviews and today’s observations this allegation is unsubstantiated. Staff are not interacting with children in their care in a nurturing and caring manner. In October you had a parent share a concern that they didn’t feel the teacher was welcoming at the morning drop off or pick up. You have not had any other concerns from any other families and from your observations didn’t feel that you there were issues with the way staff greeted families at arrival and departure, however you did set up a zoom meeting with the parents and the teacher. The teacher reports the meeting went well. And no other concerns have been brought to your attention regarding nurture and care. During today’s staff interviews I asked staff if they had ever heard their co-teacher tell a child “if they were naughty they wouldn’t be able to attend the Halloween party”. Neither teacher ever heard a staff say that to a child in their care. Each staff stated they felt comfortable telling a co-teacher or administrator they heard a staff say something inappropriate. I asked each staff what they thought would be threatening or inappropriate. I was given the example of staff cannot say “If you don’t listen, I’m going to call you mom (that is a threat)” “You’re being bad! (is inappropriate and belittling)” I observed in the preschool classroom today, nurturing tones were heard as staff were directing children to clean up centers to prepare for lunch. They also assisted children in the clean up process, talking with them as they helped. Based on today’s observation and staff interviews this allegation is unsubstantiated. When a child is injured in care, documentation is not being provided. During the interviews it was reported that a parent brought to the teacher’s attention that their child bruised their nose and reported he did it by jumping off a table at school. You, nor the teachers observed this happening and don’t believe the child jumped off the table. When they asked the child what happened the child reported that his mom and dad told him he jumped off the table at school. They did not fill out an incident report because they didn’t believe the incident occurred at school. This same child fell on the playground on August 18, 2023 and hurt his foot. The report stated the child was running on the playground that morning and tripped on the concrete, he was checked and did not have scratches or bruises. After naptime they noticed him limping, checked him again and asked him what hurt and he pointed to his foot. The parent was notified in person on 8/18/23 at 4:10. The incident report was signed by the parent on 8/21/23. The parent notified the staff she took her child to get checked by a doctor, received and x-ray and was fine. The incident report was not submitted to the Child Care Consultant within 7 days of being notified the child received medical treatment outside the facility. During the teacher’s interview she stated that when the child hurt his foot she saw him fall in the morning but he got up and was playing normally after she checked him and didn’t see any marks, so she didn’t write an incident report. Then after nap when she saw him limping, they ate snack and went outside and mom came at 4:10 she hadn’t written the report up yet but verbally told her about the incident. Before leaving her shift she completed the incident report and mom signed upon returning that following Monday. She states she did not complete an incident report on the bruised nose because she didn’t see him jump off the table, the children in her classroom don’t climb on the tables and she doesn’t believe the incident happened at school, the child cries out when something is bothering him and there were no incidents the day before. Opening staff were interviewed and they do not recall the child climbing on tables in their classroom either. Based on today’s staff interviews and review of the incident log and child’s file this allegation is substantiated. The following violations were cited today: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. A child had a bruise across the bridge of his nose and the parent informed the teachers that their child stated it happened at school when the child jumped off a table, she did not receive and incident report. .0802 (e) 907 Discipline was related to food, rest or toileting. About a month ago preschool staff used raisins to reward children who listened to directives. They also used raisins to reward children who used the potty while potty training. .1803(a)(4-6) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. On 8-18-23 a child tripped on the playground in the morning, in the afternoon the staff observed the child limping and told the parent, the incident report was signed on 8-21-23. The parent informed the teacher the child was seen by a doctor and an x-ray was taken and the child was fine, the signed incident report was not submitted to the DCDEE Child Care Consultant within 7 days of the receiving the medical treatment and the center staff being notified. .0802(f) Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Suzanne Price, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before November 27, 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. Appropriate Discipline: During the staff interviews I discussed appropriate discipline. I also provided the challenging behaviors helpline, I encourage you all to reach out to the helpline when staff need resources as well as contact CCRI Behavioral Specialist. I resent the flyer via email to you today. Incident reports: I explained that anytime a child or parent brings to your attention an incident or questions whether an incident occurs at school, you need to have the discussion with all staff that could have been witness and write up an incident report based on what is known, what the parent/child stated and what you find out. Incident reports must be submitted to your child care licensing consultant within 7 days of the child being taken to a medical professional for treatment from an incident occurring on premise. If you have any questions please contact me: Andrea Anderson PO Box 49335 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
10A NCAC 09 .0606 · Violation
Name of Operation: CRANFIELD ACADEMY PROVIDENCE Facility ID: 60003652 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: 1023-284L Visit Date: 11/2/2023 Number Present: 129 Completed Date: 11/2/2023 Age: From 0 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements. Prior to today's visit the 18 month compliance history was 93%. I met with Suzanne Price, Director, during today's visit. A walkthrough was completed to monitor supervision and staff/child ratio. Each group of children were adequately supervised and enhanced ratios were maintained. Each group was observed in adequate/approved space and all permit restrictions were observed being maintained. Allegation: There are concerns that infants’ bottles were not labeled. The Infant’s feeding schedule was not followed. The infant was fed another child’s formula. Findings: You contacted me on 10/25/23 to self-report this incident that occurred in the afternoon of 10/24/23. You explained that an infant had been fed another infant’s formula bottle. You contacted Mecklenburg County Health Department and reported the incident, you contacted both infant’s parents and explained the incident, and you contacted me to complete a self-report. After the incident occurred and you completed your internal investigation both staff received a written disciplinary action, you had all your infant staff complete Environmental Health’s 15A NCAC 18A .2804 Food Supplies training, and you contacted a Mecklenburg County Community Health Care Nurse who will be working with the infant rooms. The community Health Care Nurse came to the center yesterday, 11-1-23, and completed a needs assessment and informed you that she would being working with the infant staff weekly until further noted. You also updated the infant bottle and feeding policy that you reviewed with all parents of infants and all staff working with infants. You also asked that the parents of the two infant’s involved in the incident update their feeding schedules. You are in the process of implementing a color code system and step by step bottle feeding procedures based on suggestions from the community health care nurse and me, your licensing consultant. On 10/24/23 at 2:00 it was time for an infant to be fed. The assistant teacher opened the refrigerator and thought she grabbed the infant’s bottle she was about to feed. She did see that the bottle was not labeled and dated but stated it was stored in the infant’s row and believed it was the child she was about to feed. She poured the bottle in a sippy cup for the infant, who is working on drinking from cups, he took a sip and didn’t want the drink and just ate food that was offered. At 4:00 it was time for another infant to be fed, this infant came in late that morning and had two bottles for the day. At 4:00 she should have been given her second bottle. When the staff went to retrieve the bottle it wasn’t there and they checked each child’s row in the refrigerator and didn’t see the missing bottle. Both staff then looked in each child’s cubby and found the bottle empty in another child’s belongings. They then contacted the assistant director to inform them of the issue. As the parent’s were being notified, the parent of the infant receiving the wrong bottle arrived for pick up and was informed of the incident. He reported that infant has had that type of formula before and wasn’t upset. The parent of the infant whose bottle was given in error and didn’t have a bottle for the 4:00 feeding came to the center immediately after being notified to pick her infant up and was not concerned. During today’s visit I interviewed both staff and they explained what occurred during the incident. They were following feeding schedules; the assistant grabbed the wrong bottle unknowingly because both children have the same type of bottle. She saw it wasn’t labeled and dated but assumed it was the child’s she was feeding because she stated it was in the infant’s designated spot in the refrigerator. She did not ask or double check before feeding and when the infant didn’t want the sippy cup filled with the wrong formula; it wasn’t alarming because he was learning to use a sippy cup. Based on today’s review of the documentation from your internal investigation and staff interviews, the allegations are substantiated. One bottle was not labeled and dated, an infant was fed another infant’s formula bottle, and one infant’s feeding schedule could not be followed because her last bottle was fed to another child. The following violations were cited during today’s visit: Violation Number Comment Rule 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One infant's bottle was not labeled and dated on 10/24/23. 15A NCAC 18A .2804(d) 871 Center staff did not comply with the safe sleep policy. While in infant room 1, I observed the temperature at 67 and three infants were sleeping. Your Safe Sleep policy states the temperature will remain between 68-75 degrees. 10A NCAC 09 .0606(a) 1887 Each infant was not served only bottles labeled with their individual name. On 10-24-23 an infant was served another infant's formula bottle that was not labeled and dated. .0902(d) Compliance Letter: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 11-16-23, 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 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 will be conducted. Mail or email the information to: Andrea Anderson, Child Care Consultant PO Box 49335 Charlotte, NC, 28277 andrea.anderson@dhhs.nc.gov Technical Assistance was provided the following: Infant Feeding: Today I reviewed the infant feeding schedules you use on site, I shared the sample infant feeding schedule found on the DCDEE website and discussed how to complete the form if you choose to begin using. I reviewed your updated bottle feeding procedure and encourage you put a color code system in place, post a picture of each enrolled infant and implement the procedure the community health care nurse spoke with you about (index card with child's face and name would be pulled and placed on counter, the infant's bottle would be placed on their index card when waiting to be warmed or fed) Staff prior to feeding are now to call out the infant's name and the name on the bottle they are about to feed to ensure it is for that child. New Consultant: Since this was my first time meeting with you we talked a little while in your office to get to know one another. I encourage you to contact me anytime you have questions throughout the year. We discussed where to find the child care requirements on the DCDEE website and how to search requirements. Rated License Reassessment: You will be in cohort 1. You are currently in the prep year, which ends June 30, 2024. You will be required to be reassessed between July 1, 2024 to June 30, 2025. If you choose to have the scales conducted during your prep year, you will submit the request to me. You are currently working with CCRI in preparation of being reassessed. If you have any questions please contact me: Andrea Anderson PO Box 49335 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
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: CRANFIELD ACADEMY PROVIDENCE Facility ID: 60003652 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: 1023-284L Visit Date: 11/2/2023 Number Present: 129 Completed Date: 11/2/2023 Age: From 0 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements. Prior to today's visit the 18 month compliance history was 93%. I met with Suzanne Price, Director, during today's visit. A walkthrough was completed to monitor supervision and staff/child ratio. Each group of children were adequately supervised and enhanced ratios were maintained. Each group was observed in adequate/approved space and all permit restrictions were observed being maintained. Allegation: There are concerns that infants’ bottles were not labeled. The Infant’s feeding schedule was not followed. The infant was fed another child’s formula. Findings: You contacted me on 10/25/23 to self-report this incident that occurred in the afternoon of 10/24/23. You explained that an infant had been fed another infant’s formula bottle. You contacted Mecklenburg County Health Department and reported the incident, you contacted both infant’s parents and explained the incident, and you contacted me to complete a self-report. After the incident occurred and you completed your internal investigation both staff received a written disciplinary action, you had all your infant staff complete Environmental Health’s 15A NCAC 18A .2804 Food Supplies training, and you contacted a Mecklenburg County Community Health Care Nurse who will be working with the infant rooms. The community Health Care Nurse came to the center yesterday, 11-1-23, and completed a needs assessment and informed you that she would being working with the infant staff weekly until further noted. You also updated the infant bottle and feeding policy that you reviewed with all parents of infants and all staff working with infants. You also asked that the parents of the two infant’s involved in the incident update their feeding schedules. You are in the process of implementing a color code system and step by step bottle feeding procedures based on suggestions from the community health care nurse and me, your licensing consultant. On 10/24/23 at 2:00 it was time for an infant to be fed. The assistant teacher opened the refrigerator and thought she grabbed the infant’s bottle she was about to feed. She did see that the bottle was not labeled and dated but stated it was stored in the infant’s row and believed it was the child she was about to feed. She poured the bottle in a sippy cup for the infant, who is working on drinking from cups, he took a sip and didn’t want the drink and just ate food that was offered. At 4:00 it was time for another infant to be fed, this infant came in late that morning and had two bottles for the day. At 4:00 she should have been given her second bottle. When the staff went to retrieve the bottle it wasn’t there and they checked each child’s row in the refrigerator and didn’t see the missing bottle. Both staff then looked in each child’s cubby and found the bottle empty in another child’s belongings. They then contacted the assistant director to inform them of the issue. As the parent’s were being notified, the parent of the infant receiving the wrong bottle arrived for pick up and was informed of the incident. He reported that infant has had that type of formula before and wasn’t upset. The parent of the infant whose bottle was given in error and didn’t have a bottle for the 4:00 feeding came to the center immediately after being notified to pick her infant up and was not concerned. During today’s visit I interviewed both staff and they explained what occurred during the incident. They were following feeding schedules; the assistant grabbed the wrong bottle unknowingly because both children have the same type of bottle. She saw it wasn’t labeled and dated but assumed it was the child’s she was feeding because she stated it was in the infant’s designated spot in the refrigerator. She did not ask or double check before feeding and when the infant didn’t want the sippy cup filled with the wrong formula; it wasn’t alarming because he was learning to use a sippy cup. Based on today’s review of the documentation from your internal investigation and staff interviews, the allegations are substantiated. One bottle was not labeled and dated, an infant was fed another infant’s formula bottle, and one infant’s feeding schedule could not be followed because her last bottle was fed to another child. The following violations were cited during today’s visit: Violation Number Comment Rule 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One infant's bottle was not labeled and dated on 10/24/23. 15A NCAC 18A .2804(d) 871 Center staff did not comply with the safe sleep policy. While in infant room 1, I observed the temperature at 67 and three infants were sleeping. Your Safe Sleep policy states the temperature will remain between 68-75 degrees. 10A NCAC 09 .0606(a) 1887 Each infant was not served only bottles labeled with their individual name. On 10-24-23 an infant was served another infant's formula bottle that was not labeled and dated. .0902(d) Compliance Letter: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 11-16-23, 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 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 will be conducted. Mail or email the information to: Andrea Anderson, Child Care Consultant PO Box 49335 Charlotte, NC, 28277 andrea.anderson@dhhs.nc.gov Technical Assistance was provided the following: Infant Feeding: Today I reviewed the infant feeding schedules you use on site, I shared the sample infant feeding schedule found on the DCDEE website and discussed how to complete the form if you choose to begin using. I reviewed your updated bottle feeding procedure and encourage you put a color code system in place, post a picture of each enrolled infant and implement the procedure the community health care nurse spoke with you about (index card with child's face and name would be pulled and placed on counter, the infant's bottle would be placed on their index card when waiting to be warmed or fed) Staff prior to feeding are now to call out the infant's name and the name on the bottle they are about to feed to ensure it is for that child. New Consultant: Since this was my first time meeting with you we talked a little while in your office to get to know one another. I encourage you to contact me anytime you have questions throughout the year. We discussed where to find the child care requirements on the DCDEE website and how to search requirements. Rated License Reassessment: You will be in cohort 1. You are currently in the prep year, which ends June 30, 2024. You will be required to be reassessed between July 1, 2024 to June 30, 2025. If you choose to have the scales conducted during your prep year, you will submit the request to me. You are currently working with CCRI in preparation of being reassessed. If you have any questions please contact me: Andrea Anderson PO Box 49335 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
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.
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.