10A NCAC 09 .0514 · Violation

Name of Operation: GOD'S LIL CREATIONS, LLC Facility ID: 60002556 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 1 Completed Date: 10/17/2024 Age: From 0 To 3 Total Minutes: 300 Time In: 10:15 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. The facility has a Five Star Rated License issued March 20, 2023 and an eighteen month compliance history of 85% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the March 2024 Child Care Center Item Number Listing: supervision, capacity, CPR, First Aid, special training, storage of hazardous substances, storage of medication, approved space, provider records, program records, license posted, and permit restrictions. Upon arrival I approached the front entrance of the home. There were two vehicles observed parked in the driveway of the home and one vehicle parked along the curb directly in front of the home. I walked up the steps to the home and rang the doorbell once. There was no answer. After waiting a few minutes, I rang the doorbell again, still no answer, so I waited a few additional moments before returning to my vehicle. Once inside my vehicle I placed a call Ms. V. McBrayer, Owner/Operator and inquired if the program was operating today. Ms. McBrayer stated that the program was operating, so I informed her that I was onsite attempting to conduct visit. Ms. McBrayer informed me that she was currently not onsite but Ms. Kirkpatrick, additional caregiver, was present with one child and she may not have heard the doorbell. She then stated that she, Ms. McBrayer, was on her way back to the program but she would call Ms. Kirkpatrick and have her meet me at the front door to allow me entry. We then ended the call. After a few minutes Ms. Kirkpatrick opened the front door and greeted me, where I introduced myself and explained the purpose of today’s visit. Upon entry into the home, we headed downstairs to the licensed Child Care Space. Ms. Kirkpatrick was observed present with one child, and they were currently engaging in a table activity. I explained additional details about today’s visit and asked if she had any questions. She stated that she did not have any questions and at that point I began a walk-through of the facility. One (1) licensed child care space, the program’s bathroom, the home’s kitchen and areas adjacent to these spaces were monitored during today’s visit. In the childcare space a bottle of hand sanitizer with the warning Keep Out of the Reach of Children accompanied by other warnings was observed being stored on a shelf. I informed the provider that all hazardous materials labeled with multiple warnings have to be placed under lock and key made inaccessible to children. This was removed during the visit. The program’s daily attendance was reviewed and it was observed that neither the program’s sign-in/sign-out sheet or the attendance had been completed. I shared this information with the provider and it was corrected during the visit. The bathroom was monitored it was found to be in compliance. The kitchen was monitored and it was found to be in compliance. Ms. McBrayer stated that there are currently no children receiving medication and there are currently no medications being stored on site. The facility does not provide transportation but a vehicle was observed available for emergencies. Program records were monitored. Monthly fire drills and emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that they are being conducted and documented as required. I informed Ms. McBrayer that moving forward she would need to document the entire date of the drill to ensure they are being completed in the required timeframe. The outdoor playground inspections were reviewed and it was observed that they had been completed as required. Three (3) veteran staff files were monitored for current Criminal Background Checks and specialized training using the most recently updated Staff and Training Worksheet. It was observed that all three staff members were due to renew their ITS-SIDS prior to May 27, 2024 but this had not occurred, as required. A personnel file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for completing new hire orientation within the first six weeks of employment including the review of the facility’s Emergency Preparedness and Readiness Plan, documentation of having received the facility's shaken baby policy, documentation of having received her job description and documentation of having reviewed the facility’s personnel/operational policies. It was also observed that this staff member did not have a medical file available for review containing a current, dated health assessment, completed health questionnaire, completed emergency information form and current TB test/screening. This was discussed with the provider and she informed that the new staff had completed orientation but she was not sure where she had filed the completed form. The provider was able to complete the health questionnaire and emergency information form. Children’s files were not monitored today. The last sanitation inspection was completed August 16, 2024, with two (2) demerits cited and a Superior Classification issued. The last fire inspection was conducted and approved on January 31, 2024. There were eleven (11) violations cited today. Violation Number Comment Rule 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. In the childcare space a bottle of hand sanitizer with the warning Keep Out of the Reach of Children accompanied by other warnings was observed being stored on a shelf. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that this staff member did not have a medical file available for review containing a current, dated health assessment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for completing a current TB test/screening. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for having completed an initial health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for having completed a current emergency information form. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A personnel file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for completing new hire orientation within the first six weeks of employment as required. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Three (3) veteran staff files were monitored for current Criminal Background Checks and specialized training using the most recently updated Staff and Training Worksheet. It was observed that all three staff members were due to renew their ITS-SIDS prior to May 27, 2024 but this had not occurred, as required. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A personnel file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for having received her job description and documentation of having reviewed the facility’s personnel/operational policies. 10A NCAC 09 .0514(g) 1301 Center did not maintain a record of daily attendance. The program’s daily attendance was reviewed and it was observed that neither the program’s sign-in/sign-out sheet or the attendance had been completed. I GS 110-91(9) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file.A personnel file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for completing new hire orientation within the first six weeks of employment including the review of the facility’s Emergency Preparedness and Readiness Plan. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A personnel file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for completing new hire orientation within the first six weeks of employment including the review of the facility's shaken baby policy prior to caring for children. .0608(d)(1-4) Corrective Action: Any outstanding violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Thursday October 31, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If 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 .0701 · Violation

Name of Operation: GOD'S LIL CREATIONS, LLC Facility ID: 60002556 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 1 Completed Date: 10/17/2024 Age: From 0 To 3 Total Minutes: 300 Time In: 10:15 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. The facility has a Five Star Rated License issued March 20, 2023 and an eighteen month compliance history of 85% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the March 2024 Child Care Center Item Number Listing: supervision, capacity, CPR, First Aid, special training, storage of hazardous substances, storage of medication, approved space, provider records, program records, license posted, and permit restrictions. Upon arrival I approached the front entrance of the home. There were two vehicles observed parked in the driveway of the home and one vehicle parked along the curb directly in front of the home. I walked up the steps to the home and rang the doorbell once. There was no answer. After waiting a few minutes, I rang the doorbell again, still no answer, so I waited a few additional moments before returning to my vehicle. Once inside my vehicle I placed a call Ms. V. McBrayer, Owner/Operator and inquired if the program was operating today. Ms. McBrayer stated that the program was operating, so I informed her that I was onsite attempting to conduct visit. Ms. McBrayer informed me that she was currently not onsite but Ms. Kirkpatrick, additional caregiver, was present with one child and she may not have heard the doorbell. She then stated that she, Ms. McBrayer, was on her way back to the program but she would call Ms. Kirkpatrick and have her meet me at the front door to allow me entry. We then ended the call. After a few minutes Ms. Kirkpatrick opened the front door and greeted me, where I introduced myself and explained the purpose of today’s visit. Upon entry into the home, we headed downstairs to the licensed Child Care Space. Ms. Kirkpatrick was observed present with one child, and they were currently engaging in a table activity. I explained additional details about today’s visit and asked if she had any questions. She stated that she did not have any questions and at that point I began a walk-through of the facility. One (1) licensed child care space, the program’s bathroom, the home’s kitchen and areas adjacent to these spaces were monitored during today’s visit. In the childcare space a bottle of hand sanitizer with the warning Keep Out of the Reach of Children accompanied by other warnings was observed being stored on a shelf. I informed the provider that all hazardous materials labeled with multiple warnings have to be placed under lock and key made inaccessible to children. This was removed during the visit. The program’s daily attendance was reviewed and it was observed that neither the program’s sign-in/sign-out sheet or the attendance had been completed. I shared this information with the provider and it was corrected during the visit. The bathroom was monitored it was found to be in compliance. The kitchen was monitored and it was found to be in compliance. Ms. McBrayer stated that there are currently no children receiving medication and there are currently no medications being stored on site. The facility does not provide transportation but a vehicle was observed available for emergencies. Program records were monitored. Monthly fire drills and emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that they are being conducted and documented as required. I informed Ms. McBrayer that moving forward she would need to document the entire date of the drill to ensure they are being completed in the required timeframe. The outdoor playground inspections were reviewed and it was observed that they had been completed as required. Three (3) veteran staff files were monitored for current Criminal Background Checks and specialized training using the most recently updated Staff and Training Worksheet. It was observed that all three staff members were due to renew their ITS-SIDS prior to May 27, 2024 but this had not occurred, as required. A personnel file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for completing new hire orientation within the first six weeks of employment including the review of the facility’s Emergency Preparedness and Readiness Plan, documentation of having received the facility's shaken baby policy, documentation of having received her job description and documentation of having reviewed the facility’s personnel/operational policies. It was also observed that this staff member did not have a medical file available for review containing a current, dated health assessment, completed health questionnaire, completed emergency information form and current TB test/screening. This was discussed with the provider and she informed that the new staff had completed orientation but she was not sure where she had filed the completed form. The provider was able to complete the health questionnaire and emergency information form. Children’s files were not monitored today. The last sanitation inspection was completed August 16, 2024, with two (2) demerits cited and a Superior Classification issued. The last fire inspection was conducted and approved on January 31, 2024. There were eleven (11) violations cited today. Violation Number Comment Rule 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. In the childcare space a bottle of hand sanitizer with the warning Keep Out of the Reach of Children accompanied by other warnings was observed being stored on a shelf. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that this staff member did not have a medical file available for review containing a current, dated health assessment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for completing a current TB test/screening. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for having completed an initial health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for having completed a current emergency information form. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A personnel file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for completing new hire orientation within the first six weeks of employment as required. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Three (3) veteran staff files were monitored for current Criminal Background Checks and specialized training using the most recently updated Staff and Training Worksheet. It was observed that all three staff members were due to renew their ITS-SIDS prior to May 27, 2024 but this had not occurred, as required. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A personnel file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for having received her job description and documentation of having reviewed the facility’s personnel/operational policies. 10A NCAC 09 .0514(g) 1301 Center did not maintain a record of daily attendance. The program’s daily attendance was reviewed and it was observed that neither the program’s sign-in/sign-out sheet or the attendance had been completed. I GS 110-91(9) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file.A personnel file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for completing new hire orientation within the first six weeks of employment including the review of the facility’s Emergency Preparedness and Readiness Plan. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A personnel file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for completing new hire orientation within the first six weeks of employment including the review of the facility's shaken baby policy prior to caring for children. .0608(d)(1-4) Corrective Action: Any outstanding violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Thursday October 31, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: GOD'S LIL CREATIONS, LLC Facility ID: 60002556 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 1 Completed Date: 10/17/2024 Age: From 0 To 3 Total Minutes: 300 Time In: 10:15 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. The facility has a Five Star Rated License issued March 20, 2023 and an eighteen month compliance history of 85% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the March 2024 Child Care Center Item Number Listing: supervision, capacity, CPR, First Aid, special training, storage of hazardous substances, storage of medication, approved space, provider records, program records, license posted, and permit restrictions. Upon arrival I approached the front entrance of the home. There were two vehicles observed parked in the driveway of the home and one vehicle parked along the curb directly in front of the home. I walked up the steps to the home and rang the doorbell once. There was no answer. After waiting a few minutes, I rang the doorbell again, still no answer, so I waited a few additional moments before returning to my vehicle. Once inside my vehicle I placed a call Ms. V. McBrayer, Owner/Operator and inquired if the program was operating today. Ms. McBrayer stated that the program was operating, so I informed her that I was onsite attempting to conduct visit. Ms. McBrayer informed me that she was currently not onsite but Ms. Kirkpatrick, additional caregiver, was present with one child and she may not have heard the doorbell. She then stated that she, Ms. McBrayer, was on her way back to the program but she would call Ms. Kirkpatrick and have her meet me at the front door to allow me entry. We then ended the call. After a few minutes Ms. Kirkpatrick opened the front door and greeted me, where I introduced myself and explained the purpose of today’s visit. Upon entry into the home, we headed downstairs to the licensed Child Care Space. Ms. Kirkpatrick was observed present with one child, and they were currently engaging in a table activity. I explained additional details about today’s visit and asked if she had any questions. She stated that she did not have any questions and at that point I began a walk-through of the facility. One (1) licensed child care space, the program’s bathroom, the home’s kitchen and areas adjacent to these spaces were monitored during today’s visit. In the childcare space a bottle of hand sanitizer with the warning Keep Out of the Reach of Children accompanied by other warnings was observed being stored on a shelf. I informed the provider that all hazardous materials labeled with multiple warnings have to be placed under lock and key made inaccessible to children. This was removed during the visit. The program’s daily attendance was reviewed and it was observed that neither the program’s sign-in/sign-out sheet or the attendance had been completed. I shared this information with the provider and it was corrected during the visit. The bathroom was monitored it was found to be in compliance. The kitchen was monitored and it was found to be in compliance. Ms. McBrayer stated that there are currently no children receiving medication and there are currently no medications being stored on site. The facility does not provide transportation but a vehicle was observed available for emergencies. Program records were monitored. Monthly fire drills and emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that they are being conducted and documented as required. I informed Ms. McBrayer that moving forward she would need to document the entire date of the drill to ensure they are being completed in the required timeframe. The outdoor playground inspections were reviewed and it was observed that they had been completed as required. Three (3) veteran staff files were monitored for current Criminal Background Checks and specialized training using the most recently updated Staff and Training Worksheet. It was observed that all three staff members were due to renew their ITS-SIDS prior to May 27, 2024 but this had not occurred, as required. A personnel file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for completing new hire orientation within the first six weeks of employment including the review of the facility’s Emergency Preparedness and Readiness Plan, documentation of having received the facility's shaken baby policy, documentation of having received her job description and documentation of having reviewed the facility’s personnel/operational policies. It was also observed that this staff member did not have a medical file available for review containing a current, dated health assessment, completed health questionnaire, completed emergency information form and current TB test/screening. This was discussed with the provider and she informed that the new staff had completed orientation but she was not sure where she had filed the completed form. The provider was able to complete the health questionnaire and emergency information form. Children’s files were not monitored today. The last sanitation inspection was completed August 16, 2024, with two (2) demerits cited and a Superior Classification issued. The last fire inspection was conducted and approved on January 31, 2024. There were eleven (11) violations cited today. Violation Number Comment Rule 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. In the childcare space a bottle of hand sanitizer with the warning Keep Out of the Reach of Children accompanied by other warnings was observed being stored on a shelf. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that this staff member did not have a medical file available for review containing a current, dated health assessment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for completing a current TB test/screening. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for having completed an initial health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for having completed a current emergency information form. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A personnel file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for completing new hire orientation within the first six weeks of employment as required. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Three (3) veteran staff files were monitored for current Criminal Background Checks and specialized training using the most recently updated Staff and Training Worksheet. It was observed that all three staff members were due to renew their ITS-SIDS prior to May 27, 2024 but this had not occurred, as required. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A personnel file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for having received her job description and documentation of having reviewed the facility’s personnel/operational policies. 10A NCAC 09 .0514(g) 1301 Center did not maintain a record of daily attendance. The program’s daily attendance was reviewed and it was observed that neither the program’s sign-in/sign-out sheet or the attendance had been completed. I GS 110-91(9) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file.A personnel file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for completing new hire orientation within the first six weeks of employment including the review of the facility’s Emergency Preparedness and Readiness Plan. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A personnel file was reviewed for one (1) new staff member hired on August 12, 2024. It was observed that the staff member did not have documentation on file for completing new hire orientation within the first six weeks of employment including the review of the facility's shaken baby policy prior to caring for children. .0608(d)(1-4) Corrective Action: Any outstanding violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Thursday October 31, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If 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

G.S. 110-90 · Violation

Name of Operation: GOD'S LIL CREATIONS, LLC Facility ID: 60002556 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 2/23/2024 Number Present: 1 Completed Date: 2/23/2024 Age: From 2 To 2 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The last annual compliance visit was conducted on 02/27/23. The facility is currently operating with a Five Star Rated License issued on 03/20/23 and had an eighteen (18) month compliance history score of 88% prior to today’s visit. The August 2023 Child Care Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted at the front entrance by Ms. V. McBrayer, Owner/Operator, and I explained the purpose of my visit. I was allowed entrance into the home, and we immediately headed downstairs into the Child Care Space. Mr. J. McBrayer, additional caregiver, was observed present with one preschool child engaging in personal care routines as they prepared to transition to the outdoor learning environment. I asked Ms. McBrayer how many children were in attendance today and she shared that there was only child present. There are a total of six (6) preschool children and three (3) school-aged children enrolled on the first shift. There are no children enrolled on second shift in this space. During the visit the preschool child present was observed in free play, transitional activities, engaging in outdoor learning, meal-time and personal care routines. The child was also observed receiving services from a therapist in the outdoor learning environment with Mr. McBrayer present and in the licensed indoor child care space while both caregivers were upstairs. I asked Ms. McBrayer if the therapist had a current criminal background check on file since she was left alone with the child periodically while providing services. Ms. McBrayer did not have a current one on file but had the therapist email one over during the visit. During the visit the licensed child care space, kitchen, bathroom and areas adjacent to the licensed child care were monitored. In the licensed child care space it was observed that the top door of a three door cabinet was loose and missing screws in one of its two hinges. I shared with Ms. McBrayer this needs to either be repaired or removed, as this piece of equipment is in poor repair and presents a safety concern. A current lesson plan was posted and Ms. McBrayer shared that she is no longer utilizing the Mother Goose curriculum but is instead implementing the Funshine Express curriculum. I shared with Ms. McBrayer that the Funshine Curriculum is not an approved curriculum recognized by the NC Division of Child Development and Early Education and her program is required to implement an approved curriculum, as it is a Five-Star program that serves four year old children. The outdoor learning was not monitored due to active precipitation. There are currently no medications being stored on site. The facility does not provide transportation but there is a vehicle onsite for emergency use. Program records were monitored. Fire drills and emergency drills were monitored and found to be compliant. The monthly outdoor inspections were monitored and found to be conducted as required. I reviewed three (3) staff files and each had current CPR, First Aid, IT-SIDS and Criminal Background Checks (CBC). Both annual training hours and Health and Safety trainings were monitored and found to have been completed, as required. It was observed that two staff members had recently updated Health Care Assessments dated February 02, 2024 on file but they did not meet the requirements, as the physicians on each had checked the boxes indicating that in their opinion the applicant was not emotionally and physically capable to care for children on a daily basis. I brought this to Ms. McBrayer’s attention and told her that additional clarification will be needed on this item. I asked if prior medical assessments were available for review and Ms. McBrayer stated that she had discarded them. Three (3) children’s files were monitored and it was observed that two (2) children did not have a signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment on file. The last sanitation inspection was completed August 25, 2023, with no demerits cited and a Superior Classification issued. The last annual Fire Inspection was conducted on January 31, 2024. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file, as applicable. The Emergency Response Plan was reviewed and found contain contact information for the program’s previous child care consultant and outdated enrollment information. I reminded Ms. McBrayer that this document is required to be updated annually or as changes occur. There was no Ready to Go File available to be monitored. The facility’s business status was monitored on the NC Secretary of State’s website and it was listed as ACTIVE. There were seven (7) violations cited during today’s visit. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. It was observed that two staff members had recently updated Health Care Assessments dated February 02, 2024 on file but they did not meet the requirements, as the physicians on each had checked the boxes indicating that in their opinion the applicant was not emotionally and physically capable to care for children on a daily basis. I asked if prior medical assessments were available for review and Ms. McBrayer stated that she had discarded them. G.S. 110-91(9); .0304(g); .2318 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the licensed child care space it was observed that the top door of a three door cabinet was loose and missing screws in one of its two hinges. .0601(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. It was observed that two (2) children did not have a signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment on file. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. A preschool child was observed being supervised by a therapist that did not have a current CBC on file at the program. G.S. 110-90.2(b) & (d) & .2703(e) 1794 A Four- or Five- Star program serving four year old children was not implementing an approved curriculum. A current lesson plan was posted and Ms. McBrayer shared that she is no longer utilizing the Mother Goose curriculum but is instead implementing the Funshine Express curriculum. Funshine Express Curriculum is not approved by DCDEE. .2802(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. There was no Ready to Go File available to be monitored. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Response Plan was reviewed and found to contain contact information for the program’s previous child care consultant and outdated enrollment information. .0607(e) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Friday March 08, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -Ms. McBrayer and I discussed the importance of ensuring that all materials and equipment accessible to children are both age appropriate and in good repair. -We discussed the importance of reviewing all required forms and paperwork that are completed by parents and staff to ensure there are no errors, missing information and all acknowledgments/signatures are present. -I reminded Ms. McBrayer of how important it is to have current Criminal Background Checks and qualifying letters onsite and accessible for all staff, required household members and third party contracted individuals that are left alone with children. -We discussed routinely checking the Division’s website for the most current forms, requirements, and program expectations. Approved curriculum and program forms were specifically discussed. -I shared that when updating the facility’s Emergency Preparedness and Response plan to review all pages to ensure that all information is current, complete and accurately documented. -We discussed the importance of making the facility’s Ready to Go File is always accessible and current in the event of an emergency. Thank you for your time today and if you have any questions, please feel free to contact me, Resha K. Washington by phone at 704-910-7947 or via email at resha.washington@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. 110-91 · Violation

Name of Operation: GOD'S LIL CREATIONS, LLC Facility ID: 60002556 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 2/23/2024 Number Present: 1 Completed Date: 2/23/2024 Age: From 2 To 2 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The last annual compliance visit was conducted on 02/27/23. The facility is currently operating with a Five Star Rated License issued on 03/20/23 and had an eighteen (18) month compliance history score of 88% prior to today’s visit. The August 2023 Child Care Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted at the front entrance by Ms. V. McBrayer, Owner/Operator, and I explained the purpose of my visit. I was allowed entrance into the home, and we immediately headed downstairs into the Child Care Space. Mr. J. McBrayer, additional caregiver, was observed present with one preschool child engaging in personal care routines as they prepared to transition to the outdoor learning environment. I asked Ms. McBrayer how many children were in attendance today and she shared that there was only child present. There are a total of six (6) preschool children and three (3) school-aged children enrolled on the first shift. There are no children enrolled on second shift in this space. During the visit the preschool child present was observed in free play, transitional activities, engaging in outdoor learning, meal-time and personal care routines. The child was also observed receiving services from a therapist in the outdoor learning environment with Mr. McBrayer present and in the licensed indoor child care space while both caregivers were upstairs. I asked Ms. McBrayer if the therapist had a current criminal background check on file since she was left alone with the child periodically while providing services. Ms. McBrayer did not have a current one on file but had the therapist email one over during the visit. During the visit the licensed child care space, kitchen, bathroom and areas adjacent to the licensed child care were monitored. In the licensed child care space it was observed that the top door of a three door cabinet was loose and missing screws in one of its two hinges. I shared with Ms. McBrayer this needs to either be repaired or removed, as this piece of equipment is in poor repair and presents a safety concern. A current lesson plan was posted and Ms. McBrayer shared that she is no longer utilizing the Mother Goose curriculum but is instead implementing the Funshine Express curriculum. I shared with Ms. McBrayer that the Funshine Curriculum is not an approved curriculum recognized by the NC Division of Child Development and Early Education and her program is required to implement an approved curriculum, as it is a Five-Star program that serves four year old children. The outdoor learning was not monitored due to active precipitation. There are currently no medications being stored on site. The facility does not provide transportation but there is a vehicle onsite for emergency use. Program records were monitored. Fire drills and emergency drills were monitored and found to be compliant. The monthly outdoor inspections were monitored and found to be conducted as required. I reviewed three (3) staff files and each had current CPR, First Aid, IT-SIDS and Criminal Background Checks (CBC). Both annual training hours and Health and Safety trainings were monitored and found to have been completed, as required. It was observed that two staff members had recently updated Health Care Assessments dated February 02, 2024 on file but they did not meet the requirements, as the physicians on each had checked the boxes indicating that in their opinion the applicant was not emotionally and physically capable to care for children on a daily basis. I brought this to Ms. McBrayer’s attention and told her that additional clarification will be needed on this item. I asked if prior medical assessments were available for review and Ms. McBrayer stated that she had discarded them. Three (3) children’s files were monitored and it was observed that two (2) children did not have a signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment on file. The last sanitation inspection was completed August 25, 2023, with no demerits cited and a Superior Classification issued. The last annual Fire Inspection was conducted on January 31, 2024. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file, as applicable. The Emergency Response Plan was reviewed and found contain contact information for the program’s previous child care consultant and outdated enrollment information. I reminded Ms. McBrayer that this document is required to be updated annually or as changes occur. There was no Ready to Go File available to be monitored. The facility’s business status was monitored on the NC Secretary of State’s website and it was listed as ACTIVE. There were seven (7) violations cited during today’s visit. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. It was observed that two staff members had recently updated Health Care Assessments dated February 02, 2024 on file but they did not meet the requirements, as the physicians on each had checked the boxes indicating that in their opinion the applicant was not emotionally and physically capable to care for children on a daily basis. I asked if prior medical assessments were available for review and Ms. McBrayer stated that she had discarded them. G.S. 110-91(9); .0304(g); .2318 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the licensed child care space it was observed that the top door of a three door cabinet was loose and missing screws in one of its two hinges. .0601(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. It was observed that two (2) children did not have a signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment on file. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. A preschool child was observed being supervised by a therapist that did not have a current CBC on file at the program. G.S. 110-90.2(b) & (d) & .2703(e) 1794 A Four- or Five- Star program serving four year old children was not implementing an approved curriculum. A current lesson plan was posted and Ms. McBrayer shared that she is no longer utilizing the Mother Goose curriculum but is instead implementing the Funshine Express curriculum. Funshine Express Curriculum is not approved by DCDEE. .2802(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. There was no Ready to Go File available to be monitored. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Response Plan was reviewed and found to contain contact information for the program’s previous child care consultant and outdated enrollment information. .0607(e) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Friday March 08, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -Ms. McBrayer and I discussed the importance of ensuring that all materials and equipment accessible to children are both age appropriate and in good repair. -We discussed the importance of reviewing all required forms and paperwork that are completed by parents and staff to ensure there are no errors, missing information and all acknowledgments/signatures are present. -I reminded Ms. McBrayer of how important it is to have current Criminal Background Checks and qualifying letters onsite and accessible for all staff, required household members and third party contracted individuals that are left alone with children. -We discussed routinely checking the Division’s website for the most current forms, requirements, and program expectations. Approved curriculum and program forms were specifically discussed. -I shared that when updating the facility’s Emergency Preparedness and Response plan to review all pages to ensure that all information is current, complete and accurately documented. -We discussed the importance of making the facility’s Ready to Go File is always accessible and current in the event of an emergency. Thank you for your time today and if you have any questions, please feel free to contact me, Resha K. Washington by phone at 704-910-7947 or via email at resha.washington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: GOD'S LIL CREATIONS, LLC Facility ID: 60002556 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 4 Completed Date: 11/8/2023 Age: From 2 To 4 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with all applicable childcare requirements during a Routine Unannounced visit. The current Five-Star rated license was issued on March 20, 2023. The last Annual Compliance Visit was completed on February 27, 2023. The facility has a compliance history of 95% prior to today’s visit. The license and NC child care law summary were prominently posted. The following was monitored using the August 2023 Child Care Center Item Number Listing: supervision, capacity, CPR, First Aid, special training, storage of hazardous substances, storage of medication, approved space, provider records, program records, license posted, and permit restrictions. Upon arrival I was greeted in the driveway by Ms. V. McBrayer, Owner/Operator and Mr. J. McBrayer, additional caregiver, where I introduced myself and shared the purpose of today’s visit. We then entered the home together and headed downstairs to the Child Care Space. It was observed that there was an adult female present with four preschool children. I asked if this was the additional caregiver listed on the program’s records and Ms. McBrayer shared with me that this was a relative that was helping for the day to see if she would enjoy working with children because she, Ms. McBrayer, is looking for as additional caregiver. She shared that she, the adult female, currently does not any paperwork or a file because she is only seeing if would be interested in working with children. I reminded Ms. McBrayer that if she, the adult female, does not have a current Criminal Background check on file then she cannot be alone with children. Ms. McBrayer stated that she understood and would go ahead and start the process today, just in case. A walk through of the facility was conducted and both the current facility license and NC Summary of Childcare law were posted in a prominent location. In the childcare space a plastic grocery bag was observed stored on one of the shelves with toys and other classroom materials. I reminded Ms. McBrayer that all plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. This was removed during the visit. It was also observed in the childcare space that there was no curriculum information or current activity plan posted in the classroom. I asked Ms. McBrayer was she still utilizing the Mother Goose curriculum for her program and she confirmed that yes, she was utilizing this curriculum but had recently taken down her curriculum board to work on it and had not finished updating her current activity plan so it was not available. I reminded her that it is required that all centers have both a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. Ms. McBrayer stated that she understood and work on this today, then share it with me when it was completed. The bathroom was monitored it was observed that one bottle of Microban disinfectant with multiple warnings was stored in an unlocked cabinet. This was brought to Ms. McBrayer’s attention and she removed it and placed it in a secured area during the visit. The kitchen was monitored and it was observed that there were various foods present in boxes on the floor. Ms. McBrayer shared that she and her husband operate a food pantry for the community and those items were not for use with the children. Ms. McBrayer stated that there are currently no children receiving medication and there are currently no medications being stored on site. The facility does not provide transportation but a vehicle was observed available for emergencies. Program records were monitored. Monthly fire drills and emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that they are being conducted and documented as required. The outdoor playground inspections were reviewed and it was observed that ten of the last twelve inspections were conducted by a person that had not completed the Playground Safety training. Staff files were monitored for current Criminal Background Checks and specialized training using the most recently updated Staff and Training Worksheet. They were found to be in compliance. Children’s files were not monitored today. The last sanitation inspection was completed August 25, 2023, with no demerits cited and a Superior Classification issued. The last fire inspection was conducted and approved on February 23, 2023. There were five (5) violations cited today. Violation Number Comment Rule 303 Children were not adequately supervised at all times. It was observed that four preschool children were left unattended with someone that is not a staff member or additional caregiver. .1801(a)(1-5) 415 A current schedule was not posted for each group of children for reference. It was observed in the childcare space that there was no curriculum information or current activity plan posted in the classroom. GS 110-91(12);.0508(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. The bathroom was monitored it was observed that one bottle of Microban disinfectant with multiple warnings was stored in an unlocked cabinet. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the childcare space a plastic grocery bag was observed stored on one of the shelves with toys and other classroom materials. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The outdoor playground inspections were reviewed and it was observed that ten of the last twelve inspections were conducted by a person that had not completed the Playground Safety training. .0605(q) Corrective Action: Any outstanding violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday November 22, 2023 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -It was discussed that all required program forms should be posted and reviewed by the administrator prior to posting to ensure that they are completed in their entirety. -I reminded Ms. McBrayer that it is the expectation that all staff maintain an up to date CBC qualifying letter and stay current on all required specialized training at all times. It was also reminded that only those staff members and additional caregivers meeting the requirements to supervise children be left alone with children. -I reminded Ms. McBrayer that it is best practice to reach out to her Fire Inspection at least six (6)-eight (8) weeks before her current inspection expires to ensure there in no issue with scheduling and her facility remains in compliance. -We discussed that the Sanitation Rules were recently updated and went into effect on July 1, 2023. I shared with Ms. McBrayer it would be beneficial to review all changes and share them with staff. Thank you for your time and if you have any questions about today’s visit, please feel free to contact Resha Washington at 704-910-7947 or email resha.washington@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.