10A NCAC 09 .0802 · Violation

Name of Operation: GREATER ENRICHMENT MERRY OAKS AFTERSCHOOL PROGRAM Facility ID: 60003177 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/14/2025 Number Present: 53 Completed Date: 10/14/2025 Age: From 5 To 11 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the Annual Compliance Visit. The five-star licensed afterschool program continued to meet the highest voluntary enhanced ratios and space. Upon arrival at the CMS school site, Ms. Denise Rice escorted me from the school office to the cafeteria. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated April 2025 were used to document compliance. Spaces #321 and #901 and café, and outdoor learning environment were monitored. Children were monitored arriving at the afterschool program, washing hands, eating PM snack, and daily outside time, center time. Staff and Training worksheets were last reviewed in May of 2025. The worksheets were emailed to the consultant prior to the visit. Three new staff have been hired since their last visit in May. One existing staff file was monitored for compliance. (G. Styles). The ABCMS roster report was run during the visit. The current staff were monitored and linked. There were two previous staff still linked who will need to be unlinked. Three staff didn’t have documentation of orientation on file during the first two weeks of employment. One staff medical report on file was not the DCDEE staff medical. Two existing staff members didn’t complete the required annual in-service training (D Rice and G. Styles). There were fifty-five (55) children enrolled. Five children’s files were monitored for compliance. Five children were monitored missing the following: emergency contact and authorization, off premises permission, and parental receipt of the NC Summary of the law. The center’s EPR plan and Ready to Go File were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills, monthly fire drills, playground inspections and center incident log were monitored. The daily attendance with children’s arrival and departure times were monitored and maintained at the front door/office, documented and current for the week. Lesson plans were monitored, posted, current and developmentally appropriate. The one outdoor learning environments were monitored for compliance. Monthly outdoor inspections were monitored current. Ms. Rice was informed a shelter in place or lock down drill should be completed within the first month back in the fall (September). No children enrolled were identified with any known allergies. Due to change in policy the program no longer is required to obtain annual fire inspections or sanitation inspections as long as the program continued to operate in a DPI site/school. Violation Number Comment Rule 832 There was no written emergency medical care (EMC) plan. There was a plan posted in the cafeteria, however, there were names of former staff members listed. 10A NCAC 09 .0802(a) 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. One staff member didn't have a DCDEE staff medical report completed. 10A NCAC 09 .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two staff didn't complete their annual in-service training hours. (D. Rice and G. Styles). .1103(a) 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. Children didn't have emergency contact information on file per their application. .0802(c) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Children didn't have annual off premises permission on file. .1005(b)(4) 1449 Within the first two weeks of assuming responsibility for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. Three staff didn't have documentation of orientation within their first two weeks of employment. .2510(i)(1)(A-D) Technical Assistance Provided and General Discussion: 1. The three choices of pathways for a star rating were reviewed with Ms. Rice. There are several resources available on the NCRLAP website at www.NCRLAP.org. It was recommended to take advantage of the training available. We discussed the center self-study (NCRLAP) and the CQI quality improvement plan for the center and individuals. Pathways #1 and #2 were discussed and reviewed. Ms. Rice initially selected Pathway #1. It was recommended to contact NCRLAP to request a mock assessment. The center three month self-study QR code was provided during the visit. 2. The center administrators have and know how to link employees and print the roster report from the ABCMS. The administrative staff are still working to link the staff applicants within the ABCMS. 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 on 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) 814-8401 and someone will assist you. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, October 28, 2025. You may email me with your letter of correction. Mail documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: GREATER ENRICHMENT MERRY OAKS AFTERSCHOOL PROGRAM Facility ID: 60003177 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/14/2025 Number Present: 53 Completed Date: 10/14/2025 Age: From 5 To 11 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the Annual Compliance Visit. The five-star licensed afterschool program continued to meet the highest voluntary enhanced ratios and space. Upon arrival at the CMS school site, Ms. Denise Rice escorted me from the school office to the cafeteria. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated April 2025 were used to document compliance. Spaces #321 and #901 and café, and outdoor learning environment were monitored. Children were monitored arriving at the afterschool program, washing hands, eating PM snack, and daily outside time, center time. Staff and Training worksheets were last reviewed in May of 2025. The worksheets were emailed to the consultant prior to the visit. Three new staff have been hired since their last visit in May. One existing staff file was monitored for compliance. (G. Styles). The ABCMS roster report was run during the visit. The current staff were monitored and linked. There were two previous staff still linked who will need to be unlinked. Three staff didn’t have documentation of orientation on file during the first two weeks of employment. One staff medical report on file was not the DCDEE staff medical. Two existing staff members didn’t complete the required annual in-service training (D Rice and G. Styles). There were fifty-five (55) children enrolled. Five children’s files were monitored for compliance. Five children were monitored missing the following: emergency contact and authorization, off premises permission, and parental receipt of the NC Summary of the law. The center’s EPR plan and Ready to Go File were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills, monthly fire drills, playground inspections and center incident log were monitored. The daily attendance with children’s arrival and departure times were monitored and maintained at the front door/office, documented and current for the week. Lesson plans were monitored, posted, current and developmentally appropriate. The one outdoor learning environments were monitored for compliance. Monthly outdoor inspections were monitored current. Ms. Rice was informed a shelter in place or lock down drill should be completed within the first month back in the fall (September). No children enrolled were identified with any known allergies. Due to change in policy the program no longer is required to obtain annual fire inspections or sanitation inspections as long as the program continued to operate in a DPI site/school. Violation Number Comment Rule 832 There was no written emergency medical care (EMC) plan. There was a plan posted in the cafeteria, however, there were names of former staff members listed. 10A NCAC 09 .0802(a) 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. One staff member didn't have a DCDEE staff medical report completed. 10A NCAC 09 .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two staff didn't complete their annual in-service training hours. (D. Rice and G. Styles). .1103(a) 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. Children didn't have emergency contact information on file per their application. .0802(c) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Children didn't have annual off premises permission on file. .1005(b)(4) 1449 Within the first two weeks of assuming responsibility for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. Three staff didn't have documentation of orientation within their first two weeks of employment. .2510(i)(1)(A-D) Technical Assistance Provided and General Discussion: 1. The three choices of pathways for a star rating were reviewed with Ms. Rice. There are several resources available on the NCRLAP website at www.NCRLAP.org. It was recommended to take advantage of the training available. We discussed the center self-study (NCRLAP) and the CQI quality improvement plan for the center and individuals. Pathways #1 and #2 were discussed and reviewed. Ms. Rice initially selected Pathway #1. It was recommended to contact NCRLAP to request a mock assessment. The center three month self-study QR code was provided during the visit. 2. The center administrators have and know how to link employees and print the roster report from the ABCMS. The administrative staff are still working to link the staff applicants within the ABCMS. 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 on 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) 814-8401 and someone will assist you. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, October 28, 2025. You may email me with your letter of correction. Mail documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GREATER ENRICHMENT MERRY OAKS AFTERSCHOOL PROGRAM Facility ID: 60003177 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/14/2025 Number Present: 53 Completed Date: 10/14/2025 Age: From 5 To 11 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the Annual Compliance Visit. The five-star licensed afterschool program continued to meet the highest voluntary enhanced ratios and space. Upon arrival at the CMS school site, Ms. Denise Rice escorted me from the school office to the cafeteria. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated April 2025 were used to document compliance. Spaces #321 and #901 and café, and outdoor learning environment were monitored. Children were monitored arriving at the afterschool program, washing hands, eating PM snack, and daily outside time, center time. Staff and Training worksheets were last reviewed in May of 2025. The worksheets were emailed to the consultant prior to the visit. Three new staff have been hired since their last visit in May. One existing staff file was monitored for compliance. (G. Styles). The ABCMS roster report was run during the visit. The current staff were monitored and linked. There were two previous staff still linked who will need to be unlinked. Three staff didn’t have documentation of orientation on file during the first two weeks of employment. One staff medical report on file was not the DCDEE staff medical. Two existing staff members didn’t complete the required annual in-service training (D Rice and G. Styles). There were fifty-five (55) children enrolled. Five children’s files were monitored for compliance. Five children were monitored missing the following: emergency contact and authorization, off premises permission, and parental receipt of the NC Summary of the law. The center’s EPR plan and Ready to Go File were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills, monthly fire drills, playground inspections and center incident log were monitored. The daily attendance with children’s arrival and departure times were monitored and maintained at the front door/office, documented and current for the week. Lesson plans were monitored, posted, current and developmentally appropriate. The one outdoor learning environments were monitored for compliance. Monthly outdoor inspections were monitored current. Ms. Rice was informed a shelter in place or lock down drill should be completed within the first month back in the fall (September). No children enrolled were identified with any known allergies. Due to change in policy the program no longer is required to obtain annual fire inspections or sanitation inspections as long as the program continued to operate in a DPI site/school. Violation Number Comment Rule 832 There was no written emergency medical care (EMC) plan. There was a plan posted in the cafeteria, however, there were names of former staff members listed. 10A NCAC 09 .0802(a) 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. One staff member didn't have a DCDEE staff medical report completed. 10A NCAC 09 .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two staff didn't complete their annual in-service training hours. (D. Rice and G. Styles). .1103(a) 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. Children didn't have emergency contact information on file per their application. .0802(c) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Children didn't have annual off premises permission on file. .1005(b)(4) 1449 Within the first two weeks of assuming responsibility for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. Three staff didn't have documentation of orientation within their first two weeks of employment. .2510(i)(1)(A-D) Technical Assistance Provided and General Discussion: 1. The three choices of pathways for a star rating were reviewed with Ms. Rice. There are several resources available on the NCRLAP website at www.NCRLAP.org. It was recommended to take advantage of the training available. We discussed the center self-study (NCRLAP) and the CQI quality improvement plan for the center and individuals. Pathways #1 and #2 were discussed and reviewed. Ms. Rice initially selected Pathway #1. It was recommended to contact NCRLAP to request a mock assessment. The center three month self-study QR code was provided during the visit. 2. The center administrators have and know how to link employees and print the roster report from the ABCMS. The administrative staff are still working to link the staff applicants within the ABCMS. 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 on 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) 814-8401 and someone will assist you. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, October 28, 2025. You may email me with your letter of correction. Mail documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GREATER ENRICHMENT MERRY OAKS AFTERSCHOOL PROGRAM Facility ID: 60003177 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 5/30/2025 Number Present: 31 Completed Date: 5/30/2025 Age: From 5 To 11 Total Minutes: 120 Time In: 03:30 PM Time Out: 05:30 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 for compliance with applicable child care requirements during a Routine Unannounced Visit. The licensed afterschool program continued to operate a five-star rated licensed center with Ms. Denise Rice as the program coordinator. The child care item number listing dated November 2024 was used to identify and determine non-compliance. The following sections were monitored for compliance: A1, B1, C4, C5, C6, E1, E2, F3, G1, G3, G4 and G5. A walk through of spaces #cafeteria and approved modular units and outdoor area were monitored for compliance. Children were monitored arriving at the program, washing hands and eating their PM snack. Children then transitioned to their modular unit for center play and teachers directed activities. We discussed the ABCMS portal and the required process. A roster report was run prior to the visit. The roster report stated no data. Ms. Rice stated she had great difficulty working through the system to get all staff linked in the system. The contact information and provider guide were emailed to Ms. Rice. The process must be completed and maintained as new staff are hired or placed and as staff are terminated. Monthly outdoor inspections, incident log, monthly fire drills and quarterly safety drills were monitored. The center’s printed EPR plan and Ready to Go File were monitored current. The staff and training worksheet were monitored for compliance. The worksheet will need to be updated and emailed to the consultant after the review. Ms. Rice’s CBC expired February 17, 2025. Ms. Rice stated she has reapplied and was awaiting requalification. No new staff have been hired since the annual compliance visit monitoring on November 12, 2024. One staff member was monitored without CPR and FA training but with a hire date of August 21, 2018. One staff member was monitored past due to complete their annual in-service training hours. The staff member was missing two contact hours of annual training by the date of hire of March 15th. The last sanitation inspection was completed March 31, 2025, with zero (0) demerits cited and a Superior classification issued. The last annual fire inspection was completed on March 17, 2025. Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member did not submit required forms to complete a CBC prior to expiration. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member did not have First Aid training completed within the first ninety (90) days of hiring. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member did not obtain CPR training within ninety days of employment. .1102(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff were linked in the ABCMS as required by law. G.S. 110-90.2 & .2703(r) Technical Assistance Provided and General Discussion: 1. It was recommended to purchase the third edition of the ERS. It was also recommended to review all available resources at the NCRLAP website. www.NCLRAP.org. 2. 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 on 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) 814-8401 and someone will assist you. 3. We discussed the use of the NC Foundations when developing lesson plan activities. It was highly recommended to list each applicable NCFELD goal onto the posted lesson plan. This would visually show parents and consultants what domain the selected activity will foster. We discussed school age children’s involvement in selecting activities for the lesson plan. It was recommended to list the children’s initials on the lesson plan to show which children were involved. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Friday, June 13, 2025. You may email me with your letter of correction. Mail written documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .2818 · Violation

Name of Operation: GREATER ENRICHMENT MERRY OAKS AFTERSCHOOL PROGRAM Facility ID: 60003177 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 50 Completed Date: 10/18/2024 Age: From 5 To 11 Total Minutes: 195 Time In: 02:30 PM Time Out: 05:45 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 for compliance with applicable child care requirements during the annual compliance visit. I was greeted outside of the front office by Ms. Denise Rice, the Program Coordinator. The five-star licensed afterschool program serves school age children only and continued to meet enhanced space, and the highest voluntary enhanced ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Listing dated March 2024 were used to monitor and document compliance during the visit. The program continued to utilize space cafeteria and modules #321, 324, 330, 901, 712, gym, and media center. Children were observed lined up in the hallway. Ms. Rice was responsible for escorting twenty-nine children from the hallway to the cafeteria. It was explained that required ratios must be maintained at all times. The required ratios were 1:14 children and the maximum group size was twenty-five children. Two additional staff were needed to meet the required rules. The program board was monitored with NC Summary of the Law, License, no smoking signage, menu, center medical emergency care plan, daily schedule, safe arrival and departure procedures, last sanitation inspection, and emergency numbers. The program has an incident log. However, Ms. Rice stated there have not been any documented incidents thus far in the 2024-2025 school year. Current posted lesson plans were monitored posted in each modular. Either a shelter in place drill or lock down drill were documented as current. Staff and Training worksheets were not printed and maintained. Two staff were past due to obtain their renewal of the DCDEE CBC qualification. We reviewed daily tracking of children’s attendance, arrival, and departure times. Ms. Rice stated there were not any children with allergies or medications. The outdoor learning environment was monitored with a black top. The children do not use the stationary equipment due to not meeting the mulch requirements. The EPR plan and RTGF was not located. Ms. Rice was asked to reprint the EPR plan and develop the RTGF over again. A file cabinet was relocated to another staff in the building. No one was able to locate school’s risk management plan or was reviewed with all staff. The last annual fire inspection completed and on file was dated April 10, 2024. The last sanitation inspection was completed September 10, 2024, with eight (8) demerits cited and a Superior Classification issued. Due to computer connectivity issues the visit summary could not be keyed properly in the regulatory system. The following violations were cited: -Six children’s files were monitored without the annual off-premises permission form. -Two staff were monitored with expired CBC qualifications and did not have a current CBC letter on file. -One staff person was monitored with expired CPR. -One staff person was monitored with expired FA. -The center’s EPR plan, RTGF, Children’s Applications was not available/accessible for review. -The last safety drill was noted as completed May 2024. No safety drill has been completed thus far this school year. -Required ratios were not followed. One staff member met and escorted twenty-nine (29) children from the hallway to the cafeteria. The maximum group size was also exceeded by four children. Two additional staff were needed to maintain required staff to child ratios. The youngest child present in the group was five years old. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. A CMS substitute caregiver weas left alone with a group of NC Pre-K children without a DCDEE CBC. A staff person with the proper qualification was placed with the children and the unqualified substitute left the premises. G.S. 110-90.2(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One existing staff member did not requalify with her DCDEE CBC qualification. The qualification expired October 8, 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member's FA certification expired June 10, 2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR certification expired June 10, 2024. .1102(d) 1328 Children's records were not made available for review. Children's applications were not made available due to technological issues. G.S. 110-91(9) 1756 Enhanced staff/child ratios and group sizes were not met. One staff member was monitored responsible for twenty-nine (29) children at day school dismissal time. The caregiver escorted the children from the hallway to the cafeteria before adequate staff was present. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. A current CBC letter was not on file for one staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was not completed since May of 2024. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The center's EPR plan was completed, however, the plan was not located or provided during the visit for review. .0607(c) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR Ready to Go File was not presented for review. The PC stated the records were removed unbeknownst to her and they could not be located during the visit. .0607(d)(10) Technical Assistance Provided and General Discussion: 1. It was recommended to review the last ERS summary with staff, participate in offered webinars via the www.NCRLAP.org website. Review any additional notes listed under the NCRLAP resources tab via their website. It was recommended to purchase the third edition of SACERS. Beginning February 2025, the third edition will be used to evaluate licensed programs. 2. The children’s applications were electronically completed and signed by parents. Ms. Rice was unable to pull up the electronic files so the children’s signed applications could be monitored. Any child care form that requires a signature must be made available for review. 3. A concern was raised about the children’s daily schedule related to PM snack. The kindergartners and first grade children were still eating their snack when they were told they needed to finish and get ready to transition to the next activity. Concerns were raised about meeting individual needs of children who were still eating, the program children’s participants are considered at risk and eating their afternoon snack is important. Ms. Rice stated the schedule is tight and the children tend to chat during their snack time. I explained after the children had been in school all day and told what and when to do anything, this was their time to socialize and eat. It was recommended to revisit the daily schedule to ensure the children are not rushed to finish eating their snack. 4. It was highly recommended to use the DCDEE staff, child and program file checklist to better organize the required records. The training in-service logs for health and safety training and on-going annual in-service training logs were not used properly or fully. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Thursday, October 31, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: GREATER ENRICHMENT MERRY OAKS AFTERSCHOOL PROGRAM Facility ID: 60003177 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 50 Completed Date: 10/18/2024 Age: From 5 To 11 Total Minutes: 195 Time In: 02:30 PM Time Out: 05:45 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 for compliance with applicable child care requirements during the annual compliance visit. I was greeted outside of the front office by Ms. Denise Rice, the Program Coordinator. The five-star licensed afterschool program serves school age children only and continued to meet enhanced space, and the highest voluntary enhanced ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Listing dated March 2024 were used to monitor and document compliance during the visit. The program continued to utilize space cafeteria and modules #321, 324, 330, 901, 712, gym, and media center. Children were observed lined up in the hallway. Ms. Rice was responsible for escorting twenty-nine children from the hallway to the cafeteria. It was explained that required ratios must be maintained at all times. The required ratios were 1:14 children and the maximum group size was twenty-five children. Two additional staff were needed to meet the required rules. The program board was monitored with NC Summary of the Law, License, no smoking signage, menu, center medical emergency care plan, daily schedule, safe arrival and departure procedures, last sanitation inspection, and emergency numbers. The program has an incident log. However, Ms. Rice stated there have not been any documented incidents thus far in the 2024-2025 school year. Current posted lesson plans were monitored posted in each modular. Either a shelter in place drill or lock down drill were documented as current. Staff and Training worksheets were not printed and maintained. Two staff were past due to obtain their renewal of the DCDEE CBC qualification. We reviewed daily tracking of children’s attendance, arrival, and departure times. Ms. Rice stated there were not any children with allergies or medications. The outdoor learning environment was monitored with a black top. The children do not use the stationary equipment due to not meeting the mulch requirements. The EPR plan and RTGF was not located. Ms. Rice was asked to reprint the EPR plan and develop the RTGF over again. A file cabinet was relocated to another staff in the building. No one was able to locate school’s risk management plan or was reviewed with all staff. The last annual fire inspection completed and on file was dated April 10, 2024. The last sanitation inspection was completed September 10, 2024, with eight (8) demerits cited and a Superior Classification issued. Due to computer connectivity issues the visit summary could not be keyed properly in the regulatory system. The following violations were cited: -Six children’s files were monitored without the annual off-premises permission form. -Two staff were monitored with expired CBC qualifications and did not have a current CBC letter on file. -One staff person was monitored with expired CPR. -One staff person was monitored with expired FA. -The center’s EPR plan, RTGF, Children’s Applications was not available/accessible for review. -The last safety drill was noted as completed May 2024. No safety drill has been completed thus far this school year. -Required ratios were not followed. One staff member met and escorted twenty-nine (29) children from the hallway to the cafeteria. The maximum group size was also exceeded by four children. Two additional staff were needed to maintain required staff to child ratios. The youngest child present in the group was five years old. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. A CMS substitute caregiver weas left alone with a group of NC Pre-K children without a DCDEE CBC. A staff person with the proper qualification was placed with the children and the unqualified substitute left the premises. G.S. 110-90.2(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One existing staff member did not requalify with her DCDEE CBC qualification. The qualification expired October 8, 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member's FA certification expired June 10, 2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR certification expired June 10, 2024. .1102(d) 1328 Children's records were not made available for review. Children's applications were not made available due to technological issues. G.S. 110-91(9) 1756 Enhanced staff/child ratios and group sizes were not met. One staff member was monitored responsible for twenty-nine (29) children at day school dismissal time. The caregiver escorted the children from the hallway to the cafeteria before adequate staff was present. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. A current CBC letter was not on file for one staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was not completed since May of 2024. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The center's EPR plan was completed, however, the plan was not located or provided during the visit for review. .0607(c) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR Ready to Go File was not presented for review. The PC stated the records were removed unbeknownst to her and they could not be located during the visit. .0607(d)(10) Technical Assistance Provided and General Discussion: 1. It was recommended to review the last ERS summary with staff, participate in offered webinars via the www.NCRLAP.org website. Review any additional notes listed under the NCRLAP resources tab via their website. It was recommended to purchase the third edition of SACERS. Beginning February 2025, the third edition will be used to evaluate licensed programs. 2. The children’s applications were electronically completed and signed by parents. Ms. Rice was unable to pull up the electronic files so the children’s signed applications could be monitored. Any child care form that requires a signature must be made available for review. 3. A concern was raised about the children’s daily schedule related to PM snack. The kindergartners and first grade children were still eating their snack when they were told they needed to finish and get ready to transition to the next activity. Concerns were raised about meeting individual needs of children who were still eating, the program children’s participants are considered at risk and eating their afternoon snack is important. Ms. Rice stated the schedule is tight and the children tend to chat during their snack time. I explained after the children had been in school all day and told what and when to do anything, this was their time to socialize and eat. It was recommended to revisit the daily schedule to ensure the children are not rushed to finish eating their snack. 4. It was highly recommended to use the DCDEE staff, child and program file checklist to better organize the required records. The training in-service logs for health and safety training and on-going annual in-service training logs were not used properly or fully. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Thursday, October 31, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: GREATER ENRICHMENT MERRY OAKS AFTERSCHOOL PROGRAM Facility ID: 60003177 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 50 Completed Date: 10/18/2024 Age: From 5 To 11 Total Minutes: 195 Time In: 02:30 PM Time Out: 05:45 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 for compliance with applicable child care requirements during the annual compliance visit. I was greeted outside of the front office by Ms. Denise Rice, the Program Coordinator. The five-star licensed afterschool program serves school age children only and continued to meet enhanced space, and the highest voluntary enhanced ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Listing dated March 2024 were used to monitor and document compliance during the visit. The program continued to utilize space cafeteria and modules #321, 324, 330, 901, 712, gym, and media center. Children were observed lined up in the hallway. Ms. Rice was responsible for escorting twenty-nine children from the hallway to the cafeteria. It was explained that required ratios must be maintained at all times. The required ratios were 1:14 children and the maximum group size was twenty-five children. Two additional staff were needed to meet the required rules. The program board was monitored with NC Summary of the Law, License, no smoking signage, menu, center medical emergency care plan, daily schedule, safe arrival and departure procedures, last sanitation inspection, and emergency numbers. The program has an incident log. However, Ms. Rice stated there have not been any documented incidents thus far in the 2024-2025 school year. Current posted lesson plans were monitored posted in each modular. Either a shelter in place drill or lock down drill were documented as current. Staff and Training worksheets were not printed and maintained. Two staff were past due to obtain their renewal of the DCDEE CBC qualification. We reviewed daily tracking of children’s attendance, arrival, and departure times. Ms. Rice stated there were not any children with allergies or medications. The outdoor learning environment was monitored with a black top. The children do not use the stationary equipment due to not meeting the mulch requirements. The EPR plan and RTGF was not located. Ms. Rice was asked to reprint the EPR plan and develop the RTGF over again. A file cabinet was relocated to another staff in the building. No one was able to locate school’s risk management plan or was reviewed with all staff. The last annual fire inspection completed and on file was dated April 10, 2024. The last sanitation inspection was completed September 10, 2024, with eight (8) demerits cited and a Superior Classification issued. Due to computer connectivity issues the visit summary could not be keyed properly in the regulatory system. The following violations were cited: -Six children’s files were monitored without the annual off-premises permission form. -Two staff were monitored with expired CBC qualifications and did not have a current CBC letter on file. -One staff person was monitored with expired CPR. -One staff person was monitored with expired FA. -The center’s EPR plan, RTGF, Children’s Applications was not available/accessible for review. -The last safety drill was noted as completed May 2024. No safety drill has been completed thus far this school year. -Required ratios were not followed. One staff member met and escorted twenty-nine (29) children from the hallway to the cafeteria. The maximum group size was also exceeded by four children. Two additional staff were needed to maintain required staff to child ratios. The youngest child present in the group was five years old. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. A CMS substitute caregiver weas left alone with a group of NC Pre-K children without a DCDEE CBC. A staff person with the proper qualification was placed with the children and the unqualified substitute left the premises. G.S. 110-90.2(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One existing staff member did not requalify with her DCDEE CBC qualification. The qualification expired October 8, 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member's FA certification expired June 10, 2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR certification expired June 10, 2024. .1102(d) 1328 Children's records were not made available for review. Children's applications were not made available due to technological issues. G.S. 110-91(9) 1756 Enhanced staff/child ratios and group sizes were not met. One staff member was monitored responsible for twenty-nine (29) children at day school dismissal time. The caregiver escorted the children from the hallway to the cafeteria before adequate staff was present. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. A current CBC letter was not on file for one staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was not completed since May of 2024. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The center's EPR plan was completed, however, the plan was not located or provided during the visit for review. .0607(c) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR Ready to Go File was not presented for review. The PC stated the records were removed unbeknownst to her and they could not be located during the visit. .0607(d)(10) Technical Assistance Provided and General Discussion: 1. It was recommended to review the last ERS summary with staff, participate in offered webinars via the www.NCRLAP.org website. Review any additional notes listed under the NCRLAP resources tab via their website. It was recommended to purchase the third edition of SACERS. Beginning February 2025, the third edition will be used to evaluate licensed programs. 2. The children’s applications were electronically completed and signed by parents. Ms. Rice was unable to pull up the electronic files so the children’s signed applications could be monitored. Any child care form that requires a signature must be made available for review. 3. A concern was raised about the children’s daily schedule related to PM snack. The kindergartners and first grade children were still eating their snack when they were told they needed to finish and get ready to transition to the next activity. Concerns were raised about meeting individual needs of children who were still eating, the program children’s participants are considered at risk and eating their afternoon snack is important. Ms. Rice stated the schedule is tight and the children tend to chat during their snack time. I explained after the children had been in school all day and told what and when to do anything, this was their time to socialize and eat. It was recommended to revisit the daily schedule to ensure the children are not rushed to finish eating their snack. 4. It was highly recommended to use the DCDEE staff, child and program file checklist to better organize the required records. The training in-service logs for health and safety training and on-going annual in-service training logs were not used properly or fully. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Thursday, October 31, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: GREATER ENRICHMENT MERRY OAKS AFTERSCHOOL PROGRAM Facility ID: 60003177 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/30/2023 Number Present: 47 Completed Date: 11/6/2023 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 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 for compliance with applicable child care requirements during the Annual Compliance Visit. The last annual compliance visit was completed November 2, 2022. Upon arrival at the afterschool program that operated out of the CMS Merry Oaks Elementary school, I entered the cafeteria and was greeted by one group leader. Ms. Rice, the Program Coordinator returned to the cafeteria shortly after I arrived. The center continues to operate a five-star rated facility and continues to meet enhanced space and the highest voluntary enhanced ratios. The 18-month center compliance history percentage was 80% prior to the visit. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. A current center emergency medical care plan was not monitored posted. Unused electrical outlets in the cafeteria were monitored not covered or made inaccessible to children. Ms. Rice and I reviewed the previous enrollment and capacity worksheet to verify what approved spaces children were served. Ms. Rice stated two modulars were now designated spaces for the program. Modular space #712 was previously approved by DCDEE for a maximum of twenty-four children. However, the modular space #324 was not approved space for use. Ms. Rice was asked to relocate the students to the approved cafeteria space until Environmental Health inspects and DCDEE inspects and approves use of modular #324. Before children are moved to another space, it is imperative for Ms. Rice/GEP to ensure the desired space was previously approved before relocating children to the desired space. Environmental Health requires a thirty-day (30) notice regarding inspections/approvals of use of space. Once EH inspects and approves the modular, I would be required to conduct a visit, measure the space, and determine how many children are permitted to use/access the space before children may resume use of modular #324. The program continues to provide transportation to children. Current proof of registration and insurance was provided for review for Bus# 32 (KHK-5538). The vehicle registration expires July 31, 2024. The insurance was provided by Berkly National Company and is due to expire May 21, 2024. I also inquired about the van driver’s license. I was unable to physically inspect bus #32 to ensure children’s emergency contact information, a photograph, roster, fire extinguisher and first aid kits were current and maintained securely in the vehicle. Children were monitored entering the program, hanging their personal belongings on hooks under the tables and lining up to go wash their hands. Group leaders were observed taking daily attendance before the children went to wash their hands. When the children returned to the cafeteria, they went to the snack line and were served a Ciabatta melt, orange, carrot sticks with ranch dressing and milk. Five children’s files were monitored for compliance. One child was missing a signed discipline policy, NC Summary of the Law, and emergency contact information. It was recommended to use the DCDEE Children’s File Checklist and the DCDEE Staff File checklist for staff records. Due to the shared space issues and where program records were stored in the school, it was highly recommended to organize the children and staff records using binders, tabs, and clear protective sleeves to clearly organize and maintain the required documents in one location (binders). The records monitored were not organized well and it was difficult to monitor what was required to be maintained on file. Staff and Training worksheets were not presented to me when requested. Ms. Rice stated they have been short-staffed, and she has not been able to complete some of the paperwork or requirements. It was explained to Ms. Rice the importance of maintaining the data electronically. Due to Ms. Rice needing to depart the center to provide transportation for GEP, a return visit will be conducted to monitor existing staff records, staff and training worksheets and physically inspect bus #32 annual in-service training. It was emphasized to Ms. Rice, the only tracking tool available where she could maintain required information related to staff was the staff and training worksheet. Failure to maintain the tracking tool typically results in expired required safety certifications and not meeting annual training requirements for each applicable staff member. There were two new staff hired since the last Routine Unannounced visit was completed May 16, 2023. Their files were monitored for compliance. Documentation of orientation was not maintained on file for two new staff. G. Styles and A. Solis). Andrea Solis was monitored with a Provisional CBC qualification letter but was monitored in charge of group #3. Ms. Solis's CBC was verified in the DCDEE ABCM's system. Ms. Solis received her full CBC qualification November 3, 2023. The outdoor learning environment was monitored for compliance. The program participants only use the front black top area. Ms. Rice stated the stationary play equipment is not used by program children. Monthly outdoor inspections were monitored for compliance. Documentation for quarterly safety drills since school returned in August were not completed. Monthly fire drills were documented and completed as required. The center’s EPR plan and Ready to Go File were monitored not current. The printed EPR plan was maintained in a three-ring green binder. The date/year listed on the printed plan was Draft 2017. There were only thirty-one pages printed of the plan. Typically, when completed, the EPR plan prints out to be sixty-five pages in total. The current assigned consultant and the contact information were not current. The health consultant listed retired over two years ago. The plan must be reviewed and updated in the template system annually to ensure it is current. The current printed plan should be reviewed with all staff, annually. Documentation should be maintained as to who received the annual review of the programs EPR plan. The program did not have an EPR Ready to Go File. The checklist with the requirements for the RTGF were emailed to Ms. Rice after the visit. The last sanitation inspection was conducted February 3,2023, with zero (0) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed August 14, 2023. The previous annual fire inspection was completed December 12, 2022. It is highly recommended to begin your annual inspection process four to six weeks prior to expiration. There were changes in the City of Charlotte Fire Inspectors last year. Many providers stated having difficulty tracking down their newly assigned inspector. Based on the DCDEE plan to reassess all existing licensed child care facilities after COVID-19 pandemic, the program was reviewed and is currently listed under Cohort Plan #1. The last Rated License Assessment was processed June 6, 2018. The program last completed Environmental Rating Scales, May 10, 2018. The program does not operate during the summer months. The program should be preparing now to have the ERS when the program returns to operation in September 2024. It was recommended to have staff participate in the offered webinars through NCRLAP and review all resources listed under the resource tab on NCRLAP’s web site www.NCRLAP.org. Violation Number Comment Rule 209 Children used space that was not approved. Children used a modular #324 that was not approved by environmental health department or DCDEE. GS 110-91(1)&(4-5) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. The cafeteria was not monitored with a FA sheet posted. CPR requirements were posted. .0802(h) 832 There was no written emergency medical care (EMC) plan. 10A NCAC 09 .0802(a) 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. Four staff didn't have a medical report on file, available for review. 10A NCAC 09 .0701(a) 1129 For routine transport of children to and from the center, a list of all children being transported was not available at the center. The program wasn't able to provide a current transportation roster maintained on site. 10A NCAC 09 .1003(I) 1327 Accurate records were not maintained for all children. One child was missing a signed discipline policy, acknowledgement of receipt of the NC Summary of the Law and emergency contact information. G.S. 110-91(9) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. Documentation of orientation was not monitored on file for six staff. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibility for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. Two new staff didn't maintained documentation on file showing completion of 6 hours of training within the first two weeks of assuming responsibility. .2510(i)(1)(A-D) 1757 A valid qualification letter was not on file and available to review at the facility. One new GL hired 8/17/2023 did not have a valid CBC letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was not completed at least once every three months. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The printed EPR plan maintained in a binder was dated 2017 and "Draft". .0607(c) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The center did not have the required RTGF completed. .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 Draft EPR plan was not reviewed with all staff annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Three staff did not obtain the required H & S training within one year of employment. .1102(a) Technical Assistance Provided and General Discussion: 1. Ms. Rice was encouraged to develop a plan to better organize and maintain the children and staff records. 2. A checklist for the EPR-RTGF, staff records and children’s records were emailed to Ms. Rice after the visit to assist her with organization and compliance. 3. It was recommended to reach out to the school principal and review the required process for approval of licensed child care space. Typically, principals announce changes in spaces to afterschool program staff during the summer months. I would recommend reaching out to the principal towards the end of the school year to discuss the pending program school year’s approved spaces and designated spaces. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, November 13, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: GREATER ENRICHMENT MERRY OAKS AFTERSCHOOL PROGRAM Facility ID: 60003177 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/30/2023 Number Present: 47 Completed Date: 11/6/2023 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 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 for compliance with applicable child care requirements during the Annual Compliance Visit. The last annual compliance visit was completed November 2, 2022. Upon arrival at the afterschool program that operated out of the CMS Merry Oaks Elementary school, I entered the cafeteria and was greeted by one group leader. Ms. Rice, the Program Coordinator returned to the cafeteria shortly after I arrived. The center continues to operate a five-star rated facility and continues to meet enhanced space and the highest voluntary enhanced ratios. The 18-month center compliance history percentage was 80% prior to the visit. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. A current center emergency medical care plan was not monitored posted. Unused electrical outlets in the cafeteria were monitored not covered or made inaccessible to children. Ms. Rice and I reviewed the previous enrollment and capacity worksheet to verify what approved spaces children were served. Ms. Rice stated two modulars were now designated spaces for the program. Modular space #712 was previously approved by DCDEE for a maximum of twenty-four children. However, the modular space #324 was not approved space for use. Ms. Rice was asked to relocate the students to the approved cafeteria space until Environmental Health inspects and DCDEE inspects and approves use of modular #324. Before children are moved to another space, it is imperative for Ms. Rice/GEP to ensure the desired space was previously approved before relocating children to the desired space. Environmental Health requires a thirty-day (30) notice regarding inspections/approvals of use of space. Once EH inspects and approves the modular, I would be required to conduct a visit, measure the space, and determine how many children are permitted to use/access the space before children may resume use of modular #324. The program continues to provide transportation to children. Current proof of registration and insurance was provided for review for Bus# 32 (KHK-5538). The vehicle registration expires July 31, 2024. The insurance was provided by Berkly National Company and is due to expire May 21, 2024. I also inquired about the van driver’s license. I was unable to physically inspect bus #32 to ensure children’s emergency contact information, a photograph, roster, fire extinguisher and first aid kits were current and maintained securely in the vehicle. Children were monitored entering the program, hanging their personal belongings on hooks under the tables and lining up to go wash their hands. Group leaders were observed taking daily attendance before the children went to wash their hands. When the children returned to the cafeteria, they went to the snack line and were served a Ciabatta melt, orange, carrot sticks with ranch dressing and milk. Five children’s files were monitored for compliance. One child was missing a signed discipline policy, NC Summary of the Law, and emergency contact information. It was recommended to use the DCDEE Children’s File Checklist and the DCDEE Staff File checklist for staff records. Due to the shared space issues and where program records were stored in the school, it was highly recommended to organize the children and staff records using binders, tabs, and clear protective sleeves to clearly organize and maintain the required documents in one location (binders). The records monitored were not organized well and it was difficult to monitor what was required to be maintained on file. Staff and Training worksheets were not presented to me when requested. Ms. Rice stated they have been short-staffed, and she has not been able to complete some of the paperwork or requirements. It was explained to Ms. Rice the importance of maintaining the data electronically. Due to Ms. Rice needing to depart the center to provide transportation for GEP, a return visit will be conducted to monitor existing staff records, staff and training worksheets and physically inspect bus #32 annual in-service training. It was emphasized to Ms. Rice, the only tracking tool available where she could maintain required information related to staff was the staff and training worksheet. Failure to maintain the tracking tool typically results in expired required safety certifications and not meeting annual training requirements for each applicable staff member. There were two new staff hired since the last Routine Unannounced visit was completed May 16, 2023. Their files were monitored for compliance. Documentation of orientation was not maintained on file for two new staff. G. Styles and A. Solis). Andrea Solis was monitored with a Provisional CBC qualification letter but was monitored in charge of group #3. Ms. Solis's CBC was verified in the DCDEE ABCM's system. Ms. Solis received her full CBC qualification November 3, 2023. The outdoor learning environment was monitored for compliance. The program participants only use the front black top area. Ms. Rice stated the stationary play equipment is not used by program children. Monthly outdoor inspections were monitored for compliance. Documentation for quarterly safety drills since school returned in August were not completed. Monthly fire drills were documented and completed as required. The center’s EPR plan and Ready to Go File were monitored not current. The printed EPR plan was maintained in a three-ring green binder. The date/year listed on the printed plan was Draft 2017. There were only thirty-one pages printed of the plan. Typically, when completed, the EPR plan prints out to be sixty-five pages in total. The current assigned consultant and the contact information were not current. The health consultant listed retired over two years ago. The plan must be reviewed and updated in the template system annually to ensure it is current. The current printed plan should be reviewed with all staff, annually. Documentation should be maintained as to who received the annual review of the programs EPR plan. The program did not have an EPR Ready to Go File. The checklist with the requirements for the RTGF were emailed to Ms. Rice after the visit. The last sanitation inspection was conducted February 3,2023, with zero (0) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed August 14, 2023. The previous annual fire inspection was completed December 12, 2022. It is highly recommended to begin your annual inspection process four to six weeks prior to expiration. There were changes in the City of Charlotte Fire Inspectors last year. Many providers stated having difficulty tracking down their newly assigned inspector. Based on the DCDEE plan to reassess all existing licensed child care facilities after COVID-19 pandemic, the program was reviewed and is currently listed under Cohort Plan #1. The last Rated License Assessment was processed June 6, 2018. The program last completed Environmental Rating Scales, May 10, 2018. The program does not operate during the summer months. The program should be preparing now to have the ERS when the program returns to operation in September 2024. It was recommended to have staff participate in the offered webinars through NCRLAP and review all resources listed under the resource tab on NCRLAP’s web site www.NCRLAP.org. Violation Number Comment Rule 209 Children used space that was not approved. Children used a modular #324 that was not approved by environmental health department or DCDEE. GS 110-91(1)&(4-5) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. The cafeteria was not monitored with a FA sheet posted. CPR requirements were posted. .0802(h) 832 There was no written emergency medical care (EMC) plan. 10A NCAC 09 .0802(a) 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. Four staff didn't have a medical report on file, available for review. 10A NCAC 09 .0701(a) 1129 For routine transport of children to and from the center, a list of all children being transported was not available at the center. The program wasn't able to provide a current transportation roster maintained on site. 10A NCAC 09 .1003(I) 1327 Accurate records were not maintained for all children. One child was missing a signed discipline policy, acknowledgement of receipt of the NC Summary of the Law and emergency contact information. G.S. 110-91(9) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. Documentation of orientation was not monitored on file for six staff. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibility for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. Two new staff didn't maintained documentation on file showing completion of 6 hours of training within the first two weeks of assuming responsibility. .2510(i)(1)(A-D) 1757 A valid qualification letter was not on file and available to review at the facility. One new GL hired 8/17/2023 did not have a valid CBC letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was not completed at least once every three months. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The printed EPR plan maintained in a binder was dated 2017 and "Draft". .0607(c) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The center did not have the required RTGF completed. .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 Draft EPR plan was not reviewed with all staff annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Three staff did not obtain the required H & S training within one year of employment. .1102(a) Technical Assistance Provided and General Discussion: 1. Ms. Rice was encouraged to develop a plan to better organize and maintain the children and staff records. 2. A checklist for the EPR-RTGF, staff records and children’s records were emailed to Ms. Rice after the visit to assist her with organization and compliance. 3. It was recommended to reach out to the school principal and review the required process for approval of licensed child care space. Typically, principals announce changes in spaces to afterschool program staff during the summer months. I would recommend reaching out to the principal towards the end of the school year to discuss the pending program school year’s approved spaces and designated spaces. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, November 13, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: GREATER ENRICHMENT MERRY OAKS AFTERSCHOOL PROGRAM Facility ID: 60003177 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/30/2023 Number Present: 47 Completed Date: 11/6/2023 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 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 for compliance with applicable child care requirements during the Annual Compliance Visit. The last annual compliance visit was completed November 2, 2022. Upon arrival at the afterschool program that operated out of the CMS Merry Oaks Elementary school, I entered the cafeteria and was greeted by one group leader. Ms. Rice, the Program Coordinator returned to the cafeteria shortly after I arrived. The center continues to operate a five-star rated facility and continues to meet enhanced space and the highest voluntary enhanced ratios. The 18-month center compliance history percentage was 80% prior to the visit. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. A current center emergency medical care plan was not monitored posted. Unused electrical outlets in the cafeteria were monitored not covered or made inaccessible to children. Ms. Rice and I reviewed the previous enrollment and capacity worksheet to verify what approved spaces children were served. Ms. Rice stated two modulars were now designated spaces for the program. Modular space #712 was previously approved by DCDEE for a maximum of twenty-four children. However, the modular space #324 was not approved space for use. Ms. Rice was asked to relocate the students to the approved cafeteria space until Environmental Health inspects and DCDEE inspects and approves use of modular #324. Before children are moved to another space, it is imperative for Ms. Rice/GEP to ensure the desired space was previously approved before relocating children to the desired space. Environmental Health requires a thirty-day (30) notice regarding inspections/approvals of use of space. Once EH inspects and approves the modular, I would be required to conduct a visit, measure the space, and determine how many children are permitted to use/access the space before children may resume use of modular #324. The program continues to provide transportation to children. Current proof of registration and insurance was provided for review for Bus# 32 (KHK-5538). The vehicle registration expires July 31, 2024. The insurance was provided by Berkly National Company and is due to expire May 21, 2024. I also inquired about the van driver’s license. I was unable to physically inspect bus #32 to ensure children’s emergency contact information, a photograph, roster, fire extinguisher and first aid kits were current and maintained securely in the vehicle. Children were monitored entering the program, hanging their personal belongings on hooks under the tables and lining up to go wash their hands. Group leaders were observed taking daily attendance before the children went to wash their hands. When the children returned to the cafeteria, they went to the snack line and were served a Ciabatta melt, orange, carrot sticks with ranch dressing and milk. Five children’s files were monitored for compliance. One child was missing a signed discipline policy, NC Summary of the Law, and emergency contact information. It was recommended to use the DCDEE Children’s File Checklist and the DCDEE Staff File checklist for staff records. Due to the shared space issues and where program records were stored in the school, it was highly recommended to organize the children and staff records using binders, tabs, and clear protective sleeves to clearly organize and maintain the required documents in one location (binders). The records monitored were not organized well and it was difficult to monitor what was required to be maintained on file. Staff and Training worksheets were not presented to me when requested. Ms. Rice stated they have been short-staffed, and she has not been able to complete some of the paperwork or requirements. It was explained to Ms. Rice the importance of maintaining the data electronically. Due to Ms. Rice needing to depart the center to provide transportation for GEP, a return visit will be conducted to monitor existing staff records, staff and training worksheets and physically inspect bus #32 annual in-service training. It was emphasized to Ms. Rice, the only tracking tool available where she could maintain required information related to staff was the staff and training worksheet. Failure to maintain the tracking tool typically results in expired required safety certifications and not meeting annual training requirements for each applicable staff member. There were two new staff hired since the last Routine Unannounced visit was completed May 16, 2023. Their files were monitored for compliance. Documentation of orientation was not maintained on file for two new staff. G. Styles and A. Solis). Andrea Solis was monitored with a Provisional CBC qualification letter but was monitored in charge of group #3. Ms. Solis's CBC was verified in the DCDEE ABCM's system. Ms. Solis received her full CBC qualification November 3, 2023. The outdoor learning environment was monitored for compliance. The program participants only use the front black top area. Ms. Rice stated the stationary play equipment is not used by program children. Monthly outdoor inspections were monitored for compliance. Documentation for quarterly safety drills since school returned in August were not completed. Monthly fire drills were documented and completed as required. The center’s EPR plan and Ready to Go File were monitored not current. The printed EPR plan was maintained in a three-ring green binder. The date/year listed on the printed plan was Draft 2017. There were only thirty-one pages printed of the plan. Typically, when completed, the EPR plan prints out to be sixty-five pages in total. The current assigned consultant and the contact information were not current. The health consultant listed retired over two years ago. The plan must be reviewed and updated in the template system annually to ensure it is current. The current printed plan should be reviewed with all staff, annually. Documentation should be maintained as to who received the annual review of the programs EPR plan. The program did not have an EPR Ready to Go File. The checklist with the requirements for the RTGF were emailed to Ms. Rice after the visit. The last sanitation inspection was conducted February 3,2023, with zero (0) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed August 14, 2023. The previous annual fire inspection was completed December 12, 2022. It is highly recommended to begin your annual inspection process four to six weeks prior to expiration. There were changes in the City of Charlotte Fire Inspectors last year. Many providers stated having difficulty tracking down their newly assigned inspector. Based on the DCDEE plan to reassess all existing licensed child care facilities after COVID-19 pandemic, the program was reviewed and is currently listed under Cohort Plan #1. The last Rated License Assessment was processed June 6, 2018. The program last completed Environmental Rating Scales, May 10, 2018. The program does not operate during the summer months. The program should be preparing now to have the ERS when the program returns to operation in September 2024. It was recommended to have staff participate in the offered webinars through NCRLAP and review all resources listed under the resource tab on NCRLAP’s web site www.NCRLAP.org. Violation Number Comment Rule 209 Children used space that was not approved. Children used a modular #324 that was not approved by environmental health department or DCDEE. GS 110-91(1)&(4-5) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. The cafeteria was not monitored with a FA sheet posted. CPR requirements were posted. .0802(h) 832 There was no written emergency medical care (EMC) plan. 10A NCAC 09 .0802(a) 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. Four staff didn't have a medical report on file, available for review. 10A NCAC 09 .0701(a) 1129 For routine transport of children to and from the center, a list of all children being transported was not available at the center. The program wasn't able to provide a current transportation roster maintained on site. 10A NCAC 09 .1003(I) 1327 Accurate records were not maintained for all children. One child was missing a signed discipline policy, acknowledgement of receipt of the NC Summary of the Law and emergency contact information. G.S. 110-91(9) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. Documentation of orientation was not monitored on file for six staff. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibility for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. Two new staff didn't maintained documentation on file showing completion of 6 hours of training within the first two weeks of assuming responsibility. .2510(i)(1)(A-D) 1757 A valid qualification letter was not on file and available to review at the facility. One new GL hired 8/17/2023 did not have a valid CBC letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was not completed at least once every three months. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The printed EPR plan maintained in a binder was dated 2017 and "Draft". .0607(c) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The center did not have the required RTGF completed. .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 Draft EPR plan was not reviewed with all staff annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Three staff did not obtain the required H & S training within one year of employment. .1102(a) Technical Assistance Provided and General Discussion: 1. Ms. Rice was encouraged to develop a plan to better organize and maintain the children and staff records. 2. A checklist for the EPR-RTGF, staff records and children’s records were emailed to Ms. Rice after the visit to assist her with organization and compliance. 3. It was recommended to reach out to the school principal and review the required process for approval of licensed child care space. Typically, principals announce changes in spaces to afterschool program staff during the summer months. I would recommend reaching out to the principal towards the end of the school year to discuss the pending program school year’s approved spaces and designated spaces. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, November 13, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2510 · Violation

Name of Operation: GREATER ENRICHMENT MERRY OAKS AFTERSCHOOL PROGRAM Facility ID: 60003177 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/30/2023 Number Present: 47 Completed Date: 11/6/2023 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 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 for compliance with applicable child care requirements during the Annual Compliance Visit. The last annual compliance visit was completed November 2, 2022. Upon arrival at the afterschool program that operated out of the CMS Merry Oaks Elementary school, I entered the cafeteria and was greeted by one group leader. Ms. Rice, the Program Coordinator returned to the cafeteria shortly after I arrived. The center continues to operate a five-star rated facility and continues to meet enhanced space and the highest voluntary enhanced ratios. The 18-month center compliance history percentage was 80% prior to the visit. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. A current center emergency medical care plan was not monitored posted. Unused electrical outlets in the cafeteria were monitored not covered or made inaccessible to children. Ms. Rice and I reviewed the previous enrollment and capacity worksheet to verify what approved spaces children were served. Ms. Rice stated two modulars were now designated spaces for the program. Modular space #712 was previously approved by DCDEE for a maximum of twenty-four children. However, the modular space #324 was not approved space for use. Ms. Rice was asked to relocate the students to the approved cafeteria space until Environmental Health inspects and DCDEE inspects and approves use of modular #324. Before children are moved to another space, it is imperative for Ms. Rice/GEP to ensure the desired space was previously approved before relocating children to the desired space. Environmental Health requires a thirty-day (30) notice regarding inspections/approvals of use of space. Once EH inspects and approves the modular, I would be required to conduct a visit, measure the space, and determine how many children are permitted to use/access the space before children may resume use of modular #324. The program continues to provide transportation to children. Current proof of registration and insurance was provided for review for Bus# 32 (KHK-5538). The vehicle registration expires July 31, 2024. The insurance was provided by Berkly National Company and is due to expire May 21, 2024. I also inquired about the van driver’s license. I was unable to physically inspect bus #32 to ensure children’s emergency contact information, a photograph, roster, fire extinguisher and first aid kits were current and maintained securely in the vehicle. Children were monitored entering the program, hanging their personal belongings on hooks under the tables and lining up to go wash their hands. Group leaders were observed taking daily attendance before the children went to wash their hands. When the children returned to the cafeteria, they went to the snack line and were served a Ciabatta melt, orange, carrot sticks with ranch dressing and milk. Five children’s files were monitored for compliance. One child was missing a signed discipline policy, NC Summary of the Law, and emergency contact information. It was recommended to use the DCDEE Children’s File Checklist and the DCDEE Staff File checklist for staff records. Due to the shared space issues and where program records were stored in the school, it was highly recommended to organize the children and staff records using binders, tabs, and clear protective sleeves to clearly organize and maintain the required documents in one location (binders). The records monitored were not organized well and it was difficult to monitor what was required to be maintained on file. Staff and Training worksheets were not presented to me when requested. Ms. Rice stated they have been short-staffed, and she has not been able to complete some of the paperwork or requirements. It was explained to Ms. Rice the importance of maintaining the data electronically. Due to Ms. Rice needing to depart the center to provide transportation for GEP, a return visit will be conducted to monitor existing staff records, staff and training worksheets and physically inspect bus #32 annual in-service training. It was emphasized to Ms. Rice, the only tracking tool available where she could maintain required information related to staff was the staff and training worksheet. Failure to maintain the tracking tool typically results in expired required safety certifications and not meeting annual training requirements for each applicable staff member. There were two new staff hired since the last Routine Unannounced visit was completed May 16, 2023. Their files were monitored for compliance. Documentation of orientation was not maintained on file for two new staff. G. Styles and A. Solis). Andrea Solis was monitored with a Provisional CBC qualification letter but was monitored in charge of group #3. Ms. Solis's CBC was verified in the DCDEE ABCM's system. Ms. Solis received her full CBC qualification November 3, 2023. The outdoor learning environment was monitored for compliance. The program participants only use the front black top area. Ms. Rice stated the stationary play equipment is not used by program children. Monthly outdoor inspections were monitored for compliance. Documentation for quarterly safety drills since school returned in August were not completed. Monthly fire drills were documented and completed as required. The center’s EPR plan and Ready to Go File were monitored not current. The printed EPR plan was maintained in a three-ring green binder. The date/year listed on the printed plan was Draft 2017. There were only thirty-one pages printed of the plan. Typically, when completed, the EPR plan prints out to be sixty-five pages in total. The current assigned consultant and the contact information were not current. The health consultant listed retired over two years ago. The plan must be reviewed and updated in the template system annually to ensure it is current. The current printed plan should be reviewed with all staff, annually. Documentation should be maintained as to who received the annual review of the programs EPR plan. The program did not have an EPR Ready to Go File. The checklist with the requirements for the RTGF were emailed to Ms. Rice after the visit. The last sanitation inspection was conducted February 3,2023, with zero (0) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed August 14, 2023. The previous annual fire inspection was completed December 12, 2022. It is highly recommended to begin your annual inspection process four to six weeks prior to expiration. There were changes in the City of Charlotte Fire Inspectors last year. Many providers stated having difficulty tracking down their newly assigned inspector. Based on the DCDEE plan to reassess all existing licensed child care facilities after COVID-19 pandemic, the program was reviewed and is currently listed under Cohort Plan #1. The last Rated License Assessment was processed June 6, 2018. The program last completed Environmental Rating Scales, May 10, 2018. The program does not operate during the summer months. The program should be preparing now to have the ERS when the program returns to operation in September 2024. It was recommended to have staff participate in the offered webinars through NCRLAP and review all resources listed under the resource tab on NCRLAP’s web site www.NCRLAP.org. Violation Number Comment Rule 209 Children used space that was not approved. Children used a modular #324 that was not approved by environmental health department or DCDEE. GS 110-91(1)&(4-5) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. The cafeteria was not monitored with a FA sheet posted. CPR requirements were posted. .0802(h) 832 There was no written emergency medical care (EMC) plan. 10A NCAC 09 .0802(a) 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. Four staff didn't have a medical report on file, available for review. 10A NCAC 09 .0701(a) 1129 For routine transport of children to and from the center, a list of all children being transported was not available at the center. The program wasn't able to provide a current transportation roster maintained on site. 10A NCAC 09 .1003(I) 1327 Accurate records were not maintained for all children. One child was missing a signed discipline policy, acknowledgement of receipt of the NC Summary of the Law and emergency contact information. G.S. 110-91(9) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. Documentation of orientation was not monitored on file for six staff. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibility for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. Two new staff didn't maintained documentation on file showing completion of 6 hours of training within the first two weeks of assuming responsibility. .2510(i)(1)(A-D) 1757 A valid qualification letter was not on file and available to review at the facility. One new GL hired 8/17/2023 did not have a valid CBC letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was not completed at least once every three months. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The printed EPR plan maintained in a binder was dated 2017 and "Draft". .0607(c) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The center did not have the required RTGF completed. .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 Draft EPR plan was not reviewed with all staff annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Three staff did not obtain the required H & S training within one year of employment. .1102(a) Technical Assistance Provided and General Discussion: 1. Ms. Rice was encouraged to develop a plan to better organize and maintain the children and staff records. 2. A checklist for the EPR-RTGF, staff records and children’s records were emailed to Ms. Rice after the visit to assist her with organization and compliance. 3. It was recommended to reach out to the school principal and review the required process for approval of licensed child care space. Typically, principals announce changes in spaces to afterschool program staff during the summer months. I would recommend reaching out to the principal towards the end of the school year to discuss the pending program school year’s approved spaces and designated spaces. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, November 13, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GREATER ENRICHMENT MERRY OAKS AFTERSCHOOL PROGRAM Facility ID: 60003177 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/30/2023 Number Present: 47 Completed Date: 11/6/2023 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 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 for compliance with applicable child care requirements during the Annual Compliance Visit. The last annual compliance visit was completed November 2, 2022. Upon arrival at the afterschool program that operated out of the CMS Merry Oaks Elementary school, I entered the cafeteria and was greeted by one group leader. Ms. Rice, the Program Coordinator returned to the cafeteria shortly after I arrived. The center continues to operate a five-star rated facility and continues to meet enhanced space and the highest voluntary enhanced ratios. The 18-month center compliance history percentage was 80% prior to the visit. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. A current center emergency medical care plan was not monitored posted. Unused electrical outlets in the cafeteria were monitored not covered or made inaccessible to children. Ms. Rice and I reviewed the previous enrollment and capacity worksheet to verify what approved spaces children were served. Ms. Rice stated two modulars were now designated spaces for the program. Modular space #712 was previously approved by DCDEE for a maximum of twenty-four children. However, the modular space #324 was not approved space for use. Ms. Rice was asked to relocate the students to the approved cafeteria space until Environmental Health inspects and DCDEE inspects and approves use of modular #324. Before children are moved to another space, it is imperative for Ms. Rice/GEP to ensure the desired space was previously approved before relocating children to the desired space. Environmental Health requires a thirty-day (30) notice regarding inspections/approvals of use of space. Once EH inspects and approves the modular, I would be required to conduct a visit, measure the space, and determine how many children are permitted to use/access the space before children may resume use of modular #324. The program continues to provide transportation to children. Current proof of registration and insurance was provided for review for Bus# 32 (KHK-5538). The vehicle registration expires July 31, 2024. The insurance was provided by Berkly National Company and is due to expire May 21, 2024. I also inquired about the van driver’s license. I was unable to physically inspect bus #32 to ensure children’s emergency contact information, a photograph, roster, fire extinguisher and first aid kits were current and maintained securely in the vehicle. Children were monitored entering the program, hanging their personal belongings on hooks under the tables and lining up to go wash their hands. Group leaders were observed taking daily attendance before the children went to wash their hands. When the children returned to the cafeteria, they went to the snack line and were served a Ciabatta melt, orange, carrot sticks with ranch dressing and milk. Five children’s files were monitored for compliance. One child was missing a signed discipline policy, NC Summary of the Law, and emergency contact information. It was recommended to use the DCDEE Children’s File Checklist and the DCDEE Staff File checklist for staff records. Due to the shared space issues and where program records were stored in the school, it was highly recommended to organize the children and staff records using binders, tabs, and clear protective sleeves to clearly organize and maintain the required documents in one location (binders). The records monitored were not organized well and it was difficult to monitor what was required to be maintained on file. Staff and Training worksheets were not presented to me when requested. Ms. Rice stated they have been short-staffed, and she has not been able to complete some of the paperwork or requirements. It was explained to Ms. Rice the importance of maintaining the data electronically. Due to Ms. Rice needing to depart the center to provide transportation for GEP, a return visit will be conducted to monitor existing staff records, staff and training worksheets and physically inspect bus #32 annual in-service training. It was emphasized to Ms. Rice, the only tracking tool available where she could maintain required information related to staff was the staff and training worksheet. Failure to maintain the tracking tool typically results in expired required safety certifications and not meeting annual training requirements for each applicable staff member. There were two new staff hired since the last Routine Unannounced visit was completed May 16, 2023. Their files were monitored for compliance. Documentation of orientation was not maintained on file for two new staff. G. Styles and A. Solis). Andrea Solis was monitored with a Provisional CBC qualification letter but was monitored in charge of group #3. Ms. Solis's CBC was verified in the DCDEE ABCM's system. Ms. Solis received her full CBC qualification November 3, 2023. The outdoor learning environment was monitored for compliance. The program participants only use the front black top area. Ms. Rice stated the stationary play equipment is not used by program children. Monthly outdoor inspections were monitored for compliance. Documentation for quarterly safety drills since school returned in August were not completed. Monthly fire drills were documented and completed as required. The center’s EPR plan and Ready to Go File were monitored not current. The printed EPR plan was maintained in a three-ring green binder. The date/year listed on the printed plan was Draft 2017. There were only thirty-one pages printed of the plan. Typically, when completed, the EPR plan prints out to be sixty-five pages in total. The current assigned consultant and the contact information were not current. The health consultant listed retired over two years ago. The plan must be reviewed and updated in the template system annually to ensure it is current. The current printed plan should be reviewed with all staff, annually. Documentation should be maintained as to who received the annual review of the programs EPR plan. The program did not have an EPR Ready to Go File. The checklist with the requirements for the RTGF were emailed to Ms. Rice after the visit. The last sanitation inspection was conducted February 3,2023, with zero (0) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed August 14, 2023. The previous annual fire inspection was completed December 12, 2022. It is highly recommended to begin your annual inspection process four to six weeks prior to expiration. There were changes in the City of Charlotte Fire Inspectors last year. Many providers stated having difficulty tracking down their newly assigned inspector. Based on the DCDEE plan to reassess all existing licensed child care facilities after COVID-19 pandemic, the program was reviewed and is currently listed under Cohort Plan #1. The last Rated License Assessment was processed June 6, 2018. The program last completed Environmental Rating Scales, May 10, 2018. The program does not operate during the summer months. The program should be preparing now to have the ERS when the program returns to operation in September 2024. It was recommended to have staff participate in the offered webinars through NCRLAP and review all resources listed under the resource tab on NCRLAP’s web site www.NCRLAP.org. Violation Number Comment Rule 209 Children used space that was not approved. Children used a modular #324 that was not approved by environmental health department or DCDEE. GS 110-91(1)&(4-5) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. The cafeteria was not monitored with a FA sheet posted. CPR requirements were posted. .0802(h) 832 There was no written emergency medical care (EMC) plan. 10A NCAC 09 .0802(a) 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. Four staff didn't have a medical report on file, available for review. 10A NCAC 09 .0701(a) 1129 For routine transport of children to and from the center, a list of all children being transported was not available at the center. The program wasn't able to provide a current transportation roster maintained on site. 10A NCAC 09 .1003(I) 1327 Accurate records were not maintained for all children. One child was missing a signed discipline policy, acknowledgement of receipt of the NC Summary of the Law and emergency contact information. G.S. 110-91(9) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. Documentation of orientation was not monitored on file for six staff. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibility for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. Two new staff didn't maintained documentation on file showing completion of 6 hours of training within the first two weeks of assuming responsibility. .2510(i)(1)(A-D) 1757 A valid qualification letter was not on file and available to review at the facility. One new GL hired 8/17/2023 did not have a valid CBC letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was not completed at least once every three months. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The printed EPR plan maintained in a binder was dated 2017 and "Draft". .0607(c) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The center did not have the required RTGF completed. .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 Draft EPR plan was not reviewed with all staff annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Three staff did not obtain the required H & S training within one year of employment. .1102(a) Technical Assistance Provided and General Discussion: 1. Ms. Rice was encouraged to develop a plan to better organize and maintain the children and staff records. 2. A checklist for the EPR-RTGF, staff records and children’s records were emailed to Ms. Rice after the visit to assist her with organization and compliance. 3. It was recommended to reach out to the school principal and review the required process for approval of licensed child care space. Typically, principals announce changes in spaces to afterschool program staff during the summer months. I would recommend reaching out to the principal towards the end of the school year to discuss the pending program school year’s approved spaces and designated spaces. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, November 13, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: GREATER ENRICHMENT MERRY OAKS AFTERSCHOOL PROGRAM Facility ID: 60003177 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/30/2023 Number Present: 47 Completed Date: 11/6/2023 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 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 for compliance with applicable child care requirements during the Annual Compliance Visit. The last annual compliance visit was completed November 2, 2022. Upon arrival at the afterschool program that operated out of the CMS Merry Oaks Elementary school, I entered the cafeteria and was greeted by one group leader. Ms. Rice, the Program Coordinator returned to the cafeteria shortly after I arrived. The center continues to operate a five-star rated facility and continues to meet enhanced space and the highest voluntary enhanced ratios. The 18-month center compliance history percentage was 80% prior to the visit. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. A current center emergency medical care plan was not monitored posted. Unused electrical outlets in the cafeteria were monitored not covered or made inaccessible to children. Ms. Rice and I reviewed the previous enrollment and capacity worksheet to verify what approved spaces children were served. Ms. Rice stated two modulars were now designated spaces for the program. Modular space #712 was previously approved by DCDEE for a maximum of twenty-four children. However, the modular space #324 was not approved space for use. Ms. Rice was asked to relocate the students to the approved cafeteria space until Environmental Health inspects and DCDEE inspects and approves use of modular #324. Before children are moved to another space, it is imperative for Ms. Rice/GEP to ensure the desired space was previously approved before relocating children to the desired space. Environmental Health requires a thirty-day (30) notice regarding inspections/approvals of use of space. Once EH inspects and approves the modular, I would be required to conduct a visit, measure the space, and determine how many children are permitted to use/access the space before children may resume use of modular #324. The program continues to provide transportation to children. Current proof of registration and insurance was provided for review for Bus# 32 (KHK-5538). The vehicle registration expires July 31, 2024. The insurance was provided by Berkly National Company and is due to expire May 21, 2024. I also inquired about the van driver’s license. I was unable to physically inspect bus #32 to ensure children’s emergency contact information, a photograph, roster, fire extinguisher and first aid kits were current and maintained securely in the vehicle. Children were monitored entering the program, hanging their personal belongings on hooks under the tables and lining up to go wash their hands. Group leaders were observed taking daily attendance before the children went to wash their hands. When the children returned to the cafeteria, they went to the snack line and were served a Ciabatta melt, orange, carrot sticks with ranch dressing and milk. Five children’s files were monitored for compliance. One child was missing a signed discipline policy, NC Summary of the Law, and emergency contact information. It was recommended to use the DCDEE Children’s File Checklist and the DCDEE Staff File checklist for staff records. Due to the shared space issues and where program records were stored in the school, it was highly recommended to organize the children and staff records using binders, tabs, and clear protective sleeves to clearly organize and maintain the required documents in one location (binders). The records monitored were not organized well and it was difficult to monitor what was required to be maintained on file. Staff and Training worksheets were not presented to me when requested. Ms. Rice stated they have been short-staffed, and she has not been able to complete some of the paperwork or requirements. It was explained to Ms. Rice the importance of maintaining the data electronically. Due to Ms. Rice needing to depart the center to provide transportation for GEP, a return visit will be conducted to monitor existing staff records, staff and training worksheets and physically inspect bus #32 annual in-service training. It was emphasized to Ms. Rice, the only tracking tool available where she could maintain required information related to staff was the staff and training worksheet. Failure to maintain the tracking tool typically results in expired required safety certifications and not meeting annual training requirements for each applicable staff member. There were two new staff hired since the last Routine Unannounced visit was completed May 16, 2023. Their files were monitored for compliance. Documentation of orientation was not maintained on file for two new staff. G. Styles and A. Solis). Andrea Solis was monitored with a Provisional CBC qualification letter but was monitored in charge of group #3. Ms. Solis's CBC was verified in the DCDEE ABCM's system. Ms. Solis received her full CBC qualification November 3, 2023. The outdoor learning environment was monitored for compliance. The program participants only use the front black top area. Ms. Rice stated the stationary play equipment is not used by program children. Monthly outdoor inspections were monitored for compliance. Documentation for quarterly safety drills since school returned in August were not completed. Monthly fire drills were documented and completed as required. The center’s EPR plan and Ready to Go File were monitored not current. The printed EPR plan was maintained in a three-ring green binder. The date/year listed on the printed plan was Draft 2017. There were only thirty-one pages printed of the plan. Typically, when completed, the EPR plan prints out to be sixty-five pages in total. The current assigned consultant and the contact information were not current. The health consultant listed retired over two years ago. The plan must be reviewed and updated in the template system annually to ensure it is current. The current printed plan should be reviewed with all staff, annually. Documentation should be maintained as to who received the annual review of the programs EPR plan. The program did not have an EPR Ready to Go File. The checklist with the requirements for the RTGF were emailed to Ms. Rice after the visit. The last sanitation inspection was conducted February 3,2023, with zero (0) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed August 14, 2023. The previous annual fire inspection was completed December 12, 2022. It is highly recommended to begin your annual inspection process four to six weeks prior to expiration. There were changes in the City of Charlotte Fire Inspectors last year. Many providers stated having difficulty tracking down their newly assigned inspector. Based on the DCDEE plan to reassess all existing licensed child care facilities after COVID-19 pandemic, the program was reviewed and is currently listed under Cohort Plan #1. The last Rated License Assessment was processed June 6, 2018. The program last completed Environmental Rating Scales, May 10, 2018. The program does not operate during the summer months. The program should be preparing now to have the ERS when the program returns to operation in September 2024. It was recommended to have staff participate in the offered webinars through NCRLAP and review all resources listed under the resource tab on NCRLAP’s web site www.NCRLAP.org. Violation Number Comment Rule 209 Children used space that was not approved. Children used a modular #324 that was not approved by environmental health department or DCDEE. GS 110-91(1)&(4-5) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. The cafeteria was not monitored with a FA sheet posted. CPR requirements were posted. .0802(h) 832 There was no written emergency medical care (EMC) plan. 10A NCAC 09 .0802(a) 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. Four staff didn't have a medical report on file, available for review. 10A NCAC 09 .0701(a) 1129 For routine transport of children to and from the center, a list of all children being transported was not available at the center. The program wasn't able to provide a current transportation roster maintained on site. 10A NCAC 09 .1003(I) 1327 Accurate records were not maintained for all children. One child was missing a signed discipline policy, acknowledgement of receipt of the NC Summary of the Law and emergency contact information. G.S. 110-91(9) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. Documentation of orientation was not monitored on file for six staff. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibility for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. Two new staff didn't maintained documentation on file showing completion of 6 hours of training within the first two weeks of assuming responsibility. .2510(i)(1)(A-D) 1757 A valid qualification letter was not on file and available to review at the facility. One new GL hired 8/17/2023 did not have a valid CBC letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was not completed at least once every three months. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The printed EPR plan maintained in a binder was dated 2017 and "Draft". .0607(c) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The center did not have the required RTGF completed. .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 Draft EPR plan was not reviewed with all staff annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Three staff did not obtain the required H & S training within one year of employment. .1102(a) Technical Assistance Provided and General Discussion: 1. Ms. Rice was encouraged to develop a plan to better organize and maintain the children and staff records. 2. A checklist for the EPR-RTGF, staff records and children’s records were emailed to Ms. Rice after the visit to assist her with organization and compliance. 3. It was recommended to reach out to the school principal and review the required process for approval of licensed child care space. Typically, principals announce changes in spaces to afterschool program staff during the summer months. I would recommend reaching out to the principal towards the end of the school year to discuss the pending program school year’s approved spaces and designated spaces. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, November 13, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: GREATER ENRICHMENT MERRY OAKS AFTERSCHOOL PROGRAM Facility ID: 60003177 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/30/2023 Number Present: 47 Completed Date: 11/6/2023 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 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 for compliance with applicable child care requirements during the Annual Compliance Visit. The last annual compliance visit was completed November 2, 2022. Upon arrival at the afterschool program that operated out of the CMS Merry Oaks Elementary school, I entered the cafeteria and was greeted by one group leader. Ms. Rice, the Program Coordinator returned to the cafeteria shortly after I arrived. The center continues to operate a five-star rated facility and continues to meet enhanced space and the highest voluntary enhanced ratios. The 18-month center compliance history percentage was 80% prior to the visit. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. A current center emergency medical care plan was not monitored posted. Unused electrical outlets in the cafeteria were monitored not covered or made inaccessible to children. Ms. Rice and I reviewed the previous enrollment and capacity worksheet to verify what approved spaces children were served. Ms. Rice stated two modulars were now designated spaces for the program. Modular space #712 was previously approved by DCDEE for a maximum of twenty-four children. However, the modular space #324 was not approved space for use. Ms. Rice was asked to relocate the students to the approved cafeteria space until Environmental Health inspects and DCDEE inspects and approves use of modular #324. Before children are moved to another space, it is imperative for Ms. Rice/GEP to ensure the desired space was previously approved before relocating children to the desired space. Environmental Health requires a thirty-day (30) notice regarding inspections/approvals of use of space. Once EH inspects and approves the modular, I would be required to conduct a visit, measure the space, and determine how many children are permitted to use/access the space before children may resume use of modular #324. The program continues to provide transportation to children. Current proof of registration and insurance was provided for review for Bus# 32 (KHK-5538). The vehicle registration expires July 31, 2024. The insurance was provided by Berkly National Company and is due to expire May 21, 2024. I also inquired about the van driver’s license. I was unable to physically inspect bus #32 to ensure children’s emergency contact information, a photograph, roster, fire extinguisher and first aid kits were current and maintained securely in the vehicle. Children were monitored entering the program, hanging their personal belongings on hooks under the tables and lining up to go wash their hands. Group leaders were observed taking daily attendance before the children went to wash their hands. When the children returned to the cafeteria, they went to the snack line and were served a Ciabatta melt, orange, carrot sticks with ranch dressing and milk. Five children’s files were monitored for compliance. One child was missing a signed discipline policy, NC Summary of the Law, and emergency contact information. It was recommended to use the DCDEE Children’s File Checklist and the DCDEE Staff File checklist for staff records. Due to the shared space issues and where program records were stored in the school, it was highly recommended to organize the children and staff records using binders, tabs, and clear protective sleeves to clearly organize and maintain the required documents in one location (binders). The records monitored were not organized well and it was difficult to monitor what was required to be maintained on file. Staff and Training worksheets were not presented to me when requested. Ms. Rice stated they have been short-staffed, and she has not been able to complete some of the paperwork or requirements. It was explained to Ms. Rice the importance of maintaining the data electronically. Due to Ms. Rice needing to depart the center to provide transportation for GEP, a return visit will be conducted to monitor existing staff records, staff and training worksheets and physically inspect bus #32 annual in-service training. It was emphasized to Ms. Rice, the only tracking tool available where she could maintain required information related to staff was the staff and training worksheet. Failure to maintain the tracking tool typically results in expired required safety certifications and not meeting annual training requirements for each applicable staff member. There were two new staff hired since the last Routine Unannounced visit was completed May 16, 2023. Their files were monitored for compliance. Documentation of orientation was not maintained on file for two new staff. G. Styles and A. Solis). Andrea Solis was monitored with a Provisional CBC qualification letter but was monitored in charge of group #3. Ms. Solis's CBC was verified in the DCDEE ABCM's system. Ms. Solis received her full CBC qualification November 3, 2023. The outdoor learning environment was monitored for compliance. The program participants only use the front black top area. Ms. Rice stated the stationary play equipment is not used by program children. Monthly outdoor inspections were monitored for compliance. Documentation for quarterly safety drills since school returned in August were not completed. Monthly fire drills were documented and completed as required. The center’s EPR plan and Ready to Go File were monitored not current. The printed EPR plan was maintained in a three-ring green binder. The date/year listed on the printed plan was Draft 2017. There were only thirty-one pages printed of the plan. Typically, when completed, the EPR plan prints out to be sixty-five pages in total. The current assigned consultant and the contact information were not current. The health consultant listed retired over two years ago. The plan must be reviewed and updated in the template system annually to ensure it is current. The current printed plan should be reviewed with all staff, annually. Documentation should be maintained as to who received the annual review of the programs EPR plan. The program did not have an EPR Ready to Go File. The checklist with the requirements for the RTGF were emailed to Ms. Rice after the visit. The last sanitation inspection was conducted February 3,2023, with zero (0) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed August 14, 2023. The previous annual fire inspection was completed December 12, 2022. It is highly recommended to begin your annual inspection process four to six weeks prior to expiration. There were changes in the City of Charlotte Fire Inspectors last year. Many providers stated having difficulty tracking down their newly assigned inspector. Based on the DCDEE plan to reassess all existing licensed child care facilities after COVID-19 pandemic, the program was reviewed and is currently listed under Cohort Plan #1. The last Rated License Assessment was processed June 6, 2018. The program last completed Environmental Rating Scales, May 10, 2018. The program does not operate during the summer months. The program should be preparing now to have the ERS when the program returns to operation in September 2024. It was recommended to have staff participate in the offered webinars through NCRLAP and review all resources listed under the resource tab on NCRLAP’s web site www.NCRLAP.org. Violation Number Comment Rule 209 Children used space that was not approved. Children used a modular #324 that was not approved by environmental health department or DCDEE. GS 110-91(1)&(4-5) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. The cafeteria was not monitored with a FA sheet posted. CPR requirements were posted. .0802(h) 832 There was no written emergency medical care (EMC) plan. 10A NCAC 09 .0802(a) 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. Four staff didn't have a medical report on file, available for review. 10A NCAC 09 .0701(a) 1129 For routine transport of children to and from the center, a list of all children being transported was not available at the center. The program wasn't able to provide a current transportation roster maintained on site. 10A NCAC 09 .1003(I) 1327 Accurate records were not maintained for all children. One child was missing a signed discipline policy, acknowledgement of receipt of the NC Summary of the Law and emergency contact information. G.S. 110-91(9) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. Documentation of orientation was not monitored on file for six staff. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibility for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. Two new staff didn't maintained documentation on file showing completion of 6 hours of training within the first two weeks of assuming responsibility. .2510(i)(1)(A-D) 1757 A valid qualification letter was not on file and available to review at the facility. One new GL hired 8/17/2023 did not have a valid CBC letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was not completed at least once every three months. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The printed EPR plan maintained in a binder was dated 2017 and "Draft". .0607(c) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The center did not have the required RTGF completed. .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 Draft EPR plan was not reviewed with all staff annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Three staff did not obtain the required H & S training within one year of employment. .1102(a) Technical Assistance Provided and General Discussion: 1. Ms. Rice was encouraged to develop a plan to better organize and maintain the children and staff records. 2. A checklist for the EPR-RTGF, staff records and children’s records were emailed to Ms. Rice after the visit to assist her with organization and compliance. 3. It was recommended to reach out to the school principal and review the required process for approval of licensed child care space. Typically, principals announce changes in spaces to afterschool program staff during the summer months. I would recommend reaching out to the principal towards the end of the school year to discuss the pending program school year’s approved spaces and designated spaces. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, November 13, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times