10A NCAC 09 .0304 · Violation

Name of Operation: HICKORY GROVE AFTER SCHOOL ENRICHMENT PROGRAM Facility ID: 6055624 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 5/5/2025 Number Present: 12 Completed Date: 5/5/2025 Age: From 5 To 10 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 applicable child care rules and laws during a Routine Unannounced visit. The facility has a Five-Star License issued March 27, 2018. The facility has an 18-month compliance history of 94% prior to today’s visit. The last Annual Compliance Visit was conducted on November 06, 2024. The following items were monitored using the April 2025 Master Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival, I parked in the lot located directly to the right of the building and approached the main entrance of the facility by utilizing the sidewalk adjacent to the building. I rang the doorbell of the main entrance for the Charlotte Bilingual Preschool and was promptly greeted by three members of the CBP staff. We exchanged pleasantries and I shared the purpose of my visit. I was then, accompanied to the locked double doors in the lobby that provided access into the Hickory Grove Elementary section of the building and allowed entry. Upon entering the space, I headed down to the Afterschool Enrichment Program where I was joined shortly by both Ms. M. Burford, Site Coordinator, and M. S. Long, ASEP Associate. We briefly exchanged greetings prior to me sharing the purpose of today’s visit. Ms. Buford stated that she was expecting my visit and informed me that she would need to go to her office to get the binder containing all required program-related documentation needed for today’s visit, as children would begin to arrive shortly. As I was setting up my laptop Ms. Buford left to gather these items and returned shortly thereafter. A walkthrough of the two (2) ASEP classrooms were conducted prior to students arriving. In Space #2, one (1) aerosol can of Lysol disinfectant spray was observed being stored in a black lockbox on top of the cubbies with a padlock-style lock attached but not secured. This information was shared with staff members and they were each reminded that all materials stored in aerosol cans must be inaccessible to children, as well as stored under lock and key. They stated that they each understood and this was corrected during the visit. Bulletin boards were monitored in both classrooms and in the hallway adjacent to the ASEP classrooms. It was observed that the license and NC childcare law summary were prominently posted. Lesson plans were current. Staff/child ratio sheets were customized and posted. At approximately 3:55pm ASEP staff headed to the school’s cafeteria to greet children and transition them to the ASEP classrooms. Children began to arrive in the space at approximately 4:20pm. There were twelve (12) children present between the ages of five (5) years of age and ten (10) years of age. They were split into two groups. Teachers were observed engaging with children and interacting in a nurturing manner. Children were observed transitioning independently, having afternoon snack, engaging in learning activities and conducting personal care routines. There were a variety of age-appropriate activities accessible in each classroom for the children to use independently. Materials were observed in good repair. Groups were within staff/child ratio and adequately supervised. Daily attendance records and sign-in/out sheets were monitored, both were being completed as required. Emergency medication was monitored. It was reported that there are currently no children enrolled in the program that require emergency medication. Program records were monitored. It was observed that both fire and emergency drills were being conducted and documented as required. Monthly outdoor playground inspections were monitored and found to be conducted and documented as required. Two (2) staff files were monitored for specialized training and current Criminal Background Checks. Each was observed to be in compliance. There were no children’s files monitored during today’s visit. The last sanitation inspection was conducted on January 30, 2025 receiving no demerits and a Superior rating. The last approved fire inspection was conducted on March 14, 2025 but this information was not forwarded to a representative from the Division within seven (7) days, as required. This documentation was obtained during today’s visit, therefore the violation is considered as corrected. There were two (2) violations observed during today’s visit. Each violation was corrected during today's visit, there is no corrective action plan due at this time. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was conducted on March 14, 2025 but this information was not forwarded to a representative from the Division within seven (7) days, as required. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #2, one (1) aerosol can of Lysol disinfectant spray was observed being stored in a black lockbox on top of the cubbies with a padlock-style lock attached but not secured. .2820(b) Technical Assistance: -Afterschool staff and I discussed the importance of ensuring all hazardous materials or other items with multiple warnings or housed in aerosol cans are stored under lock and key, as well as inaccessible to children. -Afterschool staff and I discussed that it is the responsibility of the program to ensure that a copy of each Fire Inspection conducted by the Charlotte Fire Department is sent to their Consultant within seven (7) days of the inspection. -During today’s visit I shared with members of the Afterschool staff that one of the items provided in their CMS Emergency kit contained pieces of shellfish and although it was not labeled with the warning “Keep Out of the Reach of Children”, it is best practice to be mindful of this as there may be staff members or others allergic to this ingredient. I reviewed both posted allergy list and there is only one child listed with an allergy to fish. This was discussed with staff and it was shared that per the child’s parent this child does not require any emergency medication. I urged the staff to revisit this conversation with the parent for additional details, as this item is present in the classroom for emergency use. Thank you for your time and if you have any questions about today’s visit, please feel free to contact Resha Washington at 704-910-7947 or email resha.washington@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: HICKORY GROVE AFTER SCHOOL ENRICHMENT PROGRAM Facility ID: 6055624 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 6/4/2024 Number Present: 22 Completed Date: 6/4/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility has a Five-Star License issued March 27, 2018. The facility has an 18-month compliance history of 100% prior to today’s visit. The last Annual Compliance Visit was conducted November 09, 2023. The following was monitored using the March 2024 Master Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival to the facility I entered through the main entrance for the Charlotte Bilingual School where I was greeted by a member of the staff. I introduced myself and shared the purpose of my visit. I was accompanied to the locked double doors in the lobby that provide access into the Hickory Grove Elementary section of the building and allowed entry. Upon entering the space, I was promptly greeted by Ms. M. Burford, Site Coordinator, and accompanied to the Afterschool Enrichment Program office where I reintroduced myself and shared the purpose of my visit. I was reminded that school had not yet dismissed but we could head down to the ASEP classrooms and begin the visit. Ms. S. Long, ASEP associate, joined us shortly afterwards. A walk through of the ASEP classrooms was conducted prior to the students arriving. Bulletin boards were monitored in both classrooms and in the hallway adjacent to the ASEP classrooms. It was observed that the license and NC childcare law summary were prominently posted. Lesson plans were current. Staff/child ratio sheets were customized and posted. It was also observed that menus posted in both classrooms and on an ASEP information bulletin board located in the hallway adjacent to ASEP classrooms were dated May 2024. This was brought to the attention of the ASEP staff and updated during the visit. At approximately 3:50pm ASEP staff was observed heading to the school’s cafeteria to greet children and transition them to the ASEP classrooms. Children began to arrive in the space at approximately 4:15pm. There were twenty-two (22) children present between the ages of four (4) years of age and eleven (11) years of age. They were split into two groups. Teachers were observed engaging with children and interacting in a nurturing manner. Children were observed transitioning independently and conducting personal care routines. There were a variety of age-appropriate activities accessible in each classroom for the children to use independently. Materials were observed in good repair. Groups were within staff/child ratio and adequately supervised. Daily attendance records and sign-in/out sheets were monitored, both were being completed as required. Emergency medication was monitored. It was observed that one child had medication present for a chronic medical condition and the permission to administer medication form for that medication expired in January 2024. This was shared with staff and updated by the child’s caregiver during the visit. Program records were monitored. It was observed that both fire and emergency drills were being conducted and documented as required. Monthly outdoor playground inspections were monitored and found to be conducted and documented as required. Two (2) staff files were monitored for specialized training and current Criminal Background Checks and found to be in compliance. There were no children’s files monitored during today’s visit. The last sanitation inspection was conducted on November 06, 2023 with 2 demerits and a Superior rating. The last fire inspection was conducted on March 21, 2024. There were two (2) violations observed during today’s visit. Each violation was corrected during today's visit, there is no corrective action plan due at this time. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. It was observed that menus posted in both classrooms and on an ASEP information bulletin board located in the hallway adjacent to ASEP classrooms were dated May 2024. 10A NCAC 09 .0901(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Emergency medication was monitored. It was observed that one child had medication present for a chronic medical condition and the permission to administer medication form for that medication expired in January 2024 .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: -It was discussed that any child with a documented medical condition requiring emergency medication must always have that medication accessible when that child is in attendance and that medication must be accompanied by a completed, current written authorization to administer form and a signed, current Medical Action Plan on file complete with detailed instructions on what is to be done in the event of an emergency. -It was discussed that it is best practice to review all posted documentation on a routine basis (possibly daily, weekly or monthly) to ensure that all forms are completed in their entirety and all information is up to date. -Afterschool staff and I discussed that it is the responsibility of the program to ensure that a copy of each Fire Inspection conducted by the Charlotte Fire Department is sent to their Consultant within seven (7) days of the inspection. -Additional information regarding rated license assessments should be coming soon from the DCDEE. Please continue to check email consistently for all updates and pertinent information. Thank you for your time and if you have any questions about today’s visit, please feel free to contact Resha Washington at 704-910-7947 or email resha.washington@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.