10A NCAC 09 .0701 · Violation

Name of Operation: KAREN'S WORLD OF JOY Facility ID: 60001800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 2/5/2024 Number Present: 5 Completed Date: 2/5/2024 Age: From 0 To 1 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Three Star License issued May 18, 2022, and had a compliance history score of 100% prior today’s visit. The facility’s last Annual Compliance Visit was February 7, 2023. The facility is "current/active" with the Secretary of State; compliance met. I was greeted by the owner/operator, Ms. Karen Watson, and I explained the purpose of the visit; no one else was present in the home during the visit. Ms. Watson provides first shift and second shift child care. She stated that she does not have any children enrolled on second shift. There were five (5) children present during today's visit. The permit restriction met compliance. Upon arrival, the four (4) children were having independent play. One (1) infant arrived during the visit. The infant fell asleep in a carrier after arrival, and a violation was cited. I observed appropriate handwashing at appropriate times, such as arrival, before and after eating, food handling, and during diapering and after diapering. The facility was monitored today with the Family Child Care Home Monitoring Checklist and the Family Child Care Home Item Number Listing. A copy of the checklist was provided to Ms. Watson after the visit. The following was observed posted: Current License, NC Summary of Child Care Law, Schedule, First Aid Sheet, Activity Plan, Safe Sleep Poster, Safe Sleep Policy, and the Emergency Medical Care Plan. Monthly Fire Drills, Shelter-in-Place/Lockdown Drills, and Playground Inspections were observed and compliance was met. Ms. Watson is using an approved curriculum, the Sunshine Express and Ms. Watson uses Buttercups. The daily attendance and arrival and departure times were reviewed and met compliance. The child care facility, including the bathroom, child care room, kitchen, and outdoor play area was monitored during the visit. Soap and toilet paper were available in the bathroom for use. The toys and equipment were in good repair. In the kitchen, there was a working fire extinguisher, working thermometer in the refrigerator, and smoke detectors. Ms. Watson's file was monitored and observed for IT-SIDS training, Health Questionnaire, Emergency Information, First Aid and CPR, and Criminal Qualifying Letters; Mr. Watson has a current CBC letter on file and a current Health Questionnaire; no one else resides in the home. Ms. Watson met the required number of training hours; compliance met. The children’s files were monitored today, and the children's records met compliance. I observed Infant Feeding Plans and Infant Safe Sleep logs, and compliance was met. Ms. Watson does not have any pets. There are no children enrolled with allergies, and there are no children on medication or emergency medication. The outdoor play area was observed, and there were no hazards observed. The outdoor play area was clean and the toys were in good repair; balls, push toys, and other toys were available for outdoor play. Ms. Watson does not provide transportation and a vehicle was available in case of an emergency. The Written Plan of care was verified. An approved Sanitation Inspection was conducted on October 30, 2023, with a demerit score of zero (0). The Emergency Preparedness and Response Plan (EPR) was reviewed, and the Plan was updated January 9, 2024. Two (2) violations were cited. Violation Number Comment Rule 1943 An infant was observed sleeping in a seating device. A sleeping infant was not removed after falling asleep in a carrier. .1724(a)(11) 1991 Microwaves were used to thaw or warm breast milk, baby food, formula, or other bottled beverages. A bottle was observed warmed in the microwave. .1706(p) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 19, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. The following Technical Assistance was provided: -Ms. Watson inquired about volunteers and was informed of the definition in Child Care Rules defining a volunteer. Refer to Child Care Rule 10A NCAC 09 .0102 (45) DEFINITIONS (45) "Staff" or "staff member" as used in this Chapter includes child care providers, substitute providers, and uncompensated providers. Volunteers, as defined in this Rule, are not staff members. Refer to Child Care Rule: 10A NCAC 09 .0102 (52) Definitions: (52) "Volunteer" means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years of age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. -Refer to Child Care Rule 10A NCAC 09 .0701 Health Standards For Child Care Providers, Substitute Providers, Volunteers, and Uncompensated Providers, for required forms. -Ongoing training hours were discussed with Ms. Watson. Refer to Child Care Rule 10A NCAC 09 .1103 On-going Training and Professional Development. According to information in Works, Ms. Watson has her North Carolina Early Childhood Credential and has twenty years of child care experience. Ms. Watson was informed that she will have to meet ten (10) hours of on-going training hours annually. -Infants are not allowed to sleep in sitting devices such as car-seats (carriers). Upon arrival, immediately remove infants from car-seats, and do not allow to sleep in devices. Refer to Child Care Rule 10A NCAC 09 .1721 (a)(11-12): (11) Specifies that infants aged 12 months or younger shall be prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (12) specifies any other steps the operator shall take to provide a safe sleep environment for infants aged 12 months or younger. -Make sure to place sleeping infants initially on their backs for sleep, and continue to provide supervised “tummy time.” Also, continue to document sleep for infants on sleep charts. -A sample certificate, “I Can Roll Over,” was provided (emailed) to use for infants that begin to roll-over during sleep. The provider was encouraged to discuss with parent(s) when an infant begins to roll-over during sleep, and to document when an infant can roll-over. -Do not warm bottles in the microwave. Bottles that was warmed in the microwave could potentially burn an infant during feeding. Refer to Child Care Rule 10A NCAC 09 .1706(p). -Ms. Watson stated that has not had any incidents, and was reminded to complete an incident report and log incidents on the incident log. The log is to be cumulative and maintained for review by a representative from the Division of Child Development. -Provider forms are available on the Division's website, https://ncchildcare.ncdhhs.gov/, under "Provider Documents." The visit summary was reviewed, signed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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 .1103 · Violation

Name of Operation: KAREN'S WORLD OF JOY Facility ID: 60001800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 2/5/2024 Number Present: 5 Completed Date: 2/5/2024 Age: From 0 To 1 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Three Star License issued May 18, 2022, and had a compliance history score of 100% prior today’s visit. The facility’s last Annual Compliance Visit was February 7, 2023. The facility is "current/active" with the Secretary of State; compliance met. I was greeted by the owner/operator, Ms. Karen Watson, and I explained the purpose of the visit; no one else was present in the home during the visit. Ms. Watson provides first shift and second shift child care. She stated that she does not have any children enrolled on second shift. There were five (5) children present during today's visit. The permit restriction met compliance. Upon arrival, the four (4) children were having independent play. One (1) infant arrived during the visit. The infant fell asleep in a carrier after arrival, and a violation was cited. I observed appropriate handwashing at appropriate times, such as arrival, before and after eating, food handling, and during diapering and after diapering. The facility was monitored today with the Family Child Care Home Monitoring Checklist and the Family Child Care Home Item Number Listing. A copy of the checklist was provided to Ms. Watson after the visit. The following was observed posted: Current License, NC Summary of Child Care Law, Schedule, First Aid Sheet, Activity Plan, Safe Sleep Poster, Safe Sleep Policy, and the Emergency Medical Care Plan. Monthly Fire Drills, Shelter-in-Place/Lockdown Drills, and Playground Inspections were observed and compliance was met. Ms. Watson is using an approved curriculum, the Sunshine Express and Ms. Watson uses Buttercups. The daily attendance and arrival and departure times were reviewed and met compliance. The child care facility, including the bathroom, child care room, kitchen, and outdoor play area was monitored during the visit. Soap and toilet paper were available in the bathroom for use. The toys and equipment were in good repair. In the kitchen, there was a working fire extinguisher, working thermometer in the refrigerator, and smoke detectors. Ms. Watson's file was monitored and observed for IT-SIDS training, Health Questionnaire, Emergency Information, First Aid and CPR, and Criminal Qualifying Letters; Mr. Watson has a current CBC letter on file and a current Health Questionnaire; no one else resides in the home. Ms. Watson met the required number of training hours; compliance met. The children’s files were monitored today, and the children's records met compliance. I observed Infant Feeding Plans and Infant Safe Sleep logs, and compliance was met. Ms. Watson does not have any pets. There are no children enrolled with allergies, and there are no children on medication or emergency medication. The outdoor play area was observed, and there were no hazards observed. The outdoor play area was clean and the toys were in good repair; balls, push toys, and other toys were available for outdoor play. Ms. Watson does not provide transportation and a vehicle was available in case of an emergency. The Written Plan of care was verified. An approved Sanitation Inspection was conducted on October 30, 2023, with a demerit score of zero (0). The Emergency Preparedness and Response Plan (EPR) was reviewed, and the Plan was updated January 9, 2024. Two (2) violations were cited. Violation Number Comment Rule 1943 An infant was observed sleeping in a seating device. A sleeping infant was not removed after falling asleep in a carrier. .1724(a)(11) 1991 Microwaves were used to thaw or warm breast milk, baby food, formula, or other bottled beverages. A bottle was observed warmed in the microwave. .1706(p) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 19, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. The following Technical Assistance was provided: -Ms. Watson inquired about volunteers and was informed of the definition in Child Care Rules defining a volunteer. Refer to Child Care Rule 10A NCAC 09 .0102 (45) DEFINITIONS (45) "Staff" or "staff member" as used in this Chapter includes child care providers, substitute providers, and uncompensated providers. Volunteers, as defined in this Rule, are not staff members. Refer to Child Care Rule: 10A NCAC 09 .0102 (52) Definitions: (52) "Volunteer" means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years of age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. -Refer to Child Care Rule 10A NCAC 09 .0701 Health Standards For Child Care Providers, Substitute Providers, Volunteers, and Uncompensated Providers, for required forms. -Ongoing training hours were discussed with Ms. Watson. Refer to Child Care Rule 10A NCAC 09 .1103 On-going Training and Professional Development. According to information in Works, Ms. Watson has her North Carolina Early Childhood Credential and has twenty years of child care experience. Ms. Watson was informed that she will have to meet ten (10) hours of on-going training hours annually. -Infants are not allowed to sleep in sitting devices such as car-seats (carriers). Upon arrival, immediately remove infants from car-seats, and do not allow to sleep in devices. Refer to Child Care Rule 10A NCAC 09 .1721 (a)(11-12): (11) Specifies that infants aged 12 months or younger shall be prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (12) specifies any other steps the operator shall take to provide a safe sleep environment for infants aged 12 months or younger. -Make sure to place sleeping infants initially on their backs for sleep, and continue to provide supervised “tummy time.” Also, continue to document sleep for infants on sleep charts. -A sample certificate, “I Can Roll Over,” was provided (emailed) to use for infants that begin to roll-over during sleep. The provider was encouraged to discuss with parent(s) when an infant begins to roll-over during sleep, and to document when an infant can roll-over. -Do not warm bottles in the microwave. Bottles that was warmed in the microwave could potentially burn an infant during feeding. Refer to Child Care Rule 10A NCAC 09 .1706(p). -Ms. Watson stated that has not had any incidents, and was reminded to complete an incident report and log incidents on the incident log. The log is to be cumulative and maintained for review by a representative from the Division of Child Development. -Provider forms are available on the Division's website, https://ncchildcare.ncdhhs.gov/, under "Provider Documents." The visit summary was reviewed, signed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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 .1706 · Violation

Name of Operation: KAREN'S WORLD OF JOY Facility ID: 60001800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 2/5/2024 Number Present: 5 Completed Date: 2/5/2024 Age: From 0 To 1 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Three Star License issued May 18, 2022, and had a compliance history score of 100% prior today’s visit. The facility’s last Annual Compliance Visit was February 7, 2023. The facility is "current/active" with the Secretary of State; compliance met. I was greeted by the owner/operator, Ms. Karen Watson, and I explained the purpose of the visit; no one else was present in the home during the visit. Ms. Watson provides first shift and second shift child care. She stated that she does not have any children enrolled on second shift. There were five (5) children present during today's visit. The permit restriction met compliance. Upon arrival, the four (4) children were having independent play. One (1) infant arrived during the visit. The infant fell asleep in a carrier after arrival, and a violation was cited. I observed appropriate handwashing at appropriate times, such as arrival, before and after eating, food handling, and during diapering and after diapering. The facility was monitored today with the Family Child Care Home Monitoring Checklist and the Family Child Care Home Item Number Listing. A copy of the checklist was provided to Ms. Watson after the visit. The following was observed posted: Current License, NC Summary of Child Care Law, Schedule, First Aid Sheet, Activity Plan, Safe Sleep Poster, Safe Sleep Policy, and the Emergency Medical Care Plan. Monthly Fire Drills, Shelter-in-Place/Lockdown Drills, and Playground Inspections were observed and compliance was met. Ms. Watson is using an approved curriculum, the Sunshine Express and Ms. Watson uses Buttercups. The daily attendance and arrival and departure times were reviewed and met compliance. The child care facility, including the bathroom, child care room, kitchen, and outdoor play area was monitored during the visit. Soap and toilet paper were available in the bathroom for use. The toys and equipment were in good repair. In the kitchen, there was a working fire extinguisher, working thermometer in the refrigerator, and smoke detectors. Ms. Watson's file was monitored and observed for IT-SIDS training, Health Questionnaire, Emergency Information, First Aid and CPR, and Criminal Qualifying Letters; Mr. Watson has a current CBC letter on file and a current Health Questionnaire; no one else resides in the home. Ms. Watson met the required number of training hours; compliance met. The children’s files were monitored today, and the children's records met compliance. I observed Infant Feeding Plans and Infant Safe Sleep logs, and compliance was met. Ms. Watson does not have any pets. There are no children enrolled with allergies, and there are no children on medication or emergency medication. The outdoor play area was observed, and there were no hazards observed. The outdoor play area was clean and the toys were in good repair; balls, push toys, and other toys were available for outdoor play. Ms. Watson does not provide transportation and a vehicle was available in case of an emergency. The Written Plan of care was verified. An approved Sanitation Inspection was conducted on October 30, 2023, with a demerit score of zero (0). The Emergency Preparedness and Response Plan (EPR) was reviewed, and the Plan was updated January 9, 2024. Two (2) violations were cited. Violation Number Comment Rule 1943 An infant was observed sleeping in a seating device. A sleeping infant was not removed after falling asleep in a carrier. .1724(a)(11) 1991 Microwaves were used to thaw or warm breast milk, baby food, formula, or other bottled beverages. A bottle was observed warmed in the microwave. .1706(p) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 19, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. The following Technical Assistance was provided: -Ms. Watson inquired about volunteers and was informed of the definition in Child Care Rules defining a volunteer. Refer to Child Care Rule 10A NCAC 09 .0102 (45) DEFINITIONS (45) "Staff" or "staff member" as used in this Chapter includes child care providers, substitute providers, and uncompensated providers. Volunteers, as defined in this Rule, are not staff members. Refer to Child Care Rule: 10A NCAC 09 .0102 (52) Definitions: (52) "Volunteer" means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years of age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. -Refer to Child Care Rule 10A NCAC 09 .0701 Health Standards For Child Care Providers, Substitute Providers, Volunteers, and Uncompensated Providers, for required forms. -Ongoing training hours were discussed with Ms. Watson. Refer to Child Care Rule 10A NCAC 09 .1103 On-going Training and Professional Development. According to information in Works, Ms. Watson has her North Carolina Early Childhood Credential and has twenty years of child care experience. Ms. Watson was informed that she will have to meet ten (10) hours of on-going training hours annually. -Infants are not allowed to sleep in sitting devices such as car-seats (carriers). Upon arrival, immediately remove infants from car-seats, and do not allow to sleep in devices. Refer to Child Care Rule 10A NCAC 09 .1721 (a)(11-12): (11) Specifies that infants aged 12 months or younger shall be prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (12) specifies any other steps the operator shall take to provide a safe sleep environment for infants aged 12 months or younger. -Make sure to place sleeping infants initially on their backs for sleep, and continue to provide supervised “tummy time.” Also, continue to document sleep for infants on sleep charts. -A sample certificate, “I Can Roll Over,” was provided (emailed) to use for infants that begin to roll-over during sleep. The provider was encouraged to discuss with parent(s) when an infant begins to roll-over during sleep, and to document when an infant can roll-over. -Do not warm bottles in the microwave. Bottles that was warmed in the microwave could potentially burn an infant during feeding. Refer to Child Care Rule 10A NCAC 09 .1706(p). -Ms. Watson stated that has not had any incidents, and was reminded to complete an incident report and log incidents on the incident log. The log is to be cumulative and maintained for review by a representative from the Division of Child Development. -Provider forms are available on the Division's website, https://ncchildcare.ncdhhs.gov/, under "Provider Documents." The visit summary was reviewed, signed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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 .1721 · Violation

Name of Operation: KAREN'S WORLD OF JOY Facility ID: 60001800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 2/5/2024 Number Present: 5 Completed Date: 2/5/2024 Age: From 0 To 1 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Three Star License issued May 18, 2022, and had a compliance history score of 100% prior today’s visit. The facility’s last Annual Compliance Visit was February 7, 2023. The facility is "current/active" with the Secretary of State; compliance met. I was greeted by the owner/operator, Ms. Karen Watson, and I explained the purpose of the visit; no one else was present in the home during the visit. Ms. Watson provides first shift and second shift child care. She stated that she does not have any children enrolled on second shift. There were five (5) children present during today's visit. The permit restriction met compliance. Upon arrival, the four (4) children were having independent play. One (1) infant arrived during the visit. The infant fell asleep in a carrier after arrival, and a violation was cited. I observed appropriate handwashing at appropriate times, such as arrival, before and after eating, food handling, and during diapering and after diapering. The facility was monitored today with the Family Child Care Home Monitoring Checklist and the Family Child Care Home Item Number Listing. A copy of the checklist was provided to Ms. Watson after the visit. The following was observed posted: Current License, NC Summary of Child Care Law, Schedule, First Aid Sheet, Activity Plan, Safe Sleep Poster, Safe Sleep Policy, and the Emergency Medical Care Plan. Monthly Fire Drills, Shelter-in-Place/Lockdown Drills, and Playground Inspections were observed and compliance was met. Ms. Watson is using an approved curriculum, the Sunshine Express and Ms. Watson uses Buttercups. The daily attendance and arrival and departure times were reviewed and met compliance. The child care facility, including the bathroom, child care room, kitchen, and outdoor play area was monitored during the visit. Soap and toilet paper were available in the bathroom for use. The toys and equipment were in good repair. In the kitchen, there was a working fire extinguisher, working thermometer in the refrigerator, and smoke detectors. Ms. Watson's file was monitored and observed for IT-SIDS training, Health Questionnaire, Emergency Information, First Aid and CPR, and Criminal Qualifying Letters; Mr. Watson has a current CBC letter on file and a current Health Questionnaire; no one else resides in the home. Ms. Watson met the required number of training hours; compliance met. The children’s files were monitored today, and the children's records met compliance. I observed Infant Feeding Plans and Infant Safe Sleep logs, and compliance was met. Ms. Watson does not have any pets. There are no children enrolled with allergies, and there are no children on medication or emergency medication. The outdoor play area was observed, and there were no hazards observed. The outdoor play area was clean and the toys were in good repair; balls, push toys, and other toys were available for outdoor play. Ms. Watson does not provide transportation and a vehicle was available in case of an emergency. The Written Plan of care was verified. An approved Sanitation Inspection was conducted on October 30, 2023, with a demerit score of zero (0). The Emergency Preparedness and Response Plan (EPR) was reviewed, and the Plan was updated January 9, 2024. Two (2) violations were cited. Violation Number Comment Rule 1943 An infant was observed sleeping in a seating device. A sleeping infant was not removed after falling asleep in a carrier. .1724(a)(11) 1991 Microwaves were used to thaw or warm breast milk, baby food, formula, or other bottled beverages. A bottle was observed warmed in the microwave. .1706(p) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 19, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. The following Technical Assistance was provided: -Ms. Watson inquired about volunteers and was informed of the definition in Child Care Rules defining a volunteer. Refer to Child Care Rule 10A NCAC 09 .0102 (45) DEFINITIONS (45) "Staff" or "staff member" as used in this Chapter includes child care providers, substitute providers, and uncompensated providers. Volunteers, as defined in this Rule, are not staff members. Refer to Child Care Rule: 10A NCAC 09 .0102 (52) Definitions: (52) "Volunteer" means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years of age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. -Refer to Child Care Rule 10A NCAC 09 .0701 Health Standards For Child Care Providers, Substitute Providers, Volunteers, and Uncompensated Providers, for required forms. -Ongoing training hours were discussed with Ms. Watson. Refer to Child Care Rule 10A NCAC 09 .1103 On-going Training and Professional Development. According to information in Works, Ms. Watson has her North Carolina Early Childhood Credential and has twenty years of child care experience. Ms. Watson was informed that she will have to meet ten (10) hours of on-going training hours annually. -Infants are not allowed to sleep in sitting devices such as car-seats (carriers). Upon arrival, immediately remove infants from car-seats, and do not allow to sleep in devices. Refer to Child Care Rule 10A NCAC 09 .1721 (a)(11-12): (11) Specifies that infants aged 12 months or younger shall be prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (12) specifies any other steps the operator shall take to provide a safe sleep environment for infants aged 12 months or younger. -Make sure to place sleeping infants initially on their backs for sleep, and continue to provide supervised “tummy time.” Also, continue to document sleep for infants on sleep charts. -A sample certificate, “I Can Roll Over,” was provided (emailed) to use for infants that begin to roll-over during sleep. The provider was encouraged to discuss with parent(s) when an infant begins to roll-over during sleep, and to document when an infant can roll-over. -Do not warm bottles in the microwave. Bottles that was warmed in the microwave could potentially burn an infant during feeding. Refer to Child Care Rule 10A NCAC 09 .1706(p). -Ms. Watson stated that has not had any incidents, and was reminded to complete an incident report and log incidents on the incident log. The log is to be cumulative and maintained for review by a representative from the Division of Child Development. -Provider forms are available on the Division's website, https://ncchildcare.ncdhhs.gov/, under "Provider Documents." The visit summary was reviewed, signed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: KAREN'S WORLD OF JOY Facility ID: 60001800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 2/5/2024 Number Present: 5 Completed Date: 2/5/2024 Age: From 0 To 1 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Three Star License issued May 18, 2022, and had a compliance history score of 100% prior today’s visit. The facility’s last Annual Compliance Visit was February 7, 2023. The facility is "current/active" with the Secretary of State; compliance met. I was greeted by the owner/operator, Ms. Karen Watson, and I explained the purpose of the visit; no one else was present in the home during the visit. Ms. Watson provides first shift and second shift child care. She stated that she does not have any children enrolled on second shift. There were five (5) children present during today's visit. The permit restriction met compliance. Upon arrival, the four (4) children were having independent play. One (1) infant arrived during the visit. The infant fell asleep in a carrier after arrival, and a violation was cited. I observed appropriate handwashing at appropriate times, such as arrival, before and after eating, food handling, and during diapering and after diapering. The facility was monitored today with the Family Child Care Home Monitoring Checklist and the Family Child Care Home Item Number Listing. A copy of the checklist was provided to Ms. Watson after the visit. The following was observed posted: Current License, NC Summary of Child Care Law, Schedule, First Aid Sheet, Activity Plan, Safe Sleep Poster, Safe Sleep Policy, and the Emergency Medical Care Plan. Monthly Fire Drills, Shelter-in-Place/Lockdown Drills, and Playground Inspections were observed and compliance was met. Ms. Watson is using an approved curriculum, the Sunshine Express and Ms. Watson uses Buttercups. The daily attendance and arrival and departure times were reviewed and met compliance. The child care facility, including the bathroom, child care room, kitchen, and outdoor play area was monitored during the visit. Soap and toilet paper were available in the bathroom for use. The toys and equipment were in good repair. In the kitchen, there was a working fire extinguisher, working thermometer in the refrigerator, and smoke detectors. Ms. Watson's file was monitored and observed for IT-SIDS training, Health Questionnaire, Emergency Information, First Aid and CPR, and Criminal Qualifying Letters; Mr. Watson has a current CBC letter on file and a current Health Questionnaire; no one else resides in the home. Ms. Watson met the required number of training hours; compliance met. The children’s files were monitored today, and the children's records met compliance. I observed Infant Feeding Plans and Infant Safe Sleep logs, and compliance was met. Ms. Watson does not have any pets. There are no children enrolled with allergies, and there are no children on medication or emergency medication. The outdoor play area was observed, and there were no hazards observed. The outdoor play area was clean and the toys were in good repair; balls, push toys, and other toys were available for outdoor play. Ms. Watson does not provide transportation and a vehicle was available in case of an emergency. The Written Plan of care was verified. An approved Sanitation Inspection was conducted on October 30, 2023, with a demerit score of zero (0). The Emergency Preparedness and Response Plan (EPR) was reviewed, and the Plan was updated January 9, 2024. Two (2) violations were cited. Violation Number Comment Rule 1943 An infant was observed sleeping in a seating device. A sleeping infant was not removed after falling asleep in a carrier. .1724(a)(11) 1991 Microwaves were used to thaw or warm breast milk, baby food, formula, or other bottled beverages. A bottle was observed warmed in the microwave. .1706(p) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 19, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. The following Technical Assistance was provided: -Ms. Watson inquired about volunteers and was informed of the definition in Child Care Rules defining a volunteer. Refer to Child Care Rule 10A NCAC 09 .0102 (45) DEFINITIONS (45) "Staff" or "staff member" as used in this Chapter includes child care providers, substitute providers, and uncompensated providers. Volunteers, as defined in this Rule, are not staff members. Refer to Child Care Rule: 10A NCAC 09 .0102 (52) Definitions: (52) "Volunteer" means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years of age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. -Refer to Child Care Rule 10A NCAC 09 .0701 Health Standards For Child Care Providers, Substitute Providers, Volunteers, and Uncompensated Providers, for required forms. -Ongoing training hours were discussed with Ms. Watson. Refer to Child Care Rule 10A NCAC 09 .1103 On-going Training and Professional Development. According to information in Works, Ms. Watson has her North Carolina Early Childhood Credential and has twenty years of child care experience. Ms. Watson was informed that she will have to meet ten (10) hours of on-going training hours annually. -Infants are not allowed to sleep in sitting devices such as car-seats (carriers). Upon arrival, immediately remove infants from car-seats, and do not allow to sleep in devices. Refer to Child Care Rule 10A NCAC 09 .1721 (a)(11-12): (11) Specifies that infants aged 12 months or younger shall be prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (12) specifies any other steps the operator shall take to provide a safe sleep environment for infants aged 12 months or younger. -Make sure to place sleeping infants initially on their backs for sleep, and continue to provide supervised “tummy time.” Also, continue to document sleep for infants on sleep charts. -A sample certificate, “I Can Roll Over,” was provided (emailed) to use for infants that begin to roll-over during sleep. The provider was encouraged to discuss with parent(s) when an infant begins to roll-over during sleep, and to document when an infant can roll-over. -Do not warm bottles in the microwave. Bottles that was warmed in the microwave could potentially burn an infant during feeding. Refer to Child Care Rule 10A NCAC 09 .1706(p). -Ms. Watson stated that has not had any incidents, and was reminded to complete an incident report and log incidents on the incident log. The log is to be cumulative and maintained for review by a representative from the Division of Child Development. -Provider forms are available on the Division's website, https://ncchildcare.ncdhhs.gov/, under "Provider Documents." The visit summary was reviewed, signed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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.