GS 110-91 · Violation

Name of Operation: PRECIOUS LITTLE ONES Facility ID: 60004186 Consultant: DENISE WATSON Operation Type: Family CC Home Case Number: Visit Date: 1/30/2024 Number Present: 4 Completed Date: 1/30/2024 Age: From 1 To 4 Total Minutes: 160 Time In: 09:20 AM Time Out: 12:00 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 is to monitor all applicable childcare requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 2/16/2023. The 4 Star Rated License was issued on 09/07/2022. I was let into the facility by operator Ashley Harris. She was present with four (4) children. The August 2023 version of the Family Child Care Home Master Item Number Listing and a checklist was used to note the requirements I monitored today. This facility has a compliance percentage of 95% as of today. Children were observed having breakfast, teacher directed activities, and routine needs met. There were ample toys and activities available. Ms. Harris's interactions were positive and she was very engaging with the children. Attendance was monitored. Summary of law, first aid sheet, and emergency numbers were posted. The facility's ready to go file, and professional development plan was monitored. Monthly Fire Drills, Emergency Preparedness Drills, and Playground inspections were monitored. A sanitation inspection was completed in 09/19/2023. Children's files were monitored for Application, Emergency Care Authorization, Medical/Immunization, Discipline Statement, Summary of Law, No smoking statement, Shaken Baby Syndrome policy, and Outside fence permission (if applicable). The provider's file was monitored for Criminal Qualifying Letters, First Aid and CPR coverage, Health and Safety Trainings, Shaken Baby Syndrome Policy, Special Trainings, On-going Training hours, and Annual Health Questionnaire. This facility does not provide routine transportation, only for field trips. There are no children enrolled with medication. One (1) child has an allergy but no medication is present for them. The outdoor play area was monitored. The bathroom and kitchen area was monitored. The following violations were cited during today's visit: Violation Number Comment Rule 908 Health questionnaire was not completed annually. The provider and additional caregiver did not complete a health questionnaire annually. .1703(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Two school age children didn't have a copy of their immunization record on file. GS 110-91(1); .1721(a)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. A shelter in place or lockdown drill record was not completed since June 2023. .1719(a )(16) & .1721(e )(7) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training on 2/27/23. .1714(c) 2022 Operator and/or staff members did not complete the required health and safety trainings within the specified time frame. Operator did not complete the required health and safety trainings within the specified time frame. .1703(b) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. Operator did not complete a professional development plan within one year of employment. .1703(i) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by February 13, 2024. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance The following forms can be found under provider documents on the DCDEE website: Health Questionnaire, Professional Development Plan, and Health and Safety training documentation. The website to the Emergency Preparedness Plan portal will be made available to you via email. When participating in field trips, make sure that you have completed and signed field trip permission documentation, and take emergency information for each child with you. Please continue to check the DCDEE website weekly as new information is added as well as emails from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte NC 28224 denise.watson@dhhs.nc.gov (704) 564-2910 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 .0701 · Violation

Name of Operation: PRECIOUS LITTLE ONES Facility ID: 60004186 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 8/18/2023 Number Present: 6 Completed Date: 8/18/2023 Age: From 2 To 7 Total Minutes: 140 Time In: 08:40 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Family CC Home 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. I was greeted by the Owner/Operator Ms. Ashley Harris. No one else was present in the home during the visit. The facility had a Four-Star License issued September 7, 2022, and an eighteen-month compliance history score of 84% prior to today’s visit. The Annual Compliance visit was completed on February 16, 2023. Six (6) children was present, four (4) preschool age children and two (2) school age children, during today’s visit. I observed two (2) children arriving and I observed proper handwashing upon their arrival to the facility. I observed breakfast served: French toast sticks, sausage links, fruit (grapes), and milk. Ms. Harris used nurturing tones and provided adequate supervision. There are no children enrolled on second shift. Ms. Harris has hired a substitute, Ms. La'Quisha Mercer, that works part time. Ms. Mercer was not present during the visit. The following child care requirements were monitored and observed today using the Family Child Care Home Checklist and the Master Family Child Care Home Item Number Listing: Supervision: The children were adequately supervised. Nurturing tones were heard when Ms. Harris spoke with the children. Staff/Child Ratio: The ratio was maintained during today’s visit. CPR: Ms. Harris and Ms. Mercer has current CPR. First Aid: Ms. Harris and Ms. Mercer has current First Aid. Special Training: Ms. Harris has been completing in-service training since the last visit made to the facility. Ms. Mercer has completed some training and has began the Health and Safety Training; has completed Child Maltreatment Training. CBC Qualification: Ms. Harris and Ms. Mercer was current with CBC qualification. No one else resides in the home with Ms. Harris. ITS-SIDS: Ms. Harris ITS-SIDS training certificate was current and the safe sleep poster and safe sleep policy was posted; no infants currently enrolled. Ms. Mercer has completed ITS-SIDS training. Emergency Medical Care Plan: The Emergency Care Plan was posted. allergies were posted. Administration of Medication: No medications are administered in this facility; Storage of Hazardous Substances: I did observe hazardous substances that were accessible, and a violation was cited. Storage of Medication: Medication is not administered or stored in this facility. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit was observed in the licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill was not complete and up to date, and a violation was cited. The quarterly drill (shelter-in-place) was up to date. The playground inspections were not complete and up to date, and a violation was cited. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed September 30, 2022. The Emergency Preparedness and Response Plan (EPR) was reviewed; completed by the provider April 2023. Three (3) violations were cited during today's visit. Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. The garage door was unlocked and contained cleaning items (Ex: Mr. Clean). .1719 (a)(7) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. The playground inspection for July 2023 was not completed and available for review. .1721 (e)(7) 1853 The operator did not conduct a monthly fire drill. The fire drill for July 2023 was not conducted. .1719(a)(15) & .1721( e)(2) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Friday, September 1, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five years to renew their criminal record check instead of every three (3) years. -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. -NCDHHS Children’s Environmental Health will be conducting a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. -The North Carolina Child Care Commission and the North Carolina Department of Health and Human Services Division of Child Development and Early Education are collaborating to modernize NC’s child care quality rating and improvement system (QRIS), commonly known as the Star Rated License. We are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. -If you are unable to attend these sessions, you may also complete an online survey or write to DCDEE_QRIS@dhhs.nc.gov. -Stabilization Grant Funds paid for Quarters 1-6 must be spent by September 30, 2023. -For substitute caregivers, refer to Child Care Rule 10A NCAC 09 .0701 Health Standards For Child Care Providers, Substitute Providers, Volunteers, and Uncompensated Providers. -As a reminder, Ms. Harris must complete ten (10) hours of ongoing training hours annually. -A compliance score of 75% must be maintained in order to meet compliance. -Upload the Emergency Preparedness and Response Plan template to the EPR Portal; instructions emailed during the visit. -Dice seedless grapes when served to prevent choking hazard. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, or 704-962-7854, for questions or concerns, regarding today's visit. 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.