10A NCAC 09 .1720 · Violation

Name of Operation: STEP BY STEP IN HOME DAYCARE Facility ID: 60004247 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 12/12/2024 Number Present: 5 Completed Date: 12/12/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 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 unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance. The facility had a Five Star Rated License issued March 07, 2023 and an eighteen month compliance history of 89% prior to today’s visit. The March 2024 FCCH Item Number Listing and the March 2023 Annual Compliance Checklist were used to monitor today. A copy of the Annual Compliance Checklist was left with the operator. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Y. Moore, owner/operator, at the front entrance of the home where explained the purpose of today’s visit. Ms. Moore was present with five (5) enrolled preschool children between the ages of eight months and four years of age. There are a total of five (5) preschool children enrolled on first shift and the three school-age children. There are currently no children enrolled on second shift. During today’s visit children were observed engaging in free play activities, meal-time, transitional activities, a group learning activity, and personal care routines. A walk through of the program was conducted. The one (1) licensed childcare space, the program’s bathroom, spaces adjacent to the child care space, kitchen and outdoor learning environment were monitored. In the childcare space it was observed that there was a coin and a container of Vaseline being stored on a table in this space, along the path of travel and accessible to children. I reminded Ms. Moore that each of these poses a safety hazard to children, as the coin is a choking hazard and the Vaseline is a topical agent. Both items need to be removed immediately and made inaccessible to children. In the kitchen one unused electrical outlet located at the end of the sink/serving island was observed not covered with a safety plug when not in use. It was also observed that one (1) unused electrical outlet located on the wall near the food preparation in the kitchen was not covered with a safety plug when not in use. This was shared with the provider and corrected during the visit. The outdoor learning environment was monitored. It was observed that there were two (2) Cozy Coupe Car riding toys present with bolts that contained visible rusting, there was a Little Tykes table present with a damaged tabletop and there was an uncovered Sandbox present filled with standing water containing debris. It was also observed that a broken metal rod was present on the grass near the patio area and accessible to children. The FCCH was within capacity and adequate supervision was observed. During today’s visit Ms. Moore’s file was reviewed. It was observed that she is current on all required specialized training and have certificates readily on file for verification. Ms. Moore is required to receive eight (8) in-service training hours annually. She currently has received four (4) and brought over four (4) hours from the previous year to meet this requirement. Ms. Moore has completed the required five (5) year renewal for her Health and Safety trainings. All household members have current CBC qualifying letters. Ms. Moore had a file available for review for all enrolled children. Four (4) children’s files were reviewed during today’s visit. It was observed that three (3) children did not have completed Discipline Acknowledgments on file or completed acknowledgements on file for reviewing the program’s Shaken Baby policy. It was also observed that one child under twelve months of age did not have a completed Safe Sleep policy on file that had been customized to show the program’s specific Safe Sleep Policy. Transportation was monitored today and found to be in compliance. Emergency medication was monitored. It was observed that one emergency medication being stored onsite for a child with a chronic medical condition was not stored in its original container or had its original container available for review. It was also observed that two children had over the counter emergency medication, Benadryl, present but they did not have the corresponding permission to administer form completed and on file. This medication was also observed being stored in an unlocked medication box on the kitchen counter and not inaccessible to children, as required. Program records were monitored. Fire and emergency drills were completed as required. Outdoor inspections for the past twelve months were completed as required. The Emergency Response and Preparedness Plan/Ready to Go File was reviewed. It was observed to have been updated annually and containing all information as required. The facility's incident log was monitored and it was observed that incident reports are being stored with the incident log and not being maintained in each child's file, as required. The last sanitation inspection was conducted on 12/20/23 receiving no demerits and receiving a Superior rating. There were ten (10) violations cited today. Violation Number Comment Rule 512 Incident reports were not complete and maintained in the child's file and/or were not signed by the person completing it and by the parent. The facility's incident log was monitored and it was observed that incident reports are being stored with the incident log and not being maintained in each child's file, as required. .1721(e)(3)(A-L) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. The outdoor learning environment was monitored. It was observed that there were two (2) Cozy Coupe Car riding toys present with bolts that contained visible rusting, there was a Little Tykes table present with a damaged tabletop and there was an uncovered Sandbox present filled with standing water containing debris. It was also observed that a broken metal rod was present on the grass near the patio area and accessible to children. .1719(a)(1)&(17) 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. In the childcare space it was observed that there was a container of Vaseline being stored on a table in this space, along the path of travel and accessible to children. .1719 (a) (1) 716 Electrical outlets not in use were not covered. In the kitchen one unused electrical outlet located at the end of the sink/serving island was observed not covered with a safety plug when not in use. It was also observed that one (1) unused electrical outlet located on the wall near the food preparation in the kitchen was not covered with a safety plug when not in use. 10A NCAC .1719(a)(27) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Four (4) children’s files were reviewed during today’s visit. It was observed that three (3) children did not have completed discipline acknowledgments on file. G.S.110-91(10); .1727(a)&(b) 1401 Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label. Emergency medication was monitored. It was observed that one emergency medication being stored onsite for a child with a chronic medical condition was not stored in its original container or had its original container available for review. 10A NCAC 09 .1720(c)(1)&(2) 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I).Emergency medication was monitored. It was observed that two children had over the counter emergency medication, Benadryl, present but they did not have the corresponding permission to administer form completed and on file. 10A NCAC 09 .1720(b)(4) 1803 Safe sleep policy did not contain the required information as indicated in rule .1724(a)(1-12). Four (4) children’s files were reviewed during today’s visit. It was observed that one child under twelve months of age did not have a completed Safe Sleep policy on file that had been customized to show the program’s specific Safe Sleep Policy. G.S. 110-91(15)(a)(b) & .1724(a)(1-12) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. In the childcare space it was observed that there was a coin being stored on a table in the childcare space, along the path of travel and accessible to children. .1719(a)(18) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. Four (4) children’s files were reviewed during today’s visit. It was observed that three (3) children did not have completed acknowledgements on file for reviewing the program’s Shaken Baby policy. .1726(b)&(c) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Thursday December 26, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -During today’s visit Ms. Moore and I discussed the importance of ensuring that all medication related paperwork is completed in its entirety to ensure that information is accurately obtained and reflected. -During today’s visit the provider was reminded of the importance of ensuring that all program related forms, required documentation for children and program specific policy requiring signed acknowledgements from either parents or other caregivers are completed in their entirety to ensure the program remains in compliance. -During today’s visit the provider was reminded that incident reports are to be maintained in each child's file and separate from the facility’s incident log. -The provider was reminded that it is best practice to monitor both indoor and outdoor areas used by the children consistently to ensure they are kept clean, orderly, and free of items which are potentially hazardous. We spoke specifically about items including but not limited to coins, toys/items with small parts, hazardous materials, items with visible rusting, areas with standing water and broken items. -The provider was reminded that all unused electrical outlets that are accessible to child must be covered with safety plugs when not in use. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -It was suggested that all annual updates and parent acknowledgement statements be put on signature pages to ensure that this is occurring as required. -Quality Everyday (QED) through CCRI is available and works with one (1), two (2), three (3), four (4), and five (5) Star facilities. Thank you for your time today and if you have any questions, please feel free to contact me, Resha K. Washington by phone at 704-910-7947 or via email at resha.washington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: STEP BY STEP IN HOME DAYCARE Facility ID: 60004247 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 12/12/2024 Number Present: 5 Completed Date: 12/12/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 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 unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance. The facility had a Five Star Rated License issued March 07, 2023 and an eighteen month compliance history of 89% prior to today’s visit. The March 2024 FCCH Item Number Listing and the March 2023 Annual Compliance Checklist were used to monitor today. A copy of the Annual Compliance Checklist was left with the operator. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Y. Moore, owner/operator, at the front entrance of the home where explained the purpose of today’s visit. Ms. Moore was present with five (5) enrolled preschool children between the ages of eight months and four years of age. There are a total of five (5) preschool children enrolled on first shift and the three school-age children. There are currently no children enrolled on second shift. During today’s visit children were observed engaging in free play activities, meal-time, transitional activities, a group learning activity, and personal care routines. A walk through of the program was conducted. The one (1) licensed childcare space, the program’s bathroom, spaces adjacent to the child care space, kitchen and outdoor learning environment were monitored. In the childcare space it was observed that there was a coin and a container of Vaseline being stored on a table in this space, along the path of travel and accessible to children. I reminded Ms. Moore that each of these poses a safety hazard to children, as the coin is a choking hazard and the Vaseline is a topical agent. Both items need to be removed immediately and made inaccessible to children. In the kitchen one unused electrical outlet located at the end of the sink/serving island was observed not covered with a safety plug when not in use. It was also observed that one (1) unused electrical outlet located on the wall near the food preparation in the kitchen was not covered with a safety plug when not in use. This was shared with the provider and corrected during the visit. The outdoor learning environment was monitored. It was observed that there were two (2) Cozy Coupe Car riding toys present with bolts that contained visible rusting, there was a Little Tykes table present with a damaged tabletop and there was an uncovered Sandbox present filled with standing water containing debris. It was also observed that a broken metal rod was present on the grass near the patio area and accessible to children. The FCCH was within capacity and adequate supervision was observed. During today’s visit Ms. Moore’s file was reviewed. It was observed that she is current on all required specialized training and have certificates readily on file for verification. Ms. Moore is required to receive eight (8) in-service training hours annually. She currently has received four (4) and brought over four (4) hours from the previous year to meet this requirement. Ms. Moore has completed the required five (5) year renewal for her Health and Safety trainings. All household members have current CBC qualifying letters. Ms. Moore had a file available for review for all enrolled children. Four (4) children’s files were reviewed during today’s visit. It was observed that three (3) children did not have completed Discipline Acknowledgments on file or completed acknowledgements on file for reviewing the program’s Shaken Baby policy. It was also observed that one child under twelve months of age did not have a completed Safe Sleep policy on file that had been customized to show the program’s specific Safe Sleep Policy. Transportation was monitored today and found to be in compliance. Emergency medication was monitored. It was observed that one emergency medication being stored onsite for a child with a chronic medical condition was not stored in its original container or had its original container available for review. It was also observed that two children had over the counter emergency medication, Benadryl, present but they did not have the corresponding permission to administer form completed and on file. This medication was also observed being stored in an unlocked medication box on the kitchen counter and not inaccessible to children, as required. Program records were monitored. Fire and emergency drills were completed as required. Outdoor inspections for the past twelve months were completed as required. The Emergency Response and Preparedness Plan/Ready to Go File was reviewed. It was observed to have been updated annually and containing all information as required. The facility's incident log was monitored and it was observed that incident reports are being stored with the incident log and not being maintained in each child's file, as required. The last sanitation inspection was conducted on 12/20/23 receiving no demerits and receiving a Superior rating. There were ten (10) violations cited today. Violation Number Comment Rule 512 Incident reports were not complete and maintained in the child's file and/or were not signed by the person completing it and by the parent. The facility's incident log was monitored and it was observed that incident reports are being stored with the incident log and not being maintained in each child's file, as required. .1721(e)(3)(A-L) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. The outdoor learning environment was monitored. It was observed that there were two (2) Cozy Coupe Car riding toys present with bolts that contained visible rusting, there was a Little Tykes table present with a damaged tabletop and there was an uncovered Sandbox present filled with standing water containing debris. It was also observed that a broken metal rod was present on the grass near the patio area and accessible to children. .1719(a)(1)&(17) 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. In the childcare space it was observed that there was a container of Vaseline being stored on a table in this space, along the path of travel and accessible to children. .1719 (a) (1) 716 Electrical outlets not in use were not covered. In the kitchen one unused electrical outlet located at the end of the sink/serving island was observed not covered with a safety plug when not in use. It was also observed that one (1) unused electrical outlet located on the wall near the food preparation in the kitchen was not covered with a safety plug when not in use. 10A NCAC .1719(a)(27) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Four (4) children’s files were reviewed during today’s visit. It was observed that three (3) children did not have completed discipline acknowledgments on file. G.S.110-91(10); .1727(a)&(b) 1401 Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label. Emergency medication was monitored. It was observed that one emergency medication being stored onsite for a child with a chronic medical condition was not stored in its original container or had its original container available for review. 10A NCAC 09 .1720(c)(1)&(2) 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I).Emergency medication was monitored. It was observed that two children had over the counter emergency medication, Benadryl, present but they did not have the corresponding permission to administer form completed and on file. 10A NCAC 09 .1720(b)(4) 1803 Safe sleep policy did not contain the required information as indicated in rule .1724(a)(1-12). Four (4) children’s files were reviewed during today’s visit. It was observed that one child under twelve months of age did not have a completed Safe Sleep policy on file that had been customized to show the program’s specific Safe Sleep Policy. G.S. 110-91(15)(a)(b) & .1724(a)(1-12) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. In the childcare space it was observed that there was a coin being stored on a table in the childcare space, along the path of travel and accessible to children. .1719(a)(18) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. Four (4) children’s files were reviewed during today’s visit. It was observed that three (3) children did not have completed acknowledgements on file for reviewing the program’s Shaken Baby policy. .1726(b)&(c) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Thursday December 26, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -During today’s visit Ms. Moore and I discussed the importance of ensuring that all medication related paperwork is completed in its entirety to ensure that information is accurately obtained and reflected. -During today’s visit the provider was reminded of the importance of ensuring that all program related forms, required documentation for children and program specific policy requiring signed acknowledgements from either parents or other caregivers are completed in their entirety to ensure the program remains in compliance. -During today’s visit the provider was reminded that incident reports are to be maintained in each child's file and separate from the facility’s incident log. -The provider was reminded that it is best practice to monitor both indoor and outdoor areas used by the children consistently to ensure they are kept clean, orderly, and free of items which are potentially hazardous. We spoke specifically about items including but not limited to coins, toys/items with small parts, hazardous materials, items with visible rusting, areas with standing water and broken items. -The provider was reminded that all unused electrical outlets that are accessible to child must be covered with safety plugs when not in use. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -It was suggested that all annual updates and parent acknowledgement statements be put on signature pages to ensure that this is occurring as required. -Quality Everyday (QED) through CCRI is available and works with one (1), two (2), three (3), four (4), and five (5) Star facilities. Thank you for your time today and if you have any questions, please feel free to contact me, Resha K. Washington by phone at 704-910-7947 or via email at resha.washington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-91 · Violation

Name of Operation: STEP BY STEP IN HOME DAYCARE Facility ID: 60004247 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 12/12/2024 Number Present: 5 Completed Date: 12/12/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 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 unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance. The facility had a Five Star Rated License issued March 07, 2023 and an eighteen month compliance history of 89% prior to today’s visit. The March 2024 FCCH Item Number Listing and the March 2023 Annual Compliance Checklist were used to monitor today. A copy of the Annual Compliance Checklist was left with the operator. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Y. Moore, owner/operator, at the front entrance of the home where explained the purpose of today’s visit. Ms. Moore was present with five (5) enrolled preschool children between the ages of eight months and four years of age. There are a total of five (5) preschool children enrolled on first shift and the three school-age children. There are currently no children enrolled on second shift. During today’s visit children were observed engaging in free play activities, meal-time, transitional activities, a group learning activity, and personal care routines. A walk through of the program was conducted. The one (1) licensed childcare space, the program’s bathroom, spaces adjacent to the child care space, kitchen and outdoor learning environment were monitored. In the childcare space it was observed that there was a coin and a container of Vaseline being stored on a table in this space, along the path of travel and accessible to children. I reminded Ms. Moore that each of these poses a safety hazard to children, as the coin is a choking hazard and the Vaseline is a topical agent. Both items need to be removed immediately and made inaccessible to children. In the kitchen one unused electrical outlet located at the end of the sink/serving island was observed not covered with a safety plug when not in use. It was also observed that one (1) unused electrical outlet located on the wall near the food preparation in the kitchen was not covered with a safety plug when not in use. This was shared with the provider and corrected during the visit. The outdoor learning environment was monitored. It was observed that there were two (2) Cozy Coupe Car riding toys present with bolts that contained visible rusting, there was a Little Tykes table present with a damaged tabletop and there was an uncovered Sandbox present filled with standing water containing debris. It was also observed that a broken metal rod was present on the grass near the patio area and accessible to children. The FCCH was within capacity and adequate supervision was observed. During today’s visit Ms. Moore’s file was reviewed. It was observed that she is current on all required specialized training and have certificates readily on file for verification. Ms. Moore is required to receive eight (8) in-service training hours annually. She currently has received four (4) and brought over four (4) hours from the previous year to meet this requirement. Ms. Moore has completed the required five (5) year renewal for her Health and Safety trainings. All household members have current CBC qualifying letters. Ms. Moore had a file available for review for all enrolled children. Four (4) children’s files were reviewed during today’s visit. It was observed that three (3) children did not have completed Discipline Acknowledgments on file or completed acknowledgements on file for reviewing the program’s Shaken Baby policy. It was also observed that one child under twelve months of age did not have a completed Safe Sleep policy on file that had been customized to show the program’s specific Safe Sleep Policy. Transportation was monitored today and found to be in compliance. Emergency medication was monitored. It was observed that one emergency medication being stored onsite for a child with a chronic medical condition was not stored in its original container or had its original container available for review. It was also observed that two children had over the counter emergency medication, Benadryl, present but they did not have the corresponding permission to administer form completed and on file. This medication was also observed being stored in an unlocked medication box on the kitchen counter and not inaccessible to children, as required. Program records were monitored. Fire and emergency drills were completed as required. Outdoor inspections for the past twelve months were completed as required. The Emergency Response and Preparedness Plan/Ready to Go File was reviewed. It was observed to have been updated annually and containing all information as required. The facility's incident log was monitored and it was observed that incident reports are being stored with the incident log and not being maintained in each child's file, as required. The last sanitation inspection was conducted on 12/20/23 receiving no demerits and receiving a Superior rating. There were ten (10) violations cited today. Violation Number Comment Rule 512 Incident reports were not complete and maintained in the child's file and/or were not signed by the person completing it and by the parent. The facility's incident log was monitored and it was observed that incident reports are being stored with the incident log and not being maintained in each child's file, as required. .1721(e)(3)(A-L) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. The outdoor learning environment was monitored. It was observed that there were two (2) Cozy Coupe Car riding toys present with bolts that contained visible rusting, there was a Little Tykes table present with a damaged tabletop and there was an uncovered Sandbox present filled with standing water containing debris. It was also observed that a broken metal rod was present on the grass near the patio area and accessible to children. .1719(a)(1)&(17) 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. In the childcare space it was observed that there was a container of Vaseline being stored on a table in this space, along the path of travel and accessible to children. .1719 (a) (1) 716 Electrical outlets not in use were not covered. In the kitchen one unused electrical outlet located at the end of the sink/serving island was observed not covered with a safety plug when not in use. It was also observed that one (1) unused electrical outlet located on the wall near the food preparation in the kitchen was not covered with a safety plug when not in use. 10A NCAC .1719(a)(27) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Four (4) children’s files were reviewed during today’s visit. It was observed that three (3) children did not have completed discipline acknowledgments on file. G.S.110-91(10); .1727(a)&(b) 1401 Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label. Emergency medication was monitored. It was observed that one emergency medication being stored onsite for a child with a chronic medical condition was not stored in its original container or had its original container available for review. 10A NCAC 09 .1720(c)(1)&(2) 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I).Emergency medication was monitored. It was observed that two children had over the counter emergency medication, Benadryl, present but they did not have the corresponding permission to administer form completed and on file. 10A NCAC 09 .1720(b)(4) 1803 Safe sleep policy did not contain the required information as indicated in rule .1724(a)(1-12). Four (4) children’s files were reviewed during today’s visit. It was observed that one child under twelve months of age did not have a completed Safe Sleep policy on file that had been customized to show the program’s specific Safe Sleep Policy. G.S. 110-91(15)(a)(b) & .1724(a)(1-12) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. In the childcare space it was observed that there was a coin being stored on a table in the childcare space, along the path of travel and accessible to children. .1719(a)(18) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. Four (4) children’s files were reviewed during today’s visit. It was observed that three (3) children did not have completed acknowledgements on file for reviewing the program’s Shaken Baby policy. .1726(b)&(c) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Thursday December 26, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -During today’s visit Ms. Moore and I discussed the importance of ensuring that all medication related paperwork is completed in its entirety to ensure that information is accurately obtained and reflected. -During today’s visit the provider was reminded of the importance of ensuring that all program related forms, required documentation for children and program specific policy requiring signed acknowledgements from either parents or other caregivers are completed in their entirety to ensure the program remains in compliance. -During today’s visit the provider was reminded that incident reports are to be maintained in each child's file and separate from the facility’s incident log. -The provider was reminded that it is best practice to monitor both indoor and outdoor areas used by the children consistently to ensure they are kept clean, orderly, and free of items which are potentially hazardous. We spoke specifically about items including but not limited to coins, toys/items with small parts, hazardous materials, items with visible rusting, areas with standing water and broken items. -The provider was reminded that all unused electrical outlets that are accessible to child must be covered with safety plugs when not in use. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -It was suggested that all annual updates and parent acknowledgement statements be put on signature pages to ensure that this is occurring as required. -Quality Everyday (QED) through CCRI is available and works with one (1), two (2), three (3), four (4), and five (5) Star facilities. Thank you for your time today and if you have any questions, please feel free to contact me, Resha K. Washington by phone at 704-910-7947 or via email at resha.washington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: STEP BY STEP IN HOME DAYCARE Facility ID: 60004247 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 6/7/2024 Number Present: 5 Completed Date: 6/7/2024 Age: From 1 To 4 Total Minutes: 240 Time In: 10:45 AM Time Out: 02:45 PM 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. The facility had a Five Star Rated License issued March 7, 2023 and an eighteen month compliance history of 88% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the March 2024 FCCH 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 was greeted by Ms. Y. Moore, owner/operator, and I explained the purpose of my visit. Ms. Moore was present with five (5) enrolled preschool children between the ages of one year old and four years old when I arrived. There are a total of five (5) preschool children enrolled on first shift and there are currently no children enrolled on second shift. Children were observed in group art activity, transitional activities, meal-time and personal care routines. The licensed child care space, hallway adjacent to the licensed child care space, the bathroom in the licensed child care space, the kitchen and the living room area adjacent to these areas were monitored today. In the kitchen one unused electrical outlet located at the end of the sink/serving island was observed not covered with a safety plug when not in use. It was also observed that two (2) unused electrical outlets located on the wall near the food preparation in the kitchen was not covered with safety plugs when not in use. This was shared with the provider and corrected during the visit. The program’s activity plan was observed posted and current. Arrival and departure times were monitored. It was observed that there was only documentation present for two enrolled children. Ms. Moore shared with me that the notebook containing this information for the three (3) other children was a vehicle currently in the vehicle used to transport children both to and from school, as she provides transportation, but her daughter was using the vehicle, so it was not onsite. I explained to Ms. Moore that the sign-in/sign out information for each child is required to be onsite and accessible for review by a representative from the Division at all times. We discussed either documenting this information during transitions and later transferring it to the form utilized in the facility or putting a system in place to sure this information is being transported from the vehicle being used to the facility as transitions occur. Hazardous materials were observed stored as required. Program records were monitored. Fire and emergency drills were monitored and found to be conducted and documented as required. Monthly outdoor inspections were monitored and it was observed that the inspections that occurred in April 2024 and May 2024 were found to have been completed using the wrong form. I reminded Ms. Moore that it is imperative to utilize the form specifically for family child care home programs, as the form for centers contains different information. Emergency medication was monitored, as it is documented on the posted allergy list that two (2) children have either allergies or related chronic medical conditions. It was observed that both children did not have the required authorization for up to 6 months to administer completed and on file. It was also observed that both children were prescribed two medications for their allergies or related chronic medical condition and did not have all prescribed medications onsite. One (1) staff file was reviewed and it was observed having current CPR/First Aid certification and a current Criminal Background Check (CBC) on file. It was also observed that Ms. Moore last completed ITS-SIDS certification on May 18, 2021 and was due to complete her three year renewal prior to the expiration date of May, 19, 2024 but this did not occur. Ms. Moore was reminded that all required specialized training must remain current at all times. The last sanitation inspection was conducted on December 20, 2023 receiving no (0) demerits. Adequate supervision and capacity were observed in compliance today. Ms. Moore does provide transportation, and this was monitored during her last annual compliance. Violation Number Comment Rule 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. Monthly outdoor inspections were monitored and it was observed that the inspections that occurred in April 2024 and May 2024 were found to have been completed using the wrong form. 10A NCAC .1721(e)(5)(A-F) 716 Electrical outlets not in use were not covered. In the kitchen one unused electrical outlet located at the end of the sink/serving island was observed not covered with a safety plug when not in use. It was also observed that two (2) unused electrical outlets located on the wall near the food preparation in the kitchen was not covered with safety plugs when not in use. 10A NCAC .1719(a)(27) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. .1721(e)(6) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. One (1) staff file was reviewed and it was observed that Ms. Moore last completed ITS-SIDS certification on May 18, 2021 and was due to complete her three year renewal prior to the expiration date of May, 19, 2024 but this did not occur. .1703(a)(4) 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I). Emergency medication was monitored, as it is documented on the posted allergy list that two (2) children have either allergies or related chronic medical conditions. It was observed that both children did not have the required authorization for up to 6 months to administer completed and on file. 10A NCAC 09 .1720(b)(4) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Emergency medication was monitored, as it is documented on the posted allergy list that two (2) children have either allergies or related chronic medical conditions. It was observed that both children were prescribed two medications for their allergies or related chronic medical condition and did not have all prescribed medications onsite. 10A NCAC 09 .1719 (a) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Friday June 21, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -Ms. Moore and I discussed the requirements for an emergency relief person, as she is the primary caregiver for her program and currently has two children enrolled that have documented chronic health conditions. I shared with her the requirements as outlined in the North Carolina Child Care Rules. -Ms. Moore and I discussed the importance of ensuring that all required training is completed on time and stays current, that includes but is not limited to on-going annual training hours, health/safety training and any specialized training. - I reminded Ms. Moore to consistently visit the Division’s website for the most up to date information, provider forms and expectations. We spoke about the outdoor inspection checklist and other forms specifically for FCCH providers. -Ms. Moore and I discussed that when receiving any required paperwork from a parent or other caregiver including medication forms they should be thoroughly reviewed to ensure that all sections are accurately completed and there no areas omitted, overlooked, or left blank. -I reminded Ms. Moore of the importance of reviewing all documentation related to the use of emergency medication for both allergies and chronic medical conditions to ensure all required medication is onsite and all pertinent information for administration is included. -We discussed the importance of maintaining accurate daily attendance records including documentation of arrival and departure for all children in care and having them readily available and accessible for a representative from the Division to review at all times. Thank you for your time today and if you have any questions, please feel free to contact me, Resha K. Washington by phone at 704-910-7947 or via email at resha.washington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1720 · Violation

Name of Operation: STEP BY STEP IN HOME DAYCARE Facility ID: 60004247 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 6/7/2024 Number Present: 5 Completed Date: 6/7/2024 Age: From 1 To 4 Total Minutes: 240 Time In: 10:45 AM Time Out: 02:45 PM 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. The facility had a Five Star Rated License issued March 7, 2023 and an eighteen month compliance history of 88% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the March 2024 FCCH 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 was greeted by Ms. Y. Moore, owner/operator, and I explained the purpose of my visit. Ms. Moore was present with five (5) enrolled preschool children between the ages of one year old and four years old when I arrived. There are a total of five (5) preschool children enrolled on first shift and there are currently no children enrolled on second shift. Children were observed in group art activity, transitional activities, meal-time and personal care routines. The licensed child care space, hallway adjacent to the licensed child care space, the bathroom in the licensed child care space, the kitchen and the living room area adjacent to these areas were monitored today. In the kitchen one unused electrical outlet located at the end of the sink/serving island was observed not covered with a safety plug when not in use. It was also observed that two (2) unused electrical outlets located on the wall near the food preparation in the kitchen was not covered with safety plugs when not in use. This was shared with the provider and corrected during the visit. The program’s activity plan was observed posted and current. Arrival and departure times were monitored. It was observed that there was only documentation present for two enrolled children. Ms. Moore shared with me that the notebook containing this information for the three (3) other children was a vehicle currently in the vehicle used to transport children both to and from school, as she provides transportation, but her daughter was using the vehicle, so it was not onsite. I explained to Ms. Moore that the sign-in/sign out information for each child is required to be onsite and accessible for review by a representative from the Division at all times. We discussed either documenting this information during transitions and later transferring it to the form utilized in the facility or putting a system in place to sure this information is being transported from the vehicle being used to the facility as transitions occur. Hazardous materials were observed stored as required. Program records were monitored. Fire and emergency drills were monitored and found to be conducted and documented as required. Monthly outdoor inspections were monitored and it was observed that the inspections that occurred in April 2024 and May 2024 were found to have been completed using the wrong form. I reminded Ms. Moore that it is imperative to utilize the form specifically for family child care home programs, as the form for centers contains different information. Emergency medication was monitored, as it is documented on the posted allergy list that two (2) children have either allergies or related chronic medical conditions. It was observed that both children did not have the required authorization for up to 6 months to administer completed and on file. It was also observed that both children were prescribed two medications for their allergies or related chronic medical condition and did not have all prescribed medications onsite. One (1) staff file was reviewed and it was observed having current CPR/First Aid certification and a current Criminal Background Check (CBC) on file. It was also observed that Ms. Moore last completed ITS-SIDS certification on May 18, 2021 and was due to complete her three year renewal prior to the expiration date of May, 19, 2024 but this did not occur. Ms. Moore was reminded that all required specialized training must remain current at all times. The last sanitation inspection was conducted on December 20, 2023 receiving no (0) demerits. Adequate supervision and capacity were observed in compliance today. Ms. Moore does provide transportation, and this was monitored during her last annual compliance. Violation Number Comment Rule 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. Monthly outdoor inspections were monitored and it was observed that the inspections that occurred in April 2024 and May 2024 were found to have been completed using the wrong form. 10A NCAC .1721(e)(5)(A-F) 716 Electrical outlets not in use were not covered. In the kitchen one unused electrical outlet located at the end of the sink/serving island was observed not covered with a safety plug when not in use. It was also observed that two (2) unused electrical outlets located on the wall near the food preparation in the kitchen was not covered with safety plugs when not in use. 10A NCAC .1719(a)(27) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. .1721(e)(6) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. One (1) staff file was reviewed and it was observed that Ms. Moore last completed ITS-SIDS certification on May 18, 2021 and was due to complete her three year renewal prior to the expiration date of May, 19, 2024 but this did not occur. .1703(a)(4) 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I). Emergency medication was monitored, as it is documented on the posted allergy list that two (2) children have either allergies or related chronic medical conditions. It was observed that both children did not have the required authorization for up to 6 months to administer completed and on file. 10A NCAC 09 .1720(b)(4) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Emergency medication was monitored, as it is documented on the posted allergy list that two (2) children have either allergies or related chronic medical conditions. It was observed that both children were prescribed two medications for their allergies or related chronic medical condition and did not have all prescribed medications onsite. 10A NCAC 09 .1719 (a) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Friday June 21, 2024 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -Ms. Moore and I discussed the requirements for an emergency relief person, as she is the primary caregiver for her program and currently has two children enrolled that have documented chronic health conditions. I shared with her the requirements as outlined in the North Carolina Child Care Rules. -Ms. Moore and I discussed the importance of ensuring that all required training is completed on time and stays current, that includes but is not limited to on-going annual training hours, health/safety training and any specialized training. - I reminded Ms. Moore to consistently visit the Division’s website for the most up to date information, provider forms and expectations. We spoke about the outdoor inspection checklist and other forms specifically for FCCH providers. -Ms. Moore and I discussed that when receiving any required paperwork from a parent or other caregiver including medication forms they should be thoroughly reviewed to ensure that all sections are accurately completed and there no areas omitted, overlooked, or left blank. -I reminded Ms. Moore of the importance of reviewing all documentation related to the use of emergency medication for both allergies and chronic medical conditions to ensure all required medication is onsite and all pertinent information for administration is included. -We discussed the importance of maintaining accurate daily attendance records including documentation of arrival and departure for all children in care and having them readily available and accessible for a representative from the Division to review at all times. Thank you for your time today and if you have any questions, please feel free to contact me, Resha K. Washington by phone at 704-910-7947 or via email at resha.washington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: STEP BY STEP IN HOME DAYCARE Facility ID: 60004247 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 12/15/2023 Number Present: 4 Completed Date: 12/15/2023 Age: From 0 To 3 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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 unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance. The facility had a Five Star Rated License issued March 07, 2023 and an eighteen month compliance history of 89% prior to today’s visit. The August 2023 FCCH Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. A copy of the Annual Compliance Checklist was left with the operator. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Y. Moore, owner/operator, and I explained the purpose of my visit. Ms. Moore was present with four (4) enrolled preschool children between the ages of eleven months and three years old. There are a total of five (5) preschool children enrolled on first shift and there are currently no children enrolled on second shift. Children were observed in free play, transitional activities, a group story time activity, meal time and personal care routines. A walk through of the program was conducted. The child care space, bathroom, space adjacent to the child care space, kitchen and outdoor learning environment were monitored. Both the bathroom and outdoor learning environment were found to be compliant. In the childcare space it was observed that there was an activity plan posted with activities listed for children between the ages of three and five years of age. There were no activities or activity plan available for younger children. Ms. Moore and I discussed that when providing care for a mixed age group including infants and preschoolers she would need to have activities on her lesson plan that meet the educational needs of all enrolled children. It was also observed that there was an aerosol can of disinfectant stored on a shelf in the childcare space. It was observed that there was a clear plastic bag stored on the floor in the hallway adjacent to the childcare space and accessible to children. I shared with Ms. Moore this is poses a suffocation risk, as it is on the path of travel for children to both the kitchen and outdoor learning environment. This was removed during the visit. It was also observed that there were nine (9) electrical outlets on the path of travel not covered with safety plugs when not in use. In the kitchen there was one container of Superglue with the warning Keep out of the reach of children being stored in an unlocked drawer. It was also observed that there were three (3) bottles of disinfecting cleaner, a bottle of Windex glass cleaner, a container of Clorox wipes, an aerosol can of insect spray and multiple bags of dishwashing pods, all with the warning Keep out of the reach of children accompanied by other warnings was being stored in an unlocked lower cabinet. A container of Clorox wipes with multiple warnings on the label was also observed stored on a counter in the kitchen. The FCCH was within capacity and adequate supervision was observed. I reviewed Ms. Moore’s file. All specialized trainings were current. Ms. Moore is required to receive eight (8) in-service training hours by 12/22/23. She currently has received forty five (45) and brought over four (4) hours from the previous year. Ms. Moore has completed the required five (5) year renewal for her Health and Safety trainings. All household members have current CBC qualifying letters. Ms. Moore had a file available for review for all five (5) enrolled children. I reviewed all children’s files. It was observed that two (2) children did not have signed statements acknowledging they had discussed the facility’s non-smoking policy on file and one (1) child did not have a signed permission to transport form on file. Transportation was monitored and found to be in compliance. Emergency medication was monitored and found to be in compliance. Program records were monitored. Fire and emergency drills were completed as required. Outdoor inspections for the past twelve months were completed as required. The Emergency Response and Preparedness Plan/Ready to Go File was reviewed and it was observed to not contain all updated information as required. The last sanitation inspection was conducted on 12/02/22. This was due to occur either on or before December 01, 2023. This did not take place, as required. There were nine (9) violations cited today. 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. In the childcare space it was observed that there was an aerosol can of disinfectant stored on a shelf. It was also observed in the kitchen there was one container of Superglue with the warning Keep out of the reach of children being stored in an unlocked drawer and an aerosol can of insect spray was being stored in an unlocked lower cabinet. .1719 (a)(7) 716 Electrical outlets not in use were not covered. It was observed that there were nine (9) electrical outlets on the path of travel not covered with safety plugs when not in use. 10A NCAC .1719(a)(27) 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. In the childcare space it was observed that there was an activity plan posted with activities listed for children between the ages of three and five years of age. There were no activities or activity plan available for younger children. G.S.110-91(12) & .1718(a)(6) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. It was observed that one (1) child did not have a signed permission to transport form on file. .1723(5) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The last sanitation inspection was completed 12/2/22. This did not occur annually, as required. GS 110-91 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Response and Preparedness Plan/Ready to Go File was reviewed and it was observed to not contain all updated information as required. .1714(e ) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. It was observed that there was a clear plastic bag stored on the floor in the hallway adjacent to the childcare space and accessible to children. .1719(a)(18) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. It was observed that two (2) children did not have signed statements acknowledging they had discussed the facility’s non-smoking policy on file, as required. .1719(a)(11) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. In the kitchen there was one container of Superglue with the warning Keep out of the reach of children being stored in an unlocked drawer. It was observed that there were three (3) bottles of disinfecting cleaner, a bottle of Windex glass cleaner, a container of Clorox wipes, and multiple bags of dishwashing pods, all with the warning Keep out of the reach of children accompanied by other warnings was being stored in an unlocked lower cabinet. A container of Clorox wipes with multiple warnings on the label was also observed stored on a counter in the kitchen. 10A NCAC 09 .1719(a)(7) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Friday December 29, 2023 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -It was discussed that it is best practice that all posted documentation should be completed in its entirety and checked for accuracy, grammatical errors, misspellings. -It was discussed that all paperwork completed by parents be thoroughly checked to ensure there is no missing or inaccurate information. -It was discussed that lesson plans for all age groups present should be prepared in advance and always posted or readily available. -It was suggested that all annual updates and parent acknowledgement statements be put on signature pages to ensure that this is occurring as required. -Quality Everyday (QED) through CCRI is available and works with one (1), two (2), three (3), four (4), and five (5) Star facilities. -I reminded the provider that recently Environmental Health updated some of the Sanitation rules for childcare providers and provided additional clarity on other areas. This information and other resources surrounding these updates can be accessed using the link below. https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm. Thank you for your time today and if you have any questions, please feel free to contact me, Resha K. Washington by phone at 704-910-7947 or via email at resha.washington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S.110-91 · Violation

Name of Operation: STEP BY STEP IN HOME DAYCARE Facility ID: 60004247 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 12/15/2023 Number Present: 4 Completed Date: 12/15/2023 Age: From 0 To 3 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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 unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance. The facility had a Five Star Rated License issued March 07, 2023 and an eighteen month compliance history of 89% prior to today’s visit. The August 2023 FCCH Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. A copy of the Annual Compliance Checklist was left with the operator. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Y. Moore, owner/operator, and I explained the purpose of my visit. Ms. Moore was present with four (4) enrolled preschool children between the ages of eleven months and three years old. There are a total of five (5) preschool children enrolled on first shift and there are currently no children enrolled on second shift. Children were observed in free play, transitional activities, a group story time activity, meal time and personal care routines. A walk through of the program was conducted. The child care space, bathroom, space adjacent to the child care space, kitchen and outdoor learning environment were monitored. Both the bathroom and outdoor learning environment were found to be compliant. In the childcare space it was observed that there was an activity plan posted with activities listed for children between the ages of three and five years of age. There were no activities or activity plan available for younger children. Ms. Moore and I discussed that when providing care for a mixed age group including infants and preschoolers she would need to have activities on her lesson plan that meet the educational needs of all enrolled children. It was also observed that there was an aerosol can of disinfectant stored on a shelf in the childcare space. It was observed that there was a clear plastic bag stored on the floor in the hallway adjacent to the childcare space and accessible to children. I shared with Ms. Moore this is poses a suffocation risk, as it is on the path of travel for children to both the kitchen and outdoor learning environment. This was removed during the visit. It was also observed that there were nine (9) electrical outlets on the path of travel not covered with safety plugs when not in use. In the kitchen there was one container of Superglue with the warning Keep out of the reach of children being stored in an unlocked drawer. It was also observed that there were three (3) bottles of disinfecting cleaner, a bottle of Windex glass cleaner, a container of Clorox wipes, an aerosol can of insect spray and multiple bags of dishwashing pods, all with the warning Keep out of the reach of children accompanied by other warnings was being stored in an unlocked lower cabinet. A container of Clorox wipes with multiple warnings on the label was also observed stored on a counter in the kitchen. The FCCH was within capacity and adequate supervision was observed. I reviewed Ms. Moore’s file. All specialized trainings were current. Ms. Moore is required to receive eight (8) in-service training hours by 12/22/23. She currently has received forty five (45) and brought over four (4) hours from the previous year. Ms. Moore has completed the required five (5) year renewal for her Health and Safety trainings. All household members have current CBC qualifying letters. Ms. Moore had a file available for review for all five (5) enrolled children. I reviewed all children’s files. It was observed that two (2) children did not have signed statements acknowledging they had discussed the facility’s non-smoking policy on file and one (1) child did not have a signed permission to transport form on file. Transportation was monitored and found to be in compliance. Emergency medication was monitored and found to be in compliance. Program records were monitored. Fire and emergency drills were completed as required. Outdoor inspections for the past twelve months were completed as required. The Emergency Response and Preparedness Plan/Ready to Go File was reviewed and it was observed to not contain all updated information as required. The last sanitation inspection was conducted on 12/02/22. This was due to occur either on or before December 01, 2023. This did not take place, as required. There were nine (9) violations cited today. 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. In the childcare space it was observed that there was an aerosol can of disinfectant stored on a shelf. It was also observed in the kitchen there was one container of Superglue with the warning Keep out of the reach of children being stored in an unlocked drawer and an aerosol can of insect spray was being stored in an unlocked lower cabinet. .1719 (a)(7) 716 Electrical outlets not in use were not covered. It was observed that there were nine (9) electrical outlets on the path of travel not covered with safety plugs when not in use. 10A NCAC .1719(a)(27) 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. In the childcare space it was observed that there was an activity plan posted with activities listed for children between the ages of three and five years of age. There were no activities or activity plan available for younger children. G.S.110-91(12) & .1718(a)(6) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. It was observed that one (1) child did not have a signed permission to transport form on file. .1723(5) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The last sanitation inspection was completed 12/2/22. This did not occur annually, as required. GS 110-91 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Response and Preparedness Plan/Ready to Go File was reviewed and it was observed to not contain all updated information as required. .1714(e ) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. It was observed that there was a clear plastic bag stored on the floor in the hallway adjacent to the childcare space and accessible to children. .1719(a)(18) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. It was observed that two (2) children did not have signed statements acknowledging they had discussed the facility’s non-smoking policy on file, as required. .1719(a)(11) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. In the kitchen there was one container of Superglue with the warning Keep out of the reach of children being stored in an unlocked drawer. It was observed that there were three (3) bottles of disinfecting cleaner, a bottle of Windex glass cleaner, a container of Clorox wipes, and multiple bags of dishwashing pods, all with the warning Keep out of the reach of children accompanied by other warnings was being stored in an unlocked lower cabinet. A container of Clorox wipes with multiple warnings on the label was also observed stored on a counter in the kitchen. 10A NCAC 09 .1719(a)(7) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Friday December 29, 2023 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -It was discussed that it is best practice that all posted documentation should be completed in its entirety and checked for accuracy, grammatical errors, misspellings. -It was discussed that all paperwork completed by parents be thoroughly checked to ensure there is no missing or inaccurate information. -It was discussed that lesson plans for all age groups present should be prepared in advance and always posted or readily available. -It was suggested that all annual updates and parent acknowledgement statements be put on signature pages to ensure that this is occurring as required. -Quality Everyday (QED) through CCRI is available and works with one (1), two (2), three (3), four (4), and five (5) Star facilities. -I reminded the provider that recently Environmental Health updated some of the Sanitation rules for childcare providers and provided additional clarity on other areas. This information and other resources surrounding these updates can be accessed using the link below. https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm. Thank you for your time today and if you have any questions, please feel free to contact me, Resha K. Washington by phone at 704-910-7947 or via email at resha.washington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: STEP BY STEP IN HOME DAYCARE Facility ID: 60004247 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 12/15/2023 Number Present: 4 Completed Date: 12/15/2023 Age: From 0 To 3 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 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 unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance. The facility had a Five Star Rated License issued March 07, 2023 and an eighteen month compliance history of 89% prior to today’s visit. The August 2023 FCCH Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. A copy of the Annual Compliance Checklist was left with the operator. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Y. Moore, owner/operator, and I explained the purpose of my visit. Ms. Moore was present with four (4) enrolled preschool children between the ages of eleven months and three years old. There are a total of five (5) preschool children enrolled on first shift and there are currently no children enrolled on second shift. Children were observed in free play, transitional activities, a group story time activity, meal time and personal care routines. A walk through of the program was conducted. The child care space, bathroom, space adjacent to the child care space, kitchen and outdoor learning environment were monitored. Both the bathroom and outdoor learning environment were found to be compliant. In the childcare space it was observed that there was an activity plan posted with activities listed for children between the ages of three and five years of age. There were no activities or activity plan available for younger children. Ms. Moore and I discussed that when providing care for a mixed age group including infants and preschoolers she would need to have activities on her lesson plan that meet the educational needs of all enrolled children. It was also observed that there was an aerosol can of disinfectant stored on a shelf in the childcare space. It was observed that there was a clear plastic bag stored on the floor in the hallway adjacent to the childcare space and accessible to children. I shared with Ms. Moore this is poses a suffocation risk, as it is on the path of travel for children to both the kitchen and outdoor learning environment. This was removed during the visit. It was also observed that there were nine (9) electrical outlets on the path of travel not covered with safety plugs when not in use. In the kitchen there was one container of Superglue with the warning Keep out of the reach of children being stored in an unlocked drawer. It was also observed that there were three (3) bottles of disinfecting cleaner, a bottle of Windex glass cleaner, a container of Clorox wipes, an aerosol can of insect spray and multiple bags of dishwashing pods, all with the warning Keep out of the reach of children accompanied by other warnings was being stored in an unlocked lower cabinet. A container of Clorox wipes with multiple warnings on the label was also observed stored on a counter in the kitchen. The FCCH was within capacity and adequate supervision was observed. I reviewed Ms. Moore’s file. All specialized trainings were current. Ms. Moore is required to receive eight (8) in-service training hours by 12/22/23. She currently has received forty five (45) and brought over four (4) hours from the previous year. Ms. Moore has completed the required five (5) year renewal for her Health and Safety trainings. All household members have current CBC qualifying letters. Ms. Moore had a file available for review for all five (5) enrolled children. I reviewed all children’s files. It was observed that two (2) children did not have signed statements acknowledging they had discussed the facility’s non-smoking policy on file and one (1) child did not have a signed permission to transport form on file. Transportation was monitored and found to be in compliance. Emergency medication was monitored and found to be in compliance. Program records were monitored. Fire and emergency drills were completed as required. Outdoor inspections for the past twelve months were completed as required. The Emergency Response and Preparedness Plan/Ready to Go File was reviewed and it was observed to not contain all updated information as required. The last sanitation inspection was conducted on 12/02/22. This was due to occur either on or before December 01, 2023. This did not take place, as required. There were nine (9) violations cited today. 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. In the childcare space it was observed that there was an aerosol can of disinfectant stored on a shelf. It was also observed in the kitchen there was one container of Superglue with the warning Keep out of the reach of children being stored in an unlocked drawer and an aerosol can of insect spray was being stored in an unlocked lower cabinet. .1719 (a)(7) 716 Electrical outlets not in use were not covered. It was observed that there were nine (9) electrical outlets on the path of travel not covered with safety plugs when not in use. 10A NCAC .1719(a)(27) 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. In the childcare space it was observed that there was an activity plan posted with activities listed for children between the ages of three and five years of age. There were no activities or activity plan available for younger children. G.S.110-91(12) & .1718(a)(6) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. It was observed that one (1) child did not have a signed permission to transport form on file. .1723(5) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The last sanitation inspection was completed 12/2/22. This did not occur annually, as required. GS 110-91 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Response and Preparedness Plan/Ready to Go File was reviewed and it was observed to not contain all updated information as required. .1714(e ) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. It was observed that there was a clear plastic bag stored on the floor in the hallway adjacent to the childcare space and accessible to children. .1719(a)(18) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. It was observed that two (2) children did not have signed statements acknowledging they had discussed the facility’s non-smoking policy on file, as required. .1719(a)(11) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. In the kitchen there was one container of Superglue with the warning Keep out of the reach of children being stored in an unlocked drawer. It was observed that there were three (3) bottles of disinfecting cleaner, a bottle of Windex glass cleaner, a container of Clorox wipes, and multiple bags of dishwashing pods, all with the warning Keep out of the reach of children accompanied by other warnings was being stored in an unlocked lower cabinet. A container of Clorox wipes with multiple warnings on the label was also observed stored on a counter in the kitchen. 10A NCAC 09 .1719(a)(7) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Friday December 29, 2023 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -It was discussed that it is best practice that all posted documentation should be completed in its entirety and checked for accuracy, grammatical errors, misspellings. -It was discussed that all paperwork completed by parents be thoroughly checked to ensure there is no missing or inaccurate information. -It was discussed that lesson plans for all age groups present should be prepared in advance and always posted or readily available. -It was suggested that all annual updates and parent acknowledgement statements be put on signature pages to ensure that this is occurring as required. -Quality Everyday (QED) through CCRI is available and works with one (1), two (2), three (3), four (4), and five (5) Star facilities. -I reminded the provider that recently Environmental Health updated some of the Sanitation rules for childcare providers and provided additional clarity on other areas. This information and other resources surrounding these updates can be accessed using the link below. https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm. Thank you for your time today and if you have any questions, please feel free to contact me, Resha K. Washington by phone at 704-910-7947 or via email at resha.washington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times