G.S. 110-90 · Violation

Name of Operation: WINDSOR PARK ELEMENTARY SCHOOL Facility ID: 60003558 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 51 Completed Date: 1/29/2025 Age: From 4 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the CMS five star rated center, I signed into the school’s system at the front desk and walked around to hall A. I greeted the Lead Designee, Ms. Rivera in space A7. The center maintained a five-star rated license and continued to meet the highest voluntary enhanced ratios and enhanced ratios. The center operated three NC Pre-K classrooms. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated November 2024 were used to document compliance. Spaces #A5-A7 were monitored for compliance. Daily attendance, lesson plans and tracking of children’s arrival and departure times were monitored and consistent. However, the DPI student forms were not completed for each classroom. Only Ms. Rivera’s class had a form in the binder and her form was not current with each name of enrolled children listed. The other two classes did not have the form completed or maintained in the binder. The other two classrooms roster was provided during the visit and placed in the binder. Children were monitored, engaged in center play, outdoor play and lunch. Fifty-three children were enrolled. Six children’s records were selected by the consultant and monitored. The Program Consultant Site Visit Information was reviewed with Ms. Rivera to ensure accuracy. The information reviewed was determined accurate. The center’s approved and implemented curriculum continued with Teaching Strategies Gold. Elements of the implemented curriculum were visible in two of the three classrooms. Continue to work with staff in space A6 regarding classroom materials and organization. Materials appeared missing or not placed correctly in the center. Staff and Training worksheets have not updated since the last visit. Information was manually listed based on the information presented and maintained on file. There were not any newly hired staff. Please update the electronic version of the worksheet based on the information updated and listed manually on the form. Documentation for quarterly safety drills and monthly fire drills were discussed and monitored. The last quarterly safety drill listed on the tracking tool was dated October 9, 2024. The next required drill was due no later than January 9, 2025. The children’s playground where stationary equipment is maintained has not been in use for over a year due to non-compliance with requirements. The children and staff continued to use the blacktop area and take portable play materials outside daily. The outdoor monthly inspections are still required monthly, even if children are only accessing the blacktop area of the premises. The last monthly outdoor inspection noted in the binder was dated September of 2024. NC Pre-K requirements were monitored for compliance. The site monitoring tool was reviewed on file. Parental involvement tracking of activities were monitored tracking by each staff member. Developmental screenings and assessments were monitored completed. The last sanitation inspection was conducted January 9, 2025, zero (0) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed on September 26, 2024. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. DPI children's records forms were not current for two classrooms. They were updated during the visit. G.S. 110-91(9); .0304(g); .2318 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Water bottles sent from home were monitored not labeled and dated. 15A NCAC 18A .2804(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was not completed at least once every month. The last documented drill was monitored as October 9, 2024. .0604(u);.0302(d)(8) Technical Assistance Provided and General Discussion: 1. It was recommended to purchase the third edition of ITERS and ECERS and begin training staff. There are several resources available on the NCRLAP website at www.NCRLAP.org. It was recommended to take advantage of the training available in the New Year. 2. Ms. Rivera was asked to print a roster report from ABCMS. Ms. River was unaware of the requirement. The following TA was provided by email today. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 3. We discussed monthly playground inspections. Although children have not used the stationary play equipment, the expectation is that every month someone who is qualified inspects the children’s outdoor play environment whether it is a black top area or stationary equipment. The last documented inspection report was completed in September 2024. 4. We discussed ensuring children’s coats, blankets or any cot sheets do not touch another. 5. Children’s water bottles sent from home must be labeled and dated daily. Today, water bottles were monitored without names and not dated. 6. Please review how staff can retrieve items from another space properly. One staff member was about to leave the classroom by herself to go and retrieve the portable play materials before going outside. The staff member was about to leave the classroom without any other children accompanying her to ensure the required ratios were maintained. I asked the staff member if she was about to leave the classroom without additional children with her. She properly gathered the proper number of children and then retrieved the cart. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, February 12, 2025. You may email me with your letter of correction. Mail documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: WINDSOR PARK ELEMENTARY SCHOOL Facility ID: 60003558 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 51 Completed Date: 1/29/2025 Age: From 4 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the CMS five star rated center, I signed into the school’s system at the front desk and walked around to hall A. I greeted the Lead Designee, Ms. Rivera in space A7. The center maintained a five-star rated license and continued to meet the highest voluntary enhanced ratios and enhanced ratios. The center operated three NC Pre-K classrooms. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated November 2024 were used to document compliance. Spaces #A5-A7 were monitored for compliance. Daily attendance, lesson plans and tracking of children’s arrival and departure times were monitored and consistent. However, the DPI student forms were not completed for each classroom. Only Ms. Rivera’s class had a form in the binder and her form was not current with each name of enrolled children listed. The other two classes did not have the form completed or maintained in the binder. The other two classrooms roster was provided during the visit and placed in the binder. Children were monitored, engaged in center play, outdoor play and lunch. Fifty-three children were enrolled. Six children’s records were selected by the consultant and monitored. The Program Consultant Site Visit Information was reviewed with Ms. Rivera to ensure accuracy. The information reviewed was determined accurate. The center’s approved and implemented curriculum continued with Teaching Strategies Gold. Elements of the implemented curriculum were visible in two of the three classrooms. Continue to work with staff in space A6 regarding classroom materials and organization. Materials appeared missing or not placed correctly in the center. Staff and Training worksheets have not updated since the last visit. Information was manually listed based on the information presented and maintained on file. There were not any newly hired staff. Please update the electronic version of the worksheet based on the information updated and listed manually on the form. Documentation for quarterly safety drills and monthly fire drills were discussed and monitored. The last quarterly safety drill listed on the tracking tool was dated October 9, 2024. The next required drill was due no later than January 9, 2025. The children’s playground where stationary equipment is maintained has not been in use for over a year due to non-compliance with requirements. The children and staff continued to use the blacktop area and take portable play materials outside daily. The outdoor monthly inspections are still required monthly, even if children are only accessing the blacktop area of the premises. The last monthly outdoor inspection noted in the binder was dated September of 2024. NC Pre-K requirements were monitored for compliance. The site monitoring tool was reviewed on file. Parental involvement tracking of activities were monitored tracking by each staff member. Developmental screenings and assessments were monitored completed. The last sanitation inspection was conducted January 9, 2025, zero (0) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed on September 26, 2024. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. DPI children's records forms were not current for two classrooms. They were updated during the visit. G.S. 110-91(9); .0304(g); .2318 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Water bottles sent from home were monitored not labeled and dated. 15A NCAC 18A .2804(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was not completed at least once every month. The last documented drill was monitored as October 9, 2024. .0604(u);.0302(d)(8) Technical Assistance Provided and General Discussion: 1. It was recommended to purchase the third edition of ITERS and ECERS and begin training staff. There are several resources available on the NCRLAP website at www.NCRLAP.org. It was recommended to take advantage of the training available in the New Year. 2. Ms. Rivera was asked to print a roster report from ABCMS. Ms. River was unaware of the requirement. The following TA was provided by email today. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 3. We discussed monthly playground inspections. Although children have not used the stationary play equipment, the expectation is that every month someone who is qualified inspects the children’s outdoor play environment whether it is a black top area or stationary equipment. The last documented inspection report was completed in September 2024. 4. We discussed ensuring children’s coats, blankets or any cot sheets do not touch another. 5. Children’s water bottles sent from home must be labeled and dated daily. Today, water bottles were monitored without names and not dated. 6. Please review how staff can retrieve items from another space properly. One staff member was about to leave the classroom by herself to go and retrieve the portable play materials before going outside. The staff member was about to leave the classroom without any other children accompanying her to ensure the required ratios were maintained. I asked the staff member if she was about to leave the classroom without additional children with her. She properly gathered the proper number of children and then retrieved the cart. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, February 12, 2025. You may email me with your letter of correction. Mail documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: WINDSOR PARK ELEMENTARY SCHOOL Facility ID: 60003558 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/9/2024 Number Present: 42 Completed Date: 10/9/2024 Age: From 4 To 5 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced Visit. Upon arrival at the five-star rated license DPI NC Pre-K program, the lead designee for the NC Pre-K, Ms. Rivera was present and leading a group of children to the outdoors for their daily outdoor time with her assistant, Ms. Rodgers. The child care item number listing dated March 2024 was used to identify and determine non-compliance. The following sections were monitored for compliance: A1, B1, C4, C5, C6, E1, E2, F3, G1, G3, G4 and G5. A walk through of spaces #A5, #A6 and #A7 was completed with Ms. Rivera. Ms. Rivera provided current Staff and Training Worksheets. The worksheets provided the documentation to show all staff were current with CPR, and FA. All staff were monitored with current CBC’s. Two teachers’ assistants did not renew the health and safety training every five years. Certain required components were not completed. The same two identified staff also did not renew the recognizing and responding to child maltreatment training. Monthly outdoor inspections, incident log, monthly fire drills and quarterly safety drills were monitored for compliance. Either safety drills (shelter in place or lock down drills) must be completed at least once every three months. The program was cited on June 3, 2024, for not completing a drill every three months since February 13, 2024. The program did not operate during the summer months. The first drill completed since school returned September 4, 2024, was October 9, 2024. In the letter of correction received from Ms. Rivera, stated the violation was corrected and updated in the binder. There was not a drill listed on the required tracking tool to show when either drill was completed. It was explained to Ms. Rivera that when the school returns each fall, either drill should be completed within the first two weeks of the return. DPI Verification forms for 2024-2025 school year were not updated. Staff and child-related documents were maintained off site. A violation was cited for failure to maintain current DPI Verification forms. Ms. Rivera stated the school’s risk management plan is maintained electronically. It was documented on the staff and training worksheets the risk management plan was reviewed with existing staff in August of 2024. We discussed the timeline for placing materials out into each offered center. I informed Ms. Rivera there should be enough materials present in each required center for at least three children to be able to utilize the materials without potential disagreements. Children are not to use the stationary play equipment based on not meeting requirements for protective surfacing, border, and fence repair issues. The staff will continue to take portable equipment outside to use with children. Several requests have been made since last school year to repair and provide adequate surfacing for the Pre-K playground fenced area. Outdoor playground monthly inspections were monitored to show documented issues, consistently. The last sanitation inspection was completed September 5, 2024, with four (4) demerits cited and a Superior classification issued. The last annual fire inspection was completed on July 9, 2024. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. DPI Verification forms were not current for the 2024-2025 school year (student, staff or transportation). G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Current menus were not posted on the NC Pre-K parent informational board in the hallway. A current menu was posted during the visit. 10A NCAC 09 .0901(b) 832 There was no written emergency medical care (EMC) plan. The posted EMC plan on the parent informational board in the hallway was monitored not current. Two previous employees were listed who no longer work in the NC Pre-K licensed classrooms. 10A NCAC 09 .0802(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two staff didn't complete the required H & S training every five years. A. Adams was missing #2, 8, 9 and 10 from the Moodle system. S. Bauknight was missing #2, 9, and 10 from the Moodle system. The same two staff didn't obtain CMT training every five years either. .1103(b) Technical Assistance Provided and General Discussion: 1. It was recommended to purchase the revised edition of the ECER-R (3rd edition) and begin reviewing the available resources on the NCRLAP website at www.NCRLAP.org. Beginning February 1, 2025, DCDEE will begin using the third edition of the assessments. 2. We discussed something live in each space and semi poisonous plants. The NC State Plant list was emailed to the staff to research safe plants for preschool children. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, October 23, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: WINDSOR PARK ELEMENTARY SCHOOL Facility ID: 60003558 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/9/2024 Number Present: 42 Completed Date: 10/9/2024 Age: From 4 To 5 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced Visit. Upon arrival at the five-star rated license DPI NC Pre-K program, the lead designee for the NC Pre-K, Ms. Rivera was present and leading a group of children to the outdoors for their daily outdoor time with her assistant, Ms. Rodgers. The child care item number listing dated March 2024 was used to identify and determine non-compliance. The following sections were monitored for compliance: A1, B1, C4, C5, C6, E1, E2, F3, G1, G3, G4 and G5. A walk through of spaces #A5, #A6 and #A7 was completed with Ms. Rivera. Ms. Rivera provided current Staff and Training Worksheets. The worksheets provided the documentation to show all staff were current with CPR, and FA. All staff were monitored with current CBC’s. Two teachers’ assistants did not renew the health and safety training every five years. Certain required components were not completed. The same two identified staff also did not renew the recognizing and responding to child maltreatment training. Monthly outdoor inspections, incident log, monthly fire drills and quarterly safety drills were monitored for compliance. Either safety drills (shelter in place or lock down drills) must be completed at least once every three months. The program was cited on June 3, 2024, for not completing a drill every three months since February 13, 2024. The program did not operate during the summer months. The first drill completed since school returned September 4, 2024, was October 9, 2024. In the letter of correction received from Ms. Rivera, stated the violation was corrected and updated in the binder. There was not a drill listed on the required tracking tool to show when either drill was completed. It was explained to Ms. Rivera that when the school returns each fall, either drill should be completed within the first two weeks of the return. DPI Verification forms for 2024-2025 school year were not updated. Staff and child-related documents were maintained off site. A violation was cited for failure to maintain current DPI Verification forms. Ms. Rivera stated the school’s risk management plan is maintained electronically. It was documented on the staff and training worksheets the risk management plan was reviewed with existing staff in August of 2024. We discussed the timeline for placing materials out into each offered center. I informed Ms. Rivera there should be enough materials present in each required center for at least three children to be able to utilize the materials without potential disagreements. Children are not to use the stationary play equipment based on not meeting requirements for protective surfacing, border, and fence repair issues. The staff will continue to take portable equipment outside to use with children. Several requests have been made since last school year to repair and provide adequate surfacing for the Pre-K playground fenced area. Outdoor playground monthly inspections were monitored to show documented issues, consistently. The last sanitation inspection was completed September 5, 2024, with four (4) demerits cited and a Superior classification issued. The last annual fire inspection was completed on July 9, 2024. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. DPI Verification forms were not current for the 2024-2025 school year (student, staff or transportation). G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Current menus were not posted on the NC Pre-K parent informational board in the hallway. A current menu was posted during the visit. 10A NCAC 09 .0901(b) 832 There was no written emergency medical care (EMC) plan. The posted EMC plan on the parent informational board in the hallway was monitored not current. Two previous employees were listed who no longer work in the NC Pre-K licensed classrooms. 10A NCAC 09 .0802(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two staff didn't complete the required H & S training every five years. A. Adams was missing #2, 8, 9 and 10 from the Moodle system. S. Bauknight was missing #2, 9, and 10 from the Moodle system. The same two staff didn't obtain CMT training every five years either. .1103(b) Technical Assistance Provided and General Discussion: 1. It was recommended to purchase the revised edition of the ECER-R (3rd edition) and begin reviewing the available resources on the NCRLAP website at www.NCRLAP.org. Beginning February 1, 2025, DCDEE will begin using the third edition of the assessments. 2. We discussed something live in each space and semi poisonous plants. The NC State Plant list was emailed to the staff to research safe plants for preschool children. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, October 23, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If 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: WINDSOR PARK ELEMENTARY SCHOOL Facility ID: 60003558 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/9/2024 Number Present: 42 Completed Date: 10/9/2024 Age: From 4 To 5 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced Visit. Upon arrival at the five-star rated license DPI NC Pre-K program, the lead designee for the NC Pre-K, Ms. Rivera was present and leading a group of children to the outdoors for their daily outdoor time with her assistant, Ms. Rodgers. The child care item number listing dated March 2024 was used to identify and determine non-compliance. The following sections were monitored for compliance: A1, B1, C4, C5, C6, E1, E2, F3, G1, G3, G4 and G5. A walk through of spaces #A5, #A6 and #A7 was completed with Ms. Rivera. Ms. Rivera provided current Staff and Training Worksheets. The worksheets provided the documentation to show all staff were current with CPR, and FA. All staff were monitored with current CBC’s. Two teachers’ assistants did not renew the health and safety training every five years. Certain required components were not completed. The same two identified staff also did not renew the recognizing and responding to child maltreatment training. Monthly outdoor inspections, incident log, monthly fire drills and quarterly safety drills were monitored for compliance. Either safety drills (shelter in place or lock down drills) must be completed at least once every three months. The program was cited on June 3, 2024, for not completing a drill every three months since February 13, 2024. The program did not operate during the summer months. The first drill completed since school returned September 4, 2024, was October 9, 2024. In the letter of correction received from Ms. Rivera, stated the violation was corrected and updated in the binder. There was not a drill listed on the required tracking tool to show when either drill was completed. It was explained to Ms. Rivera that when the school returns each fall, either drill should be completed within the first two weeks of the return. DPI Verification forms for 2024-2025 school year were not updated. Staff and child-related documents were maintained off site. A violation was cited for failure to maintain current DPI Verification forms. Ms. Rivera stated the school’s risk management plan is maintained electronically. It was documented on the staff and training worksheets the risk management plan was reviewed with existing staff in August of 2024. We discussed the timeline for placing materials out into each offered center. I informed Ms. Rivera there should be enough materials present in each required center for at least three children to be able to utilize the materials without potential disagreements. Children are not to use the stationary play equipment based on not meeting requirements for protective surfacing, border, and fence repair issues. The staff will continue to take portable equipment outside to use with children. Several requests have been made since last school year to repair and provide adequate surfacing for the Pre-K playground fenced area. Outdoor playground monthly inspections were monitored to show documented issues, consistently. The last sanitation inspection was completed September 5, 2024, with four (4) demerits cited and a Superior classification issued. The last annual fire inspection was completed on July 9, 2024. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. DPI Verification forms were not current for the 2024-2025 school year (student, staff or transportation). G.S. 110-91(9); .0304(g); .2318 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Current menus were not posted on the NC Pre-K parent informational board in the hallway. A current menu was posted during the visit. 10A NCAC 09 .0901(b) 832 There was no written emergency medical care (EMC) plan. The posted EMC plan on the parent informational board in the hallway was monitored not current. Two previous employees were listed who no longer work in the NC Pre-K licensed classrooms. 10A NCAC 09 .0802(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two staff didn't complete the required H & S training every five years. A. Adams was missing #2, 8, 9 and 10 from the Moodle system. S. Bauknight was missing #2, 9, and 10 from the Moodle system. The same two staff didn't obtain CMT training every five years either. .1103(b) Technical Assistance Provided and General Discussion: 1. It was recommended to purchase the revised edition of the ECER-R (3rd edition) and begin reviewing the available resources on the NCRLAP website at www.NCRLAP.org. Beginning February 1, 2025, DCDEE will begin using the third edition of the assessments. 2. We discussed something live in each space and semi poisonous plants. The NC State Plant list was emailed to the staff to research safe plants for preschool children. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, October 23, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: WINDSOR PARK ELEMENTARY SCHOOL Facility ID: 60003558 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 54 Completed Date: 2/9/2024 Age: From 4 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the CMS elementary school, I was greeted and buzzed inside the school by the administration. I was escorted down to the A wing by staff and connected with the Lead Designee for the NC Pre-K program, Ms. Jacqueline Rivera. Upon my arrival at the tutor room, Ms. Tiffany Ham, NC Pre-K facilitator was present. I informed Ms. Ham; she could accompany me during the walk through if she would like to see what and how the NC Pre-K program was monitored. The school principal, Ms. Merita Little, also asked if I could come and meet her. Ms. Little had a few questions related to the new playground. After the walk through of the classrooms were completed, Ms. Little called and requested I come to the office. Ms. Ham, Ms. Little and I discussed NC Pre-K requirements, the playground and program barriers of operating a licensed program in a public school. The center maintained a five-star rated license and continued to meet enhanced space and the highest voluntary enhanced ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. Spaces #1A5-A8 were monitored for compliance. There was an NC Pre-K bulletin board in the hallway in between the four designated classrooms. Required documentation was monitored posted. It was recommended to add the staff’s CPR and FA cards to the board to better help with tracking expiration dates. The center emergency medical care plan was not current. Ms. Rivera was reminded the worksheet must be updated first and then reviewed with all staff. She was also reminded to update the date of review with all staff on the electronically stored staff and training worksheet. Children were monitored and engaged in small group activities, lunch, and outdoor play. Classroom #A6 was monitored with at least fifteen (15) empty storage containers. The shelves were lacking labeling to help children learn where to return materials. It was recommended to get support for the classroom staff and work on further implementing the curriculum and offered materials to children in the identified space. The DPI verification forms were monitored in the licensing book. The children’s record list for each group was not current. The transportation form was dated 2022. Staff and training worksheets were not fully updated. It was recommended to highlight in yellow the required items on the form that must be maintained. Ms. Rivera was asked to update the worksheets and email them to me after the visit. Shaken Baby and Head Trauma parental signatures were not maintained on file in the licensing binder. The center implemented the Creative Curriculum in the NC Pre-K classrooms. One lead teacher was asked to provide documentation related to parental involvement activities. There was not anything printed or shown to me how staff tracked parental involvement activities. It was recommended to develop a poster board chart or electronic tracking of involvement. If activities were tracked electronically, it was recommended to have something printed and maintained in the licensing binder for future monitoring. The Program Consultant Site Visit Information form was printed prior to the visit and reviewed during the visit. The information listed and reviewed was not accurate. I contacted the supervisor and inquired if anyone in our office would need to be notified of the discrepancy. I was given a name and contact information of the regional staff person in our office. Ms. Griffith will be contacted after the visit. The following information was not correct: A. Martinez-White was no longer a teacher assistant. K. Kinard was the lead teacher in A6. A. Adams was the teacher assistant in A6. Documentation for quarterly safety drills and monthly fire drills were monitored. The last sanitation inspection was conducted January 16, 2024, with four (4) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed on August 25, 2023. It was highly recommended to establish a process with the school administration team to ensure the two inspections reports get to the lead designee. A system should be developed to ensure the inspection reports are also forwarded to the assigned licensing consultant upon receipt. The center continues to meet five-star requirements and a three-year reassessment will be required no later than April 28, 2025. The last ERS were completed April 26, 2022. The overall average ERS was 5.31. The center program participated in the modified ERS but due to education did not process a modified reassessment. It was recommended to begin reviewing any items scored under a 5.0 and review any offered resources via the NCRLAP web site at www.ncrlap.org. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Student roster form was not maintained current. Children who had either disenrolled or enrolled were not crossed out or added to the required tracking form. The DPI transportation form on file was dated 2022. G.S. 110-91(9); .0304(g); .2318 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. 10A NCAC 09 .0509(2) 468 When three-year-old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. There were several missing material baskets on center activity shelves in space A6. .0510(d)(1) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. One plastic black border surrounding the outdoor stationary play equipment was monitored cracked with hardware exposed. .0601(d) 832 There was no written emergency medical care (EMC) plan. There was a posted EMC plan, but the names listed on the worksheet were not current. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff were past due to renew their FA certifications. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff were past due to renew their CPR training. .1102(d) 1776 The NC Pre-K program has not developed a plan for family engagement consisting of strategies designed to develop partnerships with families that promotes shared decision-making opportunities. Staff were asked to show any tracking of family involvement activities. No documentation was provided. .3010 1867 The depth of the loose surfacing was not based on critical height of the equipment. The exit points did not have at least six inches of mulch. .0605(k)(1-4) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. The required documentation was not maintained on file or available for review. Children's parental acknowledgements were not maintained in the licensing binder or presented for review. .0608(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member was passed due to obtain the five-year renewal of health and safety training. .1103(b) Technical Assistance Provided and General Discussion: 1. A return visit will be completed to review staff records, measure playground and staff training. 2. Recommendations were made to help better organize NC Pre-K required tracking documentation. 3. We discussed and reviewed the outdoor learning environment, obtaining the manufacturer's instructions and maintaining them on file. 4. On going challenges and barriers were discussed like: -obtaining fire inspections 2x per year when completed. - janitorial staff issues whether obtaining supplies or leaving janitorial equipment in hallways unattended or power equipment left in hallways accessible to children. -changing approved spaces over summer months and the required process for environmental health and DCDEE. -maintaining the outdoor learning environment per DCDEE rules (protective surfacing requirements, maintaining gates/fences for preschool children). -supporting the teacher assistants so they may complete 15 hours of annual in-service training per year; and - maintaining DCDEE requirements for substitute staff. Child care rules were emailed to the lead designee, NC Pre-K facilitator and school principal related to substitutes, required annual in-service hours for teacher assistants. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Thursday, February 15, 2024. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0509 · Violation

Name of Operation: WINDSOR PARK ELEMENTARY SCHOOL Facility ID: 60003558 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 54 Completed Date: 2/9/2024 Age: From 4 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the CMS elementary school, I was greeted and buzzed inside the school by the administration. I was escorted down to the A wing by staff and connected with the Lead Designee for the NC Pre-K program, Ms. Jacqueline Rivera. Upon my arrival at the tutor room, Ms. Tiffany Ham, NC Pre-K facilitator was present. I informed Ms. Ham; she could accompany me during the walk through if she would like to see what and how the NC Pre-K program was monitored. The school principal, Ms. Merita Little, also asked if I could come and meet her. Ms. Little had a few questions related to the new playground. After the walk through of the classrooms were completed, Ms. Little called and requested I come to the office. Ms. Ham, Ms. Little and I discussed NC Pre-K requirements, the playground and program barriers of operating a licensed program in a public school. The center maintained a five-star rated license and continued to meet enhanced space and the highest voluntary enhanced ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. Spaces #1A5-A8 were monitored for compliance. There was an NC Pre-K bulletin board in the hallway in between the four designated classrooms. Required documentation was monitored posted. It was recommended to add the staff’s CPR and FA cards to the board to better help with tracking expiration dates. The center emergency medical care plan was not current. Ms. Rivera was reminded the worksheet must be updated first and then reviewed with all staff. She was also reminded to update the date of review with all staff on the electronically stored staff and training worksheet. Children were monitored and engaged in small group activities, lunch, and outdoor play. Classroom #A6 was monitored with at least fifteen (15) empty storage containers. The shelves were lacking labeling to help children learn where to return materials. It was recommended to get support for the classroom staff and work on further implementing the curriculum and offered materials to children in the identified space. The DPI verification forms were monitored in the licensing book. The children’s record list for each group was not current. The transportation form was dated 2022. Staff and training worksheets were not fully updated. It was recommended to highlight in yellow the required items on the form that must be maintained. Ms. Rivera was asked to update the worksheets and email them to me after the visit. Shaken Baby and Head Trauma parental signatures were not maintained on file in the licensing binder. The center implemented the Creative Curriculum in the NC Pre-K classrooms. One lead teacher was asked to provide documentation related to parental involvement activities. There was not anything printed or shown to me how staff tracked parental involvement activities. It was recommended to develop a poster board chart or electronic tracking of involvement. If activities were tracked electronically, it was recommended to have something printed and maintained in the licensing binder for future monitoring. The Program Consultant Site Visit Information form was printed prior to the visit and reviewed during the visit. The information listed and reviewed was not accurate. I contacted the supervisor and inquired if anyone in our office would need to be notified of the discrepancy. I was given a name and contact information of the regional staff person in our office. Ms. Griffith will be contacted after the visit. The following information was not correct: A. Martinez-White was no longer a teacher assistant. K. Kinard was the lead teacher in A6. A. Adams was the teacher assistant in A6. Documentation for quarterly safety drills and monthly fire drills were monitored. The last sanitation inspection was conducted January 16, 2024, with four (4) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed on August 25, 2023. It was highly recommended to establish a process with the school administration team to ensure the two inspections reports get to the lead designee. A system should be developed to ensure the inspection reports are also forwarded to the assigned licensing consultant upon receipt. The center continues to meet five-star requirements and a three-year reassessment will be required no later than April 28, 2025. The last ERS were completed April 26, 2022. The overall average ERS was 5.31. The center program participated in the modified ERS but due to education did not process a modified reassessment. It was recommended to begin reviewing any items scored under a 5.0 and review any offered resources via the NCRLAP web site at www.ncrlap.org. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Student roster form was not maintained current. Children who had either disenrolled or enrolled were not crossed out or added to the required tracking form. The DPI transportation form on file was dated 2022. G.S. 110-91(9); .0304(g); .2318 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. 10A NCAC 09 .0509(2) 468 When three-year-old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. There were several missing material baskets on center activity shelves in space A6. .0510(d)(1) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. One plastic black border surrounding the outdoor stationary play equipment was monitored cracked with hardware exposed. .0601(d) 832 There was no written emergency medical care (EMC) plan. There was a posted EMC plan, but the names listed on the worksheet were not current. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff were past due to renew their FA certifications. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff were past due to renew their CPR training. .1102(d) 1776 The NC Pre-K program has not developed a plan for family engagement consisting of strategies designed to develop partnerships with families that promotes shared decision-making opportunities. Staff were asked to show any tracking of family involvement activities. No documentation was provided. .3010 1867 The depth of the loose surfacing was not based on critical height of the equipment. The exit points did not have at least six inches of mulch. .0605(k)(1-4) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. The required documentation was not maintained on file or available for review. Children's parental acknowledgements were not maintained in the licensing binder or presented for review. .0608(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member was passed due to obtain the five-year renewal of health and safety training. .1103(b) Technical Assistance Provided and General Discussion: 1. A return visit will be completed to review staff records, measure playground and staff training. 2. Recommendations were made to help better organize NC Pre-K required tracking documentation. 3. We discussed and reviewed the outdoor learning environment, obtaining the manufacturer's instructions and maintaining them on file. 4. On going challenges and barriers were discussed like: -obtaining fire inspections 2x per year when completed. - janitorial staff issues whether obtaining supplies or leaving janitorial equipment in hallways unattended or power equipment left in hallways accessible to children. -changing approved spaces over summer months and the required process for environmental health and DCDEE. -maintaining the outdoor learning environment per DCDEE rules (protective surfacing requirements, maintaining gates/fences for preschool children). -supporting the teacher assistants so they may complete 15 hours of annual in-service training per year; and - maintaining DCDEE requirements for substitute staff. Child care rules were emailed to the lead designee, NC Pre-K facilitator and school principal related to substitutes, required annual in-service hours for teacher assistants. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Thursday, February 15, 2024. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: WINDSOR PARK ELEMENTARY SCHOOL Facility ID: 60003558 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 54 Completed Date: 2/9/2024 Age: From 4 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the CMS elementary school, I was greeted and buzzed inside the school by the administration. I was escorted down to the A wing by staff and connected with the Lead Designee for the NC Pre-K program, Ms. Jacqueline Rivera. Upon my arrival at the tutor room, Ms. Tiffany Ham, NC Pre-K facilitator was present. I informed Ms. Ham; she could accompany me during the walk through if she would like to see what and how the NC Pre-K program was monitored. The school principal, Ms. Merita Little, also asked if I could come and meet her. Ms. Little had a few questions related to the new playground. After the walk through of the classrooms were completed, Ms. Little called and requested I come to the office. Ms. Ham, Ms. Little and I discussed NC Pre-K requirements, the playground and program barriers of operating a licensed program in a public school. The center maintained a five-star rated license and continued to meet enhanced space and the highest voluntary enhanced ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. Spaces #1A5-A8 were monitored for compliance. There was an NC Pre-K bulletin board in the hallway in between the four designated classrooms. Required documentation was monitored posted. It was recommended to add the staff’s CPR and FA cards to the board to better help with tracking expiration dates. The center emergency medical care plan was not current. Ms. Rivera was reminded the worksheet must be updated first and then reviewed with all staff. She was also reminded to update the date of review with all staff on the electronically stored staff and training worksheet. Children were monitored and engaged in small group activities, lunch, and outdoor play. Classroom #A6 was monitored with at least fifteen (15) empty storage containers. The shelves were lacking labeling to help children learn where to return materials. It was recommended to get support for the classroom staff and work on further implementing the curriculum and offered materials to children in the identified space. The DPI verification forms were monitored in the licensing book. The children’s record list for each group was not current. The transportation form was dated 2022. Staff and training worksheets were not fully updated. It was recommended to highlight in yellow the required items on the form that must be maintained. Ms. Rivera was asked to update the worksheets and email them to me after the visit. Shaken Baby and Head Trauma parental signatures were not maintained on file in the licensing binder. The center implemented the Creative Curriculum in the NC Pre-K classrooms. One lead teacher was asked to provide documentation related to parental involvement activities. There was not anything printed or shown to me how staff tracked parental involvement activities. It was recommended to develop a poster board chart or electronic tracking of involvement. If activities were tracked electronically, it was recommended to have something printed and maintained in the licensing binder for future monitoring. The Program Consultant Site Visit Information form was printed prior to the visit and reviewed during the visit. The information listed and reviewed was not accurate. I contacted the supervisor and inquired if anyone in our office would need to be notified of the discrepancy. I was given a name and contact information of the regional staff person in our office. Ms. Griffith will be contacted after the visit. The following information was not correct: A. Martinez-White was no longer a teacher assistant. K. Kinard was the lead teacher in A6. A. Adams was the teacher assistant in A6. Documentation for quarterly safety drills and monthly fire drills were monitored. The last sanitation inspection was conducted January 16, 2024, with four (4) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed on August 25, 2023. It was highly recommended to establish a process with the school administration team to ensure the two inspections reports get to the lead designee. A system should be developed to ensure the inspection reports are also forwarded to the assigned licensing consultant upon receipt. The center continues to meet five-star requirements and a three-year reassessment will be required no later than April 28, 2025. The last ERS were completed April 26, 2022. The overall average ERS was 5.31. The center program participated in the modified ERS but due to education did not process a modified reassessment. It was recommended to begin reviewing any items scored under a 5.0 and review any offered resources via the NCRLAP web site at www.ncrlap.org. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The DPI Student roster form was not maintained current. Children who had either disenrolled or enrolled were not crossed out or added to the required tracking form. The DPI transportation form on file was dated 2022. G.S. 110-91(9); .0304(g); .2318 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. 10A NCAC 09 .0509(2) 468 When three-year-old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. There were several missing material baskets on center activity shelves in space A6. .0510(d)(1) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. One plastic black border surrounding the outdoor stationary play equipment was monitored cracked with hardware exposed. .0601(d) 832 There was no written emergency medical care (EMC) plan. There was a posted EMC plan, but the names listed on the worksheet were not current. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff were past due to renew their FA certifications. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff were past due to renew their CPR training. .1102(d) 1776 The NC Pre-K program has not developed a plan for family engagement consisting of strategies designed to develop partnerships with families that promotes shared decision-making opportunities. Staff were asked to show any tracking of family involvement activities. No documentation was provided. .3010 1867 The depth of the loose surfacing was not based on critical height of the equipment. The exit points did not have at least six inches of mulch. .0605(k)(1-4) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. The required documentation was not maintained on file or available for review. Children's parental acknowledgements were not maintained in the licensing binder or presented for review. .0608(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member was passed due to obtain the five-year renewal of health and safety training. .1103(b) Technical Assistance Provided and General Discussion: 1. A return visit will be completed to review staff records, measure playground and staff training. 2. Recommendations were made to help better organize NC Pre-K required tracking documentation. 3. We discussed and reviewed the outdoor learning environment, obtaining the manufacturer's instructions and maintaining them on file. 4. On going challenges and barriers were discussed like: -obtaining fire inspections 2x per year when completed. - janitorial staff issues whether obtaining supplies or leaving janitorial equipment in hallways unattended or power equipment left in hallways accessible to children. -changing approved spaces over summer months and the required process for environmental health and DCDEE. -maintaining the outdoor learning environment per DCDEE rules (protective surfacing requirements, maintaining gates/fences for preschool children). -supporting the teacher assistants so they may complete 15 hours of annual in-service training per year; and - maintaining DCDEE requirements for substitute staff. Child care rules were emailed to the lead designee, NC Pre-K facilitator and school principal related to substitutes, required annual in-service hours for teacher assistants. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Thursday, February 15, 2024. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times