GS110-90 · Violation

Name of Operation: QUEST AT CLAREMONT ELEMENTARY Facility ID: 18000530 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 24 Completed Date: 2/28/2024 Age: From 5 To 12 Total Minutes: 129 Time In: 01:56 PM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit is to monitor your program for compliance with all applicable child care requirements during a routine unannounced visit. You, Helene Cobb, Substitute Teacher, assisted me, Meria Wilder, Child Care Consultant, with today’s visit. The last annual compliance visit conducted for this program was on September 20, 2023. Your program’s compliance history score was 94% prior to today’s visit. Your program operates with a Four-Star rated license that was issued on April 17, 2018, earning the following points: 2 points in program standards, 7 points in staff education and 1 quality point. Your program operates with the following restrictions: 1st shift daytime care, school age only, meets enhanced space, playground area does not meet child care safety standards, age range extended to 14 years old, and reduced group size by 1 in each group. The following required postings were prominently posted in the hallway across from the gym entrance: Four-Star rated license, sanitation placard, daily schedule, menu, tobacco free signage, First Aid poster, safe arrival and departure procedures, NC Summary of Child Care Law, Emergency Medical Care Plan, emergency phone numbers, and a current activity plan. I monitored the following: fire inspection dated for March 20, 2023, sanitation inspection dated for November 1, 2023, fire drill dated for February 26, 2024, and the most recent shelter-in-place emergency drill dated for January 31, 2024. You stated that this program does not provide screen time. You stated that this program does not provide transportation. I monitored 1 emergency medication, 1 emergency medication Medical Action Plan (MAP) and 1 emergency Medication Authorization form. I monitored sign in/sign out sheets and daily attendance records. I monitored your incident report log and found incident reports to be logged with children’s records. I monitored 5 existing staff files for criminal background qualification letters, First Aid, CPR, Recognizing and Responding to Suspicions of Child Maltreatment, BSAC, ITS-SIDS and special trainings. There were no new staff files to monitor. No children’s records were monitored during today’s visit. I observed staff child ratios, appropriate group sizes, adequate supervision and approved spaces being used. I observed children being cared for in a nurturing way. I observed health and safety standards. I observed toys and materials to be of sufficient quantity and in good repair. I observed children as they arrived transitioning through toileting routines, outside play, snack and free choice play. Snack served today was whole grain rich Cheez-It crackers and 1% white unflavored milk as listed on the posted menu. The following violations were cited during today’s visit: Violation Number Comment Rule 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One emergency medication, Ventolin HFA 90 mcg, was not labeled with the child’s name. 10A NCAC 09 .0803(2)(b)(i-v) Technical Assistance: All violations cited must be corrected immediately. * One emergency medication, Ventolin HFA 90 mcg, was not labeled with the child’s name. As discussed, all medications are required to be labeled with the child’s name that matches the name listed on the prescription, Medical Action Plan, and the Medication Authorization form. When receiving medication prior to storing medications be sure to label each medication with the child’s name. I suggest that you check all medications quarterly to ensure that all medications meet child care rule requirements. * One Medical Action Plan (MAP) for the emergency medication, Ventolin HFA 90 mcg, did not have health care physician listed and did not contain a physician’s signature. As discussed, all MAP, and Medication Authorization Forms are to contain all of the required information specified on the forms. When receiving medications prior to storing medications be sure that all MAP and Medication Authorization forms contain all required information before accepting these documents from parents. I suggest that all MAP and Medication Authorization forms be checked quarterly to ensure all forms are filled out entirely as required by child care requirements. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). You must maintain at least 75% Compliance History for each 18-month period as required by GS110-90(4)(c). Please note any violations cited during future visits may negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Also, please remember in order to maintain an enhanced rated license your compliance history must remain above 75% at all times. Consultation: • Your program is in Cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will begin July 1, 2024, to June 31, 2025. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • When reviewing Staff Files, Children’s Files, and Program Records utilize the Staff Files Checklist, Children’s File Checklist, Volunteer Files Checklist and the Program Records File Checklist to ensure that you are maintaining compliance with all of the files that are being maintained and that all of the documents within those files are current, accurate and relevant. These forms should be used annually to review files and can be found on the DCDEE website under provider documents. • Fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. If an inspection has not been sent to me within 7 days of the inspection a violation will be cited at the next monitoring visit. • Although not an issue today, on the DCDEE there is an editable form of the staff and training worksheet. This document can be downloaded and completed electronically. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. Due to the substantiation of supervision during the 2/20/24 visit, an Administrative Action may be issued. A compliance letter for violations cited during today’s visit must be sent to me by March 13, 2024. Please submit written documentation of compliance by March 13, 2024, and should contain the following information: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Mail or email the information to: Meria Wilder PO Box 6591 Statesville, NC 28625 Meria.wilder@dhhs.nc.gov You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard, Licensing Supervisor, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time and assistance today! 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.

GS110-91 · Violation

Name of Operation: QUEST AT CLAREMONT ELEMENTARY Facility ID: 18000530 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 24 Completed Date: 2/28/2024 Age: From 5 To 12 Total Minutes: 129 Time In: 01:56 PM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit is to monitor your program for compliance with all applicable child care requirements during a routine unannounced visit. You, Helene Cobb, Substitute Teacher, assisted me, Meria Wilder, Child Care Consultant, with today’s visit. The last annual compliance visit conducted for this program was on September 20, 2023. Your program’s compliance history score was 94% prior to today’s visit. Your program operates with a Four-Star rated license that was issued on April 17, 2018, earning the following points: 2 points in program standards, 7 points in staff education and 1 quality point. Your program operates with the following restrictions: 1st shift daytime care, school age only, meets enhanced space, playground area does not meet child care safety standards, age range extended to 14 years old, and reduced group size by 1 in each group. The following required postings were prominently posted in the hallway across from the gym entrance: Four-Star rated license, sanitation placard, daily schedule, menu, tobacco free signage, First Aid poster, safe arrival and departure procedures, NC Summary of Child Care Law, Emergency Medical Care Plan, emergency phone numbers, and a current activity plan. I monitored the following: fire inspection dated for March 20, 2023, sanitation inspection dated for November 1, 2023, fire drill dated for February 26, 2024, and the most recent shelter-in-place emergency drill dated for January 31, 2024. You stated that this program does not provide screen time. You stated that this program does not provide transportation. I monitored 1 emergency medication, 1 emergency medication Medical Action Plan (MAP) and 1 emergency Medication Authorization form. I monitored sign in/sign out sheets and daily attendance records. I monitored your incident report log and found incident reports to be logged with children’s records. I monitored 5 existing staff files for criminal background qualification letters, First Aid, CPR, Recognizing and Responding to Suspicions of Child Maltreatment, BSAC, ITS-SIDS and special trainings. There were no new staff files to monitor. No children’s records were monitored during today’s visit. I observed staff child ratios, appropriate group sizes, adequate supervision and approved spaces being used. I observed children being cared for in a nurturing way. I observed health and safety standards. I observed toys and materials to be of sufficient quantity and in good repair. I observed children as they arrived transitioning through toileting routines, outside play, snack and free choice play. Snack served today was whole grain rich Cheez-It crackers and 1% white unflavored milk as listed on the posted menu. The following violations were cited during today’s visit: Violation Number Comment Rule 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One emergency medication, Ventolin HFA 90 mcg, was not labeled with the child’s name. 10A NCAC 09 .0803(2)(b)(i-v) Technical Assistance: All violations cited must be corrected immediately. * One emergency medication, Ventolin HFA 90 mcg, was not labeled with the child’s name. As discussed, all medications are required to be labeled with the child’s name that matches the name listed on the prescription, Medical Action Plan, and the Medication Authorization form. When receiving medication prior to storing medications be sure to label each medication with the child’s name. I suggest that you check all medications quarterly to ensure that all medications meet child care rule requirements. * One Medical Action Plan (MAP) for the emergency medication, Ventolin HFA 90 mcg, did not have health care physician listed and did not contain a physician’s signature. As discussed, all MAP, and Medication Authorization Forms are to contain all of the required information specified on the forms. When receiving medications prior to storing medications be sure that all MAP and Medication Authorization forms contain all required information before accepting these documents from parents. I suggest that all MAP and Medication Authorization forms be checked quarterly to ensure all forms are filled out entirely as required by child care requirements. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). You must maintain at least 75% Compliance History for each 18-month period as required by GS110-90(4)(c). Please note any violations cited during future visits may negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Also, please remember in order to maintain an enhanced rated license your compliance history must remain above 75% at all times. Consultation: • Your program is in Cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will begin July 1, 2024, to June 31, 2025. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • When reviewing Staff Files, Children’s Files, and Program Records utilize the Staff Files Checklist, Children’s File Checklist, Volunteer Files Checklist and the Program Records File Checklist to ensure that you are maintaining compliance with all of the files that are being maintained and that all of the documents within those files are current, accurate and relevant. These forms should be used annually to review files and can be found on the DCDEE website under provider documents. • Fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. If an inspection has not been sent to me within 7 days of the inspection a violation will be cited at the next monitoring visit. • Although not an issue today, on the DCDEE there is an editable form of the staff and training worksheet. This document can be downloaded and completed electronically. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. Due to the substantiation of supervision during the 2/20/24 visit, an Administrative Action may be issued. A compliance letter for violations cited during today’s visit must be sent to me by March 13, 2024. Please submit written documentation of compliance by March 13, 2024, and should contain the following information: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Mail or email the information to: Meria Wilder PO Box 6591 Statesville, NC 28625 Meria.wilder@dhhs.nc.gov You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard, Licensing Supervisor, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time and assistance today! 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.