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Home › NC › Clemmons › THE Nest School
23 Twin Brook Drive, Clemmons NC 27012 · License #29000749 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
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10A NCAC 09 .0601 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 5/5/2026 Number Present: 95 Completed Date: 5/5/2026 Age: From 0 To 5 Total Minutes: 272 Time In: 08:53 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an Annual Compliance visit and Rated License Assessment. The last Annual Compliance Visit was conducted on June 11, 2025. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was completed on November 21, 2025, with a "Superior" classification and zero (0) demerits. The last Fire Inspection was conducted on January 4, 2026, and approved for daytime care only. The last Fire Drill was conducted on April 30, 2026. The last Lock Down/Shelter-in-Place was on April 13, 2026. The last Playground Inspection was conducted on April 9, 2026. The North Carolina Department of the Secretary’s website was used to check the status of the corporation. As of May 1, 2026 (The Nest Schools, Inc.) corporation status was found to be current and active. Upon arrival, I was greeted by the director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walkthrough of the facility, where attendance was documented, and observations made. The children were observed to participate in routines such as diaper changes, bottle feeding, indoor free play and lunch and outdoor play. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program records, criminal background checks, staff and children’s files, medication, outdoor play areas, and transportation. A checklist was used to note the requirements I monitored today, and a copy was provided for you. As of May 5, 2026, your compliance is at (90) percent before this visit. All programs are required to maintain at least 75% compliance. This program completed a water testing through “Clean Classrooms for Carolina Kids”, and the final report was emailed to the facility on February 22, 2026. The results of two tests were negative for any abnormalities, and the results were returned to the provider on March 26, and April 1, 2026. Today ten (10) Children’s files were monitored for compliance. Today two (2) vehicles were monitored for general safety. One bus and one van were checked for registration and insurance and found to be current. The vehicles were monitored for a mounted fire extinguisher and first aid kit. Transportation logs, and emergency forms with photos of each child's picture attached were also monitored. Ford Transit 350 van, tag number RJM-3813 will expire in November 2026. This vehicle is insured through “Hartford Fire Insurance. Chevrolet tag number RDH-1004 expires on December 31, 2026. Insured through "Hartford Fire Insurance”. The following violations were observed during today’s visit and technical assistance was offered to maintain compliance. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The infant classroom fridge thermometer read 52 degrees. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. A cabinet containing a staff members purse was in an unlocked cabinet and diaper wipes with warnings to children were out where children could reach them in the bathrooms and in Cardinals B classroom. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The permission form form did not have a start and ending date for a diaper cream in Hummingbirds C. 10A NCAC 09 .0803(4)(6-9) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. This was not in the vehicle. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. A child did not have a current permission form to transport on file. .1003(i)(j) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. One child's parent did not give permission to go outside the fenced area in an emergency. .1005(b)(4) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. All staff are not in the ABCMS portal. This needs to be updated. G.S. 110-90.2 & .2703(r) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter should include: •Each item’s number of noncompliance cited •Describe how and when the violations were corrected •Please include accompanying documentation of compliance •Emailed to rena.mccaffrey@dhhs.nc.gov •The letter must be received by my office on, or before 5:00 pm May 18, 2026 If a letter of compliance is not received by my office on, or before 5:00 pm May 18, 2026, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violations may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. Technical Assistance: All children being transported must have a signed and dated permission form to transport their child on an annual basis. All children being transported must have a photo of the child attached to their emergency information form along with any child having any medical rescue medications such as Epi Pens, Inhalers or seizure medications. The medical information and instructions must accompany the van driver, and all medications should be locked up or monitored by the van driver. All children’s medication or diaper creams must have a signed dated permission form that is current. This form must have a start and ending date on it. All parents must have the option of allowing their child to be taken outside the fenced area in the event of an emergency such as a fire. This must be completed at the time of enrollment. All refrigerators must have a working thermometer that does not exceed 45 degrees, especially when it holds infant milk that could curdle and cause the child to become ill. Hazardous items must always be locked up or five feet off the ground where children cannot reach them. Cabinets that contain items such as purses can hold many dangerous items in them such as medications, smoking apparel or cleaning agents. The process of notifying the Division of new employees 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. This needs to be updated. Many staff are not in the ABCMS portal. REMINDERS: K. Rookstool - Criminal Background check will expire 8/4/26. C. Keliwitz will need to complete First Aid training within her 90 day window. N. Kerr will need to complete Recognizing and Responding to Suspicions of Maltreatment by May 17, 2026. RATED LICENCE ASSESSMENT Consultation: Today I met with the director, Kelsey Rookstool, to answer any questions she may have about the “Pathways To The Stars” process and to review the requirements to maintain the facilities 4-Star License. This facility serves children ages birth – 12 years old. This facility has chosen pathway three. Mrs. Kelsey stated that all Nest Schools are currently going through the accreditation process of NAEYC. She stated that this process should be over by the end of May 2026. This program meets all enhanced requirements of enhanced ratios and space. Today we discussed that should for any reason the accreditation for the NAEYC is not met then another Pathway will have to be chosen. If this occurs, I will come back out, and we will see where all staff education is currently at in “Works” and at what star level you can achieve. Educational Standards: Please make sure that all new hires are in Works as soon as they are hired. This facility is using an approved curriculum- (The Nest Play Curriculum) the curriculum does include children up to age 12 years. It appears that if the NAEYC accreditation is met this facility will achieve a 5- Star License. At the closing of the visit, we reviewed all violations cited during today’s visit and a copy of today’s visit summary was left with you. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by phone at 336-580-5670. You may also contact my supervisor, Kaye Adkins by email at kaye.adkins@dhhs.nc.gov or by phone at 336-580-2527. Thank you for all you do for the children and families of North Carolina. 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
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0803 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 5/5/2026 Number Present: 95 Completed Date: 5/5/2026 Age: From 0 To 5 Total Minutes: 272 Time In: 08:53 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an Annual Compliance visit and Rated License Assessment. The last Annual Compliance Visit was conducted on June 11, 2025. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was completed on November 21, 2025, with a "Superior" classification and zero (0) demerits. The last Fire Inspection was conducted on January 4, 2026, and approved for daytime care only. The last Fire Drill was conducted on April 30, 2026. The last Lock Down/Shelter-in-Place was on April 13, 2026. The last Playground Inspection was conducted on April 9, 2026. The North Carolina Department of the Secretary’s website was used to check the status of the corporation. As of May 1, 2026 (The Nest Schools, Inc.) corporation status was found to be current and active. Upon arrival, I was greeted by the director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walkthrough of the facility, where attendance was documented, and observations made. The children were observed to participate in routines such as diaper changes, bottle feeding, indoor free play and lunch and outdoor play. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program records, criminal background checks, staff and children’s files, medication, outdoor play areas, and transportation. A checklist was used to note the requirements I monitored today, and a copy was provided for you. As of May 5, 2026, your compliance is at (90) percent before this visit. All programs are required to maintain at least 75% compliance. This program completed a water testing through “Clean Classrooms for Carolina Kids”, and the final report was emailed to the facility on February 22, 2026. The results of two tests were negative for any abnormalities, and the results were returned to the provider on March 26, and April 1, 2026. Today ten (10) Children’s files were monitored for compliance. Today two (2) vehicles were monitored for general safety. One bus and one van were checked for registration and insurance and found to be current. The vehicles were monitored for a mounted fire extinguisher and first aid kit. Transportation logs, and emergency forms with photos of each child's picture attached were also monitored. Ford Transit 350 van, tag number RJM-3813 will expire in November 2026. This vehicle is insured through “Hartford Fire Insurance. Chevrolet tag number RDH-1004 expires on December 31, 2026. Insured through "Hartford Fire Insurance”. The following violations were observed during today’s visit and technical assistance was offered to maintain compliance. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The infant classroom fridge thermometer read 52 degrees. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. A cabinet containing a staff members purse was in an unlocked cabinet and diaper wipes with warnings to children were out where children could reach them in the bathrooms and in Cardinals B classroom. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The permission form form did not have a start and ending date for a diaper cream in Hummingbirds C. 10A NCAC 09 .0803(4)(6-9) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. This was not in the vehicle. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. A child did not have a current permission form to transport on file. .1003(i)(j) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. One child's parent did not give permission to go outside the fenced area in an emergency. .1005(b)(4) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. All staff are not in the ABCMS portal. This needs to be updated. G.S. 110-90.2 & .2703(r) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter should include: •Each item’s number of noncompliance cited •Describe how and when the violations were corrected •Please include accompanying documentation of compliance •Emailed to rena.mccaffrey@dhhs.nc.gov •The letter must be received by my office on, or before 5:00 pm May 18, 2026 If a letter of compliance is not received by my office on, or before 5:00 pm May 18, 2026, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violations may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. Technical Assistance: All children being transported must have a signed and dated permission form to transport their child on an annual basis. All children being transported must have a photo of the child attached to their emergency information form along with any child having any medical rescue medications such as Epi Pens, Inhalers or seizure medications. The medical information and instructions must accompany the van driver, and all medications should be locked up or monitored by the van driver. All children’s medication or diaper creams must have a signed dated permission form that is current. This form must have a start and ending date on it. All parents must have the option of allowing their child to be taken outside the fenced area in the event of an emergency such as a fire. This must be completed at the time of enrollment. All refrigerators must have a working thermometer that does not exceed 45 degrees, especially when it holds infant milk that could curdle and cause the child to become ill. Hazardous items must always be locked up or five feet off the ground where children cannot reach them. Cabinets that contain items such as purses can hold many dangerous items in them such as medications, smoking apparel or cleaning agents. The process of notifying the Division of new employees 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. This needs to be updated. Many staff are not in the ABCMS portal. REMINDERS: K. Rookstool - Criminal Background check will expire 8/4/26. C. Keliwitz will need to complete First Aid training within her 90 day window. N. Kerr will need to complete Recognizing and Responding to Suspicions of Maltreatment by May 17, 2026. RATED LICENCE ASSESSMENT Consultation: Today I met with the director, Kelsey Rookstool, to answer any questions she may have about the “Pathways To The Stars” process and to review the requirements to maintain the facilities 4-Star License. This facility serves children ages birth – 12 years old. This facility has chosen pathway three. Mrs. Kelsey stated that all Nest Schools are currently going through the accreditation process of NAEYC. She stated that this process should be over by the end of May 2026. This program meets all enhanced requirements of enhanced ratios and space. Today we discussed that should for any reason the accreditation for the NAEYC is not met then another Pathway will have to be chosen. If this occurs, I will come back out, and we will see where all staff education is currently at in “Works” and at what star level you can achieve. Educational Standards: Please make sure that all new hires are in Works as soon as they are hired. This facility is using an approved curriculum- (The Nest Play Curriculum) the curriculum does include children up to age 12 years. It appears that if the NAEYC accreditation is met this facility will achieve a 5- Star License. At the closing of the visit, we reviewed all violations cited during today’s visit and a copy of today’s visit summary was left with you. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by phone at 336-580-5670. You may also contact my supervisor, Kaye Adkins by email at kaye.adkins@dhhs.nc.gov or by phone at 336-580-2527. Thank you for all you do for the children and families of North Carolina. 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 .1003 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 5/5/2026 Number Present: 95 Completed Date: 5/5/2026 Age: From 0 To 5 Total Minutes: 272 Time In: 08:53 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an Annual Compliance visit and Rated License Assessment. The last Annual Compliance Visit was conducted on June 11, 2025. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was completed on November 21, 2025, with a "Superior" classification and zero (0) demerits. The last Fire Inspection was conducted on January 4, 2026, and approved for daytime care only. The last Fire Drill was conducted on April 30, 2026. The last Lock Down/Shelter-in-Place was on April 13, 2026. The last Playground Inspection was conducted on April 9, 2026. The North Carolina Department of the Secretary’s website was used to check the status of the corporation. As of May 1, 2026 (The Nest Schools, Inc.) corporation status was found to be current and active. Upon arrival, I was greeted by the director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walkthrough of the facility, where attendance was documented, and observations made. The children were observed to participate in routines such as diaper changes, bottle feeding, indoor free play and lunch and outdoor play. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program records, criminal background checks, staff and children’s files, medication, outdoor play areas, and transportation. A checklist was used to note the requirements I monitored today, and a copy was provided for you. As of May 5, 2026, your compliance is at (90) percent before this visit. All programs are required to maintain at least 75% compliance. This program completed a water testing through “Clean Classrooms for Carolina Kids”, and the final report was emailed to the facility on February 22, 2026. The results of two tests were negative for any abnormalities, and the results were returned to the provider on March 26, and April 1, 2026. Today ten (10) Children’s files were monitored for compliance. Today two (2) vehicles were monitored for general safety. One bus and one van were checked for registration and insurance and found to be current. The vehicles were monitored for a mounted fire extinguisher and first aid kit. Transportation logs, and emergency forms with photos of each child's picture attached were also monitored. Ford Transit 350 van, tag number RJM-3813 will expire in November 2026. This vehicle is insured through “Hartford Fire Insurance. Chevrolet tag number RDH-1004 expires on December 31, 2026. Insured through "Hartford Fire Insurance”. The following violations were observed during today’s visit and technical assistance was offered to maintain compliance. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The infant classroom fridge thermometer read 52 degrees. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. A cabinet containing a staff members purse was in an unlocked cabinet and diaper wipes with warnings to children were out where children could reach them in the bathrooms and in Cardinals B classroom. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The permission form form did not have a start and ending date for a diaper cream in Hummingbirds C. 10A NCAC 09 .0803(4)(6-9) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. This was not in the vehicle. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. A child did not have a current permission form to transport on file. .1003(i)(j) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. One child's parent did not give permission to go outside the fenced area in an emergency. .1005(b)(4) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. All staff are not in the ABCMS portal. This needs to be updated. G.S. 110-90.2 & .2703(r) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter should include: •Each item’s number of noncompliance cited •Describe how and when the violations were corrected •Please include accompanying documentation of compliance •Emailed to rena.mccaffrey@dhhs.nc.gov •The letter must be received by my office on, or before 5:00 pm May 18, 2026 If a letter of compliance is not received by my office on, or before 5:00 pm May 18, 2026, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violations may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. Technical Assistance: All children being transported must have a signed and dated permission form to transport their child on an annual basis. All children being transported must have a photo of the child attached to their emergency information form along with any child having any medical rescue medications such as Epi Pens, Inhalers or seizure medications. The medical information and instructions must accompany the van driver, and all medications should be locked up or monitored by the van driver. All children’s medication or diaper creams must have a signed dated permission form that is current. This form must have a start and ending date on it. All parents must have the option of allowing their child to be taken outside the fenced area in the event of an emergency such as a fire. This must be completed at the time of enrollment. All refrigerators must have a working thermometer that does not exceed 45 degrees, especially when it holds infant milk that could curdle and cause the child to become ill. Hazardous items must always be locked up or five feet off the ground where children cannot reach them. Cabinets that contain items such as purses can hold many dangerous items in them such as medications, smoking apparel or cleaning agents. The process of notifying the Division of new employees 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. This needs to be updated. Many staff are not in the ABCMS portal. REMINDERS: K. Rookstool - Criminal Background check will expire 8/4/26. C. Keliwitz will need to complete First Aid training within her 90 day window. N. Kerr will need to complete Recognizing and Responding to Suspicions of Maltreatment by May 17, 2026. RATED LICENCE ASSESSMENT Consultation: Today I met with the director, Kelsey Rookstool, to answer any questions she may have about the “Pathways To The Stars” process and to review the requirements to maintain the facilities 4-Star License. This facility serves children ages birth – 12 years old. This facility has chosen pathway three. Mrs. Kelsey stated that all Nest Schools are currently going through the accreditation process of NAEYC. She stated that this process should be over by the end of May 2026. This program meets all enhanced requirements of enhanced ratios and space. Today we discussed that should for any reason the accreditation for the NAEYC is not met then another Pathway will have to be chosen. If this occurs, I will come back out, and we will see where all staff education is currently at in “Works” and at what star level you can achieve. Educational Standards: Please make sure that all new hires are in Works as soon as they are hired. This facility is using an approved curriculum- (The Nest Play Curriculum) the curriculum does include children up to age 12 years. It appears that if the NAEYC accreditation is met this facility will achieve a 5- Star License. At the closing of the visit, we reviewed all violations cited during today’s visit and a copy of today’s visit summary was left with you. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by phone at 336-580-5670. You may also contact my supervisor, Kaye Adkins by email at kaye.adkins@dhhs.nc.gov or by phone at 336-580-2527. Thank you for all you do for the children and families of North Carolina. 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. 110-90 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 5/5/2026 Number Present: 95 Completed Date: 5/5/2026 Age: From 0 To 5 Total Minutes: 272 Time In: 08:53 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an Annual Compliance visit and Rated License Assessment. The last Annual Compliance Visit was conducted on June 11, 2025. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was completed on November 21, 2025, with a "Superior" classification and zero (0) demerits. The last Fire Inspection was conducted on January 4, 2026, and approved for daytime care only. The last Fire Drill was conducted on April 30, 2026. The last Lock Down/Shelter-in-Place was on April 13, 2026. The last Playground Inspection was conducted on April 9, 2026. The North Carolina Department of the Secretary’s website was used to check the status of the corporation. As of May 1, 2026 (The Nest Schools, Inc.) corporation status was found to be current and active. Upon arrival, I was greeted by the director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walkthrough of the facility, where attendance was documented, and observations made. The children were observed to participate in routines such as diaper changes, bottle feeding, indoor free play and lunch and outdoor play. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program records, criminal background checks, staff and children’s files, medication, outdoor play areas, and transportation. A checklist was used to note the requirements I monitored today, and a copy was provided for you. As of May 5, 2026, your compliance is at (90) percent before this visit. All programs are required to maintain at least 75% compliance. This program completed a water testing through “Clean Classrooms for Carolina Kids”, and the final report was emailed to the facility on February 22, 2026. The results of two tests were negative for any abnormalities, and the results were returned to the provider on March 26, and April 1, 2026. Today ten (10) Children’s files were monitored for compliance. Today two (2) vehicles were monitored for general safety. One bus and one van were checked for registration and insurance and found to be current. The vehicles were monitored for a mounted fire extinguisher and first aid kit. Transportation logs, and emergency forms with photos of each child's picture attached were also monitored. Ford Transit 350 van, tag number RJM-3813 will expire in November 2026. This vehicle is insured through “Hartford Fire Insurance. Chevrolet tag number RDH-1004 expires on December 31, 2026. Insured through "Hartford Fire Insurance”. The following violations were observed during today’s visit and technical assistance was offered to maintain compliance. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The infant classroom fridge thermometer read 52 degrees. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. A cabinet containing a staff members purse was in an unlocked cabinet and diaper wipes with warnings to children were out where children could reach them in the bathrooms and in Cardinals B classroom. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The permission form form did not have a start and ending date for a diaper cream in Hummingbirds C. 10A NCAC 09 .0803(4)(6-9) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. This was not in the vehicle. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. A child did not have a current permission form to transport on file. .1003(i)(j) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. One child's parent did not give permission to go outside the fenced area in an emergency. .1005(b)(4) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. All staff are not in the ABCMS portal. This needs to be updated. G.S. 110-90.2 & .2703(r) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter should include: •Each item’s number of noncompliance cited •Describe how and when the violations were corrected •Please include accompanying documentation of compliance •Emailed to rena.mccaffrey@dhhs.nc.gov •The letter must be received by my office on, or before 5:00 pm May 18, 2026 If a letter of compliance is not received by my office on, or before 5:00 pm May 18, 2026, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violations may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. Technical Assistance: All children being transported must have a signed and dated permission form to transport their child on an annual basis. All children being transported must have a photo of the child attached to their emergency information form along with any child having any medical rescue medications such as Epi Pens, Inhalers or seizure medications. The medical information and instructions must accompany the van driver, and all medications should be locked up or monitored by the van driver. All children’s medication or diaper creams must have a signed dated permission form that is current. This form must have a start and ending date on it. All parents must have the option of allowing their child to be taken outside the fenced area in the event of an emergency such as a fire. This must be completed at the time of enrollment. All refrigerators must have a working thermometer that does not exceed 45 degrees, especially when it holds infant milk that could curdle and cause the child to become ill. Hazardous items must always be locked up or five feet off the ground where children cannot reach them. Cabinets that contain items such as purses can hold many dangerous items in them such as medications, smoking apparel or cleaning agents. The process of notifying the Division of new employees 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. This needs to be updated. Many staff are not in the ABCMS portal. REMINDERS: K. Rookstool - Criminal Background check will expire 8/4/26. C. Keliwitz will need to complete First Aid training within her 90 day window. N. Kerr will need to complete Recognizing and Responding to Suspicions of Maltreatment by May 17, 2026. RATED LICENCE ASSESSMENT Consultation: Today I met with the director, Kelsey Rookstool, to answer any questions she may have about the “Pathways To The Stars” process and to review the requirements to maintain the facilities 4-Star License. This facility serves children ages birth – 12 years old. This facility has chosen pathway three. Mrs. Kelsey stated that all Nest Schools are currently going through the accreditation process of NAEYC. She stated that this process should be over by the end of May 2026. This program meets all enhanced requirements of enhanced ratios and space. Today we discussed that should for any reason the accreditation for the NAEYC is not met then another Pathway will have to be chosen. If this occurs, I will come back out, and we will see where all staff education is currently at in “Works” and at what star level you can achieve. Educational Standards: Please make sure that all new hires are in Works as soon as they are hired. This facility is using an approved curriculum- (The Nest Play Curriculum) the curriculum does include children up to age 12 years. It appears that if the NAEYC accreditation is met this facility will achieve a 5- Star License. At the closing of the visit, we reviewed all violations cited during today’s visit and a copy of today’s visit summary was left with you. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by phone at 336-580-5670. You may also contact my supervisor, Kaye Adkins by email at kaye.adkins@dhhs.nc.gov or by phone at 336-580-2527. Thank you for all you do for the children and families of North Carolina. 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 .0601 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: SUSAN BROWN Operation Type: Center Case Number: 0126-236A Visit Date: 1/30/2026 Number Present: 50 Completed Date: 1/30/2026 Age: From 0 To 12 Total Minutes: 270 Time In: 12:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Kelsey Rookstool, administrator accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Rookstool and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were confirmed during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A staff member failed to ensure a child with known allergies was not exposed to the allergen. 10A NCAC 09 .0601(a) 1848 The child care environment was not smoke and/or tobacco free. A staff member used a vape while on center property. .0604(h) The violations were corrected during the visit. You must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements within one week (02/06/26) to me at Susan Brown, investigations consultant at susan.brown@dhhs.nc.gov You may contact me Susan Brown, investigations consultant at susan.brown@dhhs.nc.gov or (704) 533-2037 or Elizabeth Nichols, North Central investigations supervisor at elizabeth.nichols@dhhs.nc.gov. Thank you for your time. 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 .0601 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 11/18/2025 Number Present: 83 Completed Date: 11/18/2025 Age: From 0 To 5 Total Minutes: 178 Time In: 10:10 AM Time Out: 01:08 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced visit was to monitor compliance with applicable child care requirements. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was conducted on November 18, 2025, and received a “Disapproved” classification and (17) demerits. The last Fire Inspection was conducted on January 10, 2025, and the facility was approved for daytime care only. The last Fire Drill was conducted on October 31, 2025. The last Lock Down/ Shelter-in-Place was on October 31, 2025. The last Playground Inspection was conducted on November 6, 2025. Upon arrival, I was greeted by the director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walkthrough of the facility, where attendance was documented, and observations made. The children were observed in free play in centers and infants were having tummy time and being held to feed. Three groups were outside on the playground. Today, a partial assessment of applicable child care requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. The following violations were cited during today’s visit and technical assistance was offered. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. On the playground there were two metal pegs sticking up and are a tripping hazard. They will need to be hammered down. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. In the infant classroom there were dead bugs sitting in the window sill near a crib. 10A NCAC 09 .0601(a) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before 5:00 PM December 1, 2025. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received at my office by 5:00 PM December 1, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Technical Assistance: Today we discussed that in the infant classroom there were bugs on the window sill near the crib that need to be cleaned. The bugs appeared to be dead. The playground area had two metal pegs sticking up out of the ground in the play area next to the parking lot under the metal shelter. These pegs will need to be hammered down so they are not a tripping hazard. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. Pathways To The Stars Technical Assistance: Today we discussed educational standards, family and communication with parents, ratio requirements, CQI requirements, and using the professional development plan from the division if you choose to. Ms. Kelsey stated that they are in the process of acquiring an NAEYC accreditation, but they have just started. We spoke about whether they complete this accreditation, they can choose pathway 3 or if not Pathway 1 will be chosen. Reminders: Andrea Modery- qualifying letter will need to be renewed before 11/14/25. If it has not been received by this date, she will have 15 calendar days to get it from today’s date. At this point if she does not receive it, she will not be allowed back until it’s received and in her file. Janice Mills qualifying letter must be renewed before 12/8/25. L. Aderhold must complete her CPR and First aid training must be completed before 11/25/25. UP-DATES: Checkout our “What’s New” at DCDEE website at https://ncchildcare.ncdhhs.gov . RESOURCES: - For training courses by CEU’s you can use Southwestern Child Development as a resource. They have several CEU training courses available that are online. https://www.swcdcinc.org/ . -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov . You can also sign up for e-mail alerts for recalled products at this site. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do to serve the children and families of North Carolina. 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: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 11/18/2025 Number Present: 83 Completed Date: 11/18/2025 Age: From 0 To 5 Total Minutes: 178 Time In: 10:10 AM Time Out: 01:08 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced visit was to monitor compliance with applicable child care requirements. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was conducted on November 18, 2025, and received a “Disapproved” classification and (17) demerits. The last Fire Inspection was conducted on January 10, 2025, and the facility was approved for daytime care only. The last Fire Drill was conducted on October 31, 2025. The last Lock Down/ Shelter-in-Place was on October 31, 2025. The last Playground Inspection was conducted on November 6, 2025. Upon arrival, I was greeted by the director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walkthrough of the facility, where attendance was documented, and observations made. The children were observed in free play in centers and infants were having tummy time and being held to feed. Three groups were outside on the playground. Today, a partial assessment of applicable child care requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. The following violations were cited during today’s visit and technical assistance was offered. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. On the playground there were two metal pegs sticking up and are a tripping hazard. They will need to be hammered down. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. In the infant classroom there were dead bugs sitting in the window sill near a crib. 10A NCAC 09 .0601(a) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before 5:00 PM December 1, 2025. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received at my office by 5:00 PM December 1, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Technical Assistance: Today we discussed that in the infant classroom there were bugs on the window sill near the crib that need to be cleaned. The bugs appeared to be dead. The playground area had two metal pegs sticking up out of the ground in the play area next to the parking lot under the metal shelter. These pegs will need to be hammered down so they are not a tripping hazard. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. Pathways To The Stars Technical Assistance: Today we discussed educational standards, family and communication with parents, ratio requirements, CQI requirements, and using the professional development plan from the division if you choose to. Ms. Kelsey stated that they are in the process of acquiring an NAEYC accreditation, but they have just started. We spoke about whether they complete this accreditation, they can choose pathway 3 or if not Pathway 1 will be chosen. Reminders: Andrea Modery- qualifying letter will need to be renewed before 11/14/25. If it has not been received by this date, she will have 15 calendar days to get it from today’s date. At this point if she does not receive it, she will not be allowed back until it’s received and in her file. Janice Mills qualifying letter must be renewed before 12/8/25. L. Aderhold must complete her CPR and First aid training must be completed before 11/25/25. UP-DATES: Checkout our “What’s New” at DCDEE website at https://ncchildcare.ncdhhs.gov . RESOURCES: - For training courses by CEU’s you can use Southwestern Child Development as a resource. They have several CEU training courses available that are online. https://www.swcdcinc.org/ . -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov . You can also sign up for e-mail alerts for recalled products at this site. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do to serve the children and families of North Carolina. 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 .0804 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: 0825-322L Visit Date: 9/3/2025 Number Present: 67 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 135 Time In: 01:15 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate an allegation of a violation of childcare requirements. On August 28, 2025, the Raleigh office received a report of possible non-compliance with childcare requirements. Upon arrival at the facility, I was greeted by the director, Kelsey Rookstool and she assisted me during the investigation. There are sixty seven (67) children present this date, ranging in age from infant-zero (0) to 5-years-old. Today I discussed the concerns stated in the report with the director. This gave the director, and assistant director had an opportunity to share information regarding the allegations made. Allegation: There are allegations of violations of child care requirements. Observation: The reporter stated that on August 11, 2025, when the parents picked up their child from school at 5:00 pm he was lethargic. The teacher stated that earlier in the day the child had thrown up multiple times, but the parent was not notified her child was ill earlier that day. The staff took the child’s temperature at 4:55 pm and it was 101.4. Today I spoke to three teachers in this classroom and asked if the parent was contacted when the child became ill in the morning. One staff member stated that they did not see the child throw up during the day and the second staff member was told by the morning staff that the child had thrown up multiple times that day. I asked the staff if the child was removed from the classroom when the child vomited or had a fever. The child was not removed from Hummingbird’s B and then was moved to Hummingbirds A, so the potentially of two classrooms becoming infected . The child’s temperature was taken at 4:45 by the afternoon staff when the child was moved from Hummingbirds B to Hummingbirds at A at 4:38. The teacher in this classroom stated that he did not look well so she took the child’s temperature and then called the assistant director to notify the parent and the assistant director stated that the parent had just walked into the classroom. Based on the daily activities notes for that the teachers recorded that the child went to sleep from 10:33-12:40 and then again from 2:54-4:07. The child only drank one bottle that day and did not eat lunch. These were all indicators of the child showing signs of an illness. The school’s sick policy states that the child will immediately be isolated if the child shows signs of an illness and if a child throws up more than two times the child will be sent home. The school did not follow their own sick policy. CONCLUSION: Based on my observations and conversations with the director and staff, the allegation regarding violations of child care requirements is Substantiated. The following violations were cited during today's visit. Violation Number Comment Rule 876 The center did not separate from others those children who became ill or who were suspected of being ill with a communicable disease or condition that would exclude them from care. The child was not isolated from the other children in the classroom and then was moved to a second classroom late in the day. 10A NCAC 09 .0804(b)(2) 878 The center did not notify the parent of any child who became ill or who was suspected of being ill with a communicable condition that the child was ill and must leave the center. The child was showing sign's of illness during the day and had a fever recorded at 4:45 and the parents came to pick up their child at 5:00 and was then told their child was sick. The teacher stated that the child had thrown up multiple times that day. .0804(b)(4) The above violation must be corrected immediately, and a letter sent to my office stating how the violation was corrected. Please include with the letter the item number cited any documentation to support the corrective actions taken. Your letter should be received by my office on or before 5:00 pm September 16, 2025. The letter of correction can be emailed to me at rena.mccaffrey@dhhs.nc.gov. Technical Assistance: When a child shows signs of illness it is the responsibility of the teacher or administration to contact the parent immediately. Checking a child’s temperature is the first sign that the child could be coming down with a communicable condition. When a child shows signs of an illness, that child should be separated from the other children so as not to potentially infect them. The center has a policy of procedures they take when a child becomes ill. The policy should always be followed. You were provided with an opportunity to ask questions regarding childcare requirements. We discussed the items of noncompliance and the rationale of the rules. Corrective Action is required to promote a safe and healthy environment for children and to reduce the recurrence of noncompliance with childcare requirements. Please be aware that any information obtained during the investigation and any violations determined may be included in future Administrative Action. Completion of Immediate Corrective Action does not prohibit the Division from taking further action; however, successful completion of the items will be considered when determining appropriate case closure. RESOURCE LINKS: -Caring for Our Children National Health and Safety Performance Standard Guidelines for Early Care and Education Programs: https://nrckids.org/CFOC. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@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 .0803 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 93 Completed Date: 6/11/2025 Age: From 0 To 11 Total Minutes: 375 Time In: 09:00 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care Requirements. The last Annual Compliance visit was conducted on July 29, 2024. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was completed on January 22, 2025, with a "Superior" classification and eleven (11) demerits. The last Fire Inspection was conducted on December 11, 2024. The last Fire Drill was conducted on May 30, 2025. The last Lock Down/Shelter-in-Place was on April 16, 2025. The last Playground Inspection was conducted on June 4, 2025. The North Carolina Department of the Secretary’s website was used to check the status of the corporation. As of June 6, 2025 (The Nest Schools, Inc.) corporation status was found to be current and active. Upon arrival, I was greeted by the director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed to participate in routines such as diaper changes, bottle feeding, indoor free play and lunch and outdoor play. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program records, criminal background checks, staff and children’s files, medication, outdoor play areas, and transportation. A checklist was used to note the requirements I monitored today, and a copy was provided for you. As of June 6, 2025, your compliance is at (88) percent before this visit. All programs are required to maintain at least 75% compliance. This program completed a water testing through “Clean Classrooms for Carolina Kids” and the final report was emailed to the facility on January 16, 2025. Today ten (10) Children’s files were monitored for compliance. Today two (2) school buses were monitored for general safety and one was on property, but the director stated it is not in use currently however, these three buses were checked for registration and insurance and found to be current. The vehicles were monitored for a mounted fire extinguisher and first aid kit. Transportation logs, and emergency forms with photos of each child's picture attached were also monitored. Ford Transit 350 van, tag number RJM-3813 expires in December 2025. This vehicle is insured through “Philadelphia Indemnity Ins. CO". Chevrolet tag number RDH-1004 expires in December 2025. Insured through "Universal Insurance Company". The Chevrolet tag number RDH-1003 expires in December 2025 (Not in use). Chevy Blue Bird Tag RDH-1004 expires Dec 2025. The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 3 a refrigerator had a temperature of 50 degrees. 15A NCAC 18A .2806(j)(2) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. There were no cot diagram's in the classrooms identifying where a child sleeps. 15A NCAC 18A .2821(b) & (c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 6 there is a ceiling tile that has a leak and is stained. 15A NCAC 18A .2825(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 10 a teachers bag was down where a child could reach her bag. This bag contained medications in it. .2820(b) 847 Parent's medication authorization did not include required information. In space 2 there was not a permission form completed by the parent to administer a Desitin diaper cream to her child. 10A NCAC 09 .0803(4)(6-9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Several staff did not have their orientation recorded or did not receive this training within the required 6 weeks of hire date. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two staff members needed additional in-service hours. E. Moreno needs 8 hours and L. Barlow needs 5 hrs. .1103(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child did not have a completed medical by a physician. GS 110-91(1);.0302(d)(2); .0304(g) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter should include: •Each item’s number of noncompliance cited •Describe how and when the violations were corrected •Please include accompanying documentation of compliance •The letter must be received by my office on, or before 5:00 pm June 24, 2025 •Emailed to rena.mccaffrey@dhhs.nc.gov If a compliance letter is not received by my office on, or before 5:00 pm June 24, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violations may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. Technical Assistance: Today we discussed that all staff must have completed orientation within the first 6 weeks. All children must have the top portion and bottom portion completed of the medical within 30 days. All permission forms must be completed by the parent before you can administer diaper creams or medications. All refrigerators must have a thermometer reading 45 degrees and under. Ceiling tiles that have a leak and are stained need to be repaired or replaced. All teachers need to have their purses locked up and out of the reach of children. Purses can contain serval items that a child should not have access to. All staff must complete their required number of in-service hours within the year. All classrooms are required to have a cot diagram and list of the children’s names. There needs to be a separate area where children that are sick can lay down and be away from other children. This can be a sick room or even in the director’s office. Reminders: The following staff will need to renew their criminal background checks: M. Padron 8/25/25 O. Otto 7/29/25 J. Mills 12/8/25 Recognize and Respond to Suspicions of Maltreatment J. Eason due by 6/18/25 All directors are responsible for monitoring all van drivers every three years for any DUI violations and all staff are responsible for reporting DUI citations to their director or owner immediately any motor violations are cited. UPDATES: Checkout our “What’s New” at DCDEE website https://ncchildcare.ncdhhs.gov. For information about rule changes, visit the Division’s website at ncchildcare.ncdhhs.gov and look under the “What’s” Tab. COVID-19 INFORMATION: Please check our website for the latest Covid-19 information on the DCDEE website at https://ncchildcare.ncdhhs.gov . Federal law also requires that an employer keeps all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. QRIS Updates: All licensed childcare facilities are currently under the ‘Hold-Harmless’ state for their license from DCDEE. Once QRIS is implemented, you will receive information from DCDEE regarding the new pathways for licensure and your timeframe for completing your license renewal. The NCRLAP website, https://ncrlap.org, has trainings geared towards the new ECERS3 and ITERS3 assessment scales. These will introduce you to the updated assessment scale and provide tips for completing the new scale. RESOURCES: - Today, I left the NC foundations for Early Learning book with you, and we discussed how you can also locate it on the DCDEE website, https://ncchuildcare.ncdhhs.com. NC Foundations assist teachers in planning age-appropriate activities for their class. Clean Classrooms for Carolina Kihttps://www.cleanwaterforuskids.org/en/carolina/ 15A NCAC 18A .2816 of the North Carolina Child Care Sanitation Guidelines covering Lead Poisoning Hazards in Child Care Centers In 2019, North Carolina enacted 15ANCAC 18A .2816, requiring all licensed child care centers to test for lead in water at every tap used for drinking or cooking. Testing is required to obtain a license and is required at least once every three years. If levels of lead at a tap are at or above the state hazard level, centers are required to restrict access to the tap and take additional actions to ensure children and staff have access to water that does not exceed state hazard levels. -Caring for Our Children National Health and Safety Performance Standard Guidelines for Early Care and Education Programs: https://nrckids.org/CFOC -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ - Health and Safety Trainings are offered on the DCDEE website https://ncchildcare.ncdhhs.gov free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings must be completed one year from hire date and renewed every five (5) years thereafter. At the closing of the visit, we reviewed any violations cited during today. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by phone at 336-580-5670. You may also contact my supervisor, Kaye Adkins by email at kaye.adkins@dhhs.nc.gov or by phone at 336-580-2527. 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.
GS 110-91 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 93 Completed Date: 6/11/2025 Age: From 0 To 11 Total Minutes: 375 Time In: 09:00 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care Requirements. The last Annual Compliance visit was conducted on July 29, 2024. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was completed on January 22, 2025, with a "Superior" classification and eleven (11) demerits. The last Fire Inspection was conducted on December 11, 2024. The last Fire Drill was conducted on May 30, 2025. The last Lock Down/Shelter-in-Place was on April 16, 2025. The last Playground Inspection was conducted on June 4, 2025. The North Carolina Department of the Secretary’s website was used to check the status of the corporation. As of June 6, 2025 (The Nest Schools, Inc.) corporation status was found to be current and active. Upon arrival, I was greeted by the director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed to participate in routines such as diaper changes, bottle feeding, indoor free play and lunch and outdoor play. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program records, criminal background checks, staff and children’s files, medication, outdoor play areas, and transportation. A checklist was used to note the requirements I monitored today, and a copy was provided for you. As of June 6, 2025, your compliance is at (88) percent before this visit. All programs are required to maintain at least 75% compliance. This program completed a water testing through “Clean Classrooms for Carolina Kids” and the final report was emailed to the facility on January 16, 2025. Today ten (10) Children’s files were monitored for compliance. Today two (2) school buses were monitored for general safety and one was on property, but the director stated it is not in use currently however, these three buses were checked for registration and insurance and found to be current. The vehicles were monitored for a mounted fire extinguisher and first aid kit. Transportation logs, and emergency forms with photos of each child's picture attached were also monitored. Ford Transit 350 van, tag number RJM-3813 expires in December 2025. This vehicle is insured through “Philadelphia Indemnity Ins. CO". Chevrolet tag number RDH-1004 expires in December 2025. Insured through "Universal Insurance Company". The Chevrolet tag number RDH-1003 expires in December 2025 (Not in use). Chevy Blue Bird Tag RDH-1004 expires Dec 2025. The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 3 a refrigerator had a temperature of 50 degrees. 15A NCAC 18A .2806(j)(2) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. There were no cot diagram's in the classrooms identifying where a child sleeps. 15A NCAC 18A .2821(b) & (c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 6 there is a ceiling tile that has a leak and is stained. 15A NCAC 18A .2825(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 10 a teachers bag was down where a child could reach her bag. This bag contained medications in it. .2820(b) 847 Parent's medication authorization did not include required information. In space 2 there was not a permission form completed by the parent to administer a Desitin diaper cream to her child. 10A NCAC 09 .0803(4)(6-9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Several staff did not have their orientation recorded or did not receive this training within the required 6 weeks of hire date. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two staff members needed additional in-service hours. E. Moreno needs 8 hours and L. Barlow needs 5 hrs. .1103(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child did not have a completed medical by a physician. GS 110-91(1);.0302(d)(2); .0304(g) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter should include: •Each item’s number of noncompliance cited •Describe how and when the violations were corrected •Please include accompanying documentation of compliance •The letter must be received by my office on, or before 5:00 pm June 24, 2025 •Emailed to rena.mccaffrey@dhhs.nc.gov If a compliance letter is not received by my office on, or before 5:00 pm June 24, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violations may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. Technical Assistance: Today we discussed that all staff must have completed orientation within the first 6 weeks. All children must have the top portion and bottom portion completed of the medical within 30 days. All permission forms must be completed by the parent before you can administer diaper creams or medications. All refrigerators must have a thermometer reading 45 degrees and under. Ceiling tiles that have a leak and are stained need to be repaired or replaced. All teachers need to have their purses locked up and out of the reach of children. Purses can contain serval items that a child should not have access to. All staff must complete their required number of in-service hours within the year. All classrooms are required to have a cot diagram and list of the children’s names. There needs to be a separate area where children that are sick can lay down and be away from other children. This can be a sick room or even in the director’s office. Reminders: The following staff will need to renew their criminal background checks: M. Padron 8/25/25 O. Otto 7/29/25 J. Mills 12/8/25 Recognize and Respond to Suspicions of Maltreatment J. Eason due by 6/18/25 All directors are responsible for monitoring all van drivers every three years for any DUI violations and all staff are responsible for reporting DUI citations to their director or owner immediately any motor violations are cited. UPDATES: Checkout our “What’s New” at DCDEE website https://ncchildcare.ncdhhs.gov. For information about rule changes, visit the Division’s website at ncchildcare.ncdhhs.gov and look under the “What’s” Tab. COVID-19 INFORMATION: Please check our website for the latest Covid-19 information on the DCDEE website at https://ncchildcare.ncdhhs.gov . Federal law also requires that an employer keeps all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. QRIS Updates: All licensed childcare facilities are currently under the ‘Hold-Harmless’ state for their license from DCDEE. Once QRIS is implemented, you will receive information from DCDEE regarding the new pathways for licensure and your timeframe for completing your license renewal. The NCRLAP website, https://ncrlap.org, has trainings geared towards the new ECERS3 and ITERS3 assessment scales. These will introduce you to the updated assessment scale and provide tips for completing the new scale. RESOURCES: - Today, I left the NC foundations for Early Learning book with you, and we discussed how you can also locate it on the DCDEE website, https://ncchuildcare.ncdhhs.com. NC Foundations assist teachers in planning age-appropriate activities for their class. Clean Classrooms for Carolina Kihttps://www.cleanwaterforuskids.org/en/carolina/ 15A NCAC 18A .2816 of the North Carolina Child Care Sanitation Guidelines covering Lead Poisoning Hazards in Child Care Centers In 2019, North Carolina enacted 15ANCAC 18A .2816, requiring all licensed child care centers to test for lead in water at every tap used for drinking or cooking. Testing is required to obtain a license and is required at least once every three years. If levels of lead at a tap are at or above the state hazard level, centers are required to restrict access to the tap and take additional actions to ensure children and staff have access to water that does not exceed state hazard levels. -Caring for Our Children National Health and Safety Performance Standard Guidelines for Early Care and Education Programs: https://nrckids.org/CFOC -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ - Health and Safety Trainings are offered on the DCDEE website https://ncchildcare.ncdhhs.gov free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings must be completed one year from hire date and renewed every five (5) years thereafter. At the closing of the visit, we reviewed any violations cited during today. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by phone at 336-580-5670. You may also contact my supervisor, Kaye Adkins by email at kaye.adkins@dhhs.nc.gov or by phone at 336-580-2527. 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 .0803 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 2/21/2025 Number Present: 71 Completed Date: 2/21/2025 Age: From 0 To 5 Total Minutes: 125 Time In: 09:20 AM Time Out: 11:25 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced visit was to monitor compliance with applicable child care requirements. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was conducted on January 22, 2025, and received a “Superior” classification and (11) demerits. The last Fire Inspection was conducted on December 11, 2024, and the facility was approved for daytime care only. The last Fire Drill was conducted on January 20, 2025. The last Lock Down/ Shelter-in-Place was on January 16, 2025. The last Playground Inspection was conducted on February 6, 2025. Upon arrival, I was greeted by the director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walkthrough of the facility, where attendance was documented, and observations made. The children were observed in free play in centers and infants were having tummy time. Today, a partial assessment of applicable child care requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. The following violations were cited during today’s visit and technical assistance was offered. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. One child in space 3/WC a child did not have a start and ending date on the child's permission form to administer Aquaphor diaper cream. 10A NCAC 09 .0803(4)(6-9) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before 5:00 PM March 6, 2025. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received at my office by 5:00 PM March 6, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Technical Assistance: Today we discussed all permission to administer medication must have a starting and ending date on the form. Reminders: Staff coming up for renewal with first aid and CPR this year. A. Freitas -July 25 B. K. Bogges -Oct 25 C. K. Styron April 25 Staff that need to renew their Criminal background check. O. Otto- July 25 K. Styron- November 25 Staff that needs to renew their ITS-SIDS K. Rookstool- June 25 You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all of the applicable laws and rules. Reminders: UP-DATES: Checkout our “What’s New” at DCDEE website https://ncchildcare.ncdhhs.gov. COVID-19 INFORMATION: Please check our website for the latest Covid-19 information. DCDEE website https://ncchildcare.ncdhhs.gov. RESOURCES: -The Health and Safety Trainings are being offered on the Division’s website. Under the “SERVICES” tab look for “DCDEE Moodle”. These training courses are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit CCSA’s website at: https://www.childcareservices.org/programs/ccrr/professional-development/ -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov. You can also sign up for e-mail alerts for recalled products at this site. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do to serve the children and families of North Carolina. 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 .0601 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 7/29/2024 Number Present: 81 Completed Date: 7/29/2024 Age: From 0 To 10 Total Minutes: 253 Time In: 10:22 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care Requirements. The last Annual Compliance visit was conducted on August 7, 2023. A checklist was used to note the requirements I monitored today, and a copy was provided for you. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was completed on January 8, 2024, with a "Superior" classification and zero (0) demerits. The last Fire Inspection was conducted on August 10, 2023. The last Fire Drill was conducted on July 16, 2024. The last Lock Down/Shelter-in-Place was on July 16, 2024. The last Playground Inspection was conducted on July 17, 2024. The North Carolina Department of the Secretary’s website was used to check the status of the corporation. As of July 26, 2024 (The Nest Schools, Inc.) corporation status was found to be current and active. Upon arrival, I was greeted by the new director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed participating in routines such as diaper changes, bottle feedings, indoor free play and lunch. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program records, criminal background checks, staff and children’s files, medication, outdoor play areas, and transportation. Today eight (8) Children’s files were monitored for compliance. Today two (2) school buses were monitored for general safety and two were on property, but the director stated they are not in use currently however, these two buses were checked for registration and insurance and found to be current. The vehicles were monitored for a mounted fire extinguisher and first aid kit. Transportation logs, and emergency forms with photos of each child's picture attached were also monitored. All four of the vehicles on property are insured through Church Mutual Insurance Company and it will expire on 3/12/25. Ford Transit 350 van, tag number RJM-3813 expires in December 2024. (In use) Chevrolet tag number RDH-1004 expires in December 2024. (In use) Chevrolet tag number RDH-1003 expires in December 2024 (Not in use) Chevrolet tag number LAK-2111 expires December 2024. (Not in use) The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival there were 24 children in the three and four year old classroom. One staff member took ten children to the bathroom and left 14 children with mixed ages of 3-5 with one teacher. This left her out of ratio. GS 110-91(7);.0713(a-d) 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. In three classrooms I monitored several sippy cups with no names on them. 15A NCAC 18A .2804(d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. Two water fountains in the two and three year old classroom were full of sand and were in need of cleaning. .2822(a)(1-4) 721 All equipment and furnishings were not in good repair. Two seatbelts on bus with tag number RDH-1004 were missing the buckle part that secures the child. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. A teachers purse was hanging inside a cabinet that was unlocked and open to children's reach. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two cans of aerosol Axe and Dove deodorant and a Glade air freshener was on the school bus in the bin by the driver seat. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A. Pridgen was hired on 2/4/19 and received a medical on 4/18/19. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. K. Coleman did not have her orientation completed within the six week time frame. .1101(a) 1123 All vehicles used to transport children were not free of hazards. On bus with tag number RDH-1004 a large pair of adult scissors was lying on the floor. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Five school age children did not have photos attached to their emergency forms. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two children's applications did not have the required emergency information on them. .0802(c) 1314 Emergency information did not name child's health care professional. Two children's applications did not have the choice of hospital name in the event of an emergency or child' physician. .0802(c)(2) 1757 A valid qualification letter was not on file and available to review at the facility. J. Pankey did not have a qualification letter in her file. G.S. 110-90.2(b) & (d) & .2703(e) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter should include: Each items number of noncompliance cited, Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter must be received by my office on, or before 5:00 pm August 9, 2024, and can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received by my office on, or before 5:00 pm August 9, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violations may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. As of July 26, 2024, your compliance is at (95) percent before this visit. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. Technical Assistance: Today we discussed the fact that all staff members must have a physical prior to their hire date. All orientation must be recorded and signed by the director and the employee upon completion. Orientation is a vital part of the employees’ training and will educate them on all the current rules. Trash bags can be a choking/suffocation hazard therefore these items must be kept out of children’s reach. Staff purses should never be down where children can get into them. Employees may have medication, lighters, cigarettes or other types of hazardous items in them harmful to children. All purses must be up to 5 feet and locked away from young children. The driver of school buses should be performing a vehicle check prior to loading children in them. Seatbelts must be in good working before transporting any children. Buses should be swept out and trash and food items removed. Reminder: All directors are responsible for monitoring all van drivers every three years for any DUI violations and all staff are responsible for reporting DUI citations to their director immediately any motor violations are cited. Maintaining ratios is imperative to keeping children safe as well as providing them with quality attention and assistance when needed. Being out of ratio stresses the children and staff out and makes everyone’s day feel unsafe and out of control. This facility is in the process of remodeling classrooms and the consultant monitored for any safety hazards today during this process. Reminders: Your fire inspection will be due before August 10, 2024. Please contact your local fire inspector to schedule an inspection and today we discussed that you may have to ask for an extension if the remodeling is not complete and you cannot get a passed fire inspection in time. This extension will need to be written in a separate email before your fire inspection expires. E. Morrison needs to complete her first aid and CPR trainings before 9/16/24. O. Neely needs to renew her first aid and CPR trainings before 8/26/24. Only half of all in-service training received within the year can be carried over from the required training hours determined by their education. When filling out the staff and training worksheets always clarify what each staff member’s education field is in. For example, an associates in early childhood (EC/CD). This will assist you and the consultant in determining what the correct number of in-service hours are required. All staff that cover in the infant classroom must have ITS-SIDS training. It is good practice to have all staff trained in ITS-SIDS so that you will have more flexibility in covering for this classroom. This is only a suggestion. Please submit your staff and training worksheets with all the revisions we spoke about today before July 31, 2024, by 5:00 pm. UPDATES: COVID-19 INFORMATION: UPDATES: Center for Disease Control and Prevention new guidelines as of March 1, 2024. If you, your staff, or the children you care for should test positive for COVID-19, the CDC has given out new guidelines to follow. If you have a fever the CDC recommends self-isolation for 24 hours or longer, until you are fever free without any fever reducers. -Current Rated Licenses are still in a ‘hold harmless’ state until June 30, 2024, however, please be sure to upload all current and new staff education to the WORK’s Unit. RESOURCES: -The Health and Safety Trainings are being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ We reviewed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins atkaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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 .0701 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 7/29/2024 Number Present: 81 Completed Date: 7/29/2024 Age: From 0 To 10 Total Minutes: 253 Time In: 10:22 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care Requirements. The last Annual Compliance visit was conducted on August 7, 2023. A checklist was used to note the requirements I monitored today, and a copy was provided for you. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was completed on January 8, 2024, with a "Superior" classification and zero (0) demerits. The last Fire Inspection was conducted on August 10, 2023. The last Fire Drill was conducted on July 16, 2024. The last Lock Down/Shelter-in-Place was on July 16, 2024. The last Playground Inspection was conducted on July 17, 2024. The North Carolina Department of the Secretary’s website was used to check the status of the corporation. As of July 26, 2024 (The Nest Schools, Inc.) corporation status was found to be current and active. Upon arrival, I was greeted by the new director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed participating in routines such as diaper changes, bottle feedings, indoor free play and lunch. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program records, criminal background checks, staff and children’s files, medication, outdoor play areas, and transportation. Today eight (8) Children’s files were monitored for compliance. Today two (2) school buses were monitored for general safety and two were on property, but the director stated they are not in use currently however, these two buses were checked for registration and insurance and found to be current. The vehicles were monitored for a mounted fire extinguisher and first aid kit. Transportation logs, and emergency forms with photos of each child's picture attached were also monitored. All four of the vehicles on property are insured through Church Mutual Insurance Company and it will expire on 3/12/25. Ford Transit 350 van, tag number RJM-3813 expires in December 2024. (In use) Chevrolet tag number RDH-1004 expires in December 2024. (In use) Chevrolet tag number RDH-1003 expires in December 2024 (Not in use) Chevrolet tag number LAK-2111 expires December 2024. (Not in use) The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival there were 24 children in the three and four year old classroom. One staff member took ten children to the bathroom and left 14 children with mixed ages of 3-5 with one teacher. This left her out of ratio. GS 110-91(7);.0713(a-d) 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. In three classrooms I monitored several sippy cups with no names on them. 15A NCAC 18A .2804(d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. Two water fountains in the two and three year old classroom were full of sand and were in need of cleaning. .2822(a)(1-4) 721 All equipment and furnishings were not in good repair. Two seatbelts on bus with tag number RDH-1004 were missing the buckle part that secures the child. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. A teachers purse was hanging inside a cabinet that was unlocked and open to children's reach. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two cans of aerosol Axe and Dove deodorant and a Glade air freshener was on the school bus in the bin by the driver seat. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A. Pridgen was hired on 2/4/19 and received a medical on 4/18/19. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. K. Coleman did not have her orientation completed within the six week time frame. .1101(a) 1123 All vehicles used to transport children were not free of hazards. On bus with tag number RDH-1004 a large pair of adult scissors was lying on the floor. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Five school age children did not have photos attached to their emergency forms. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two children's applications did not have the required emergency information on them. .0802(c) 1314 Emergency information did not name child's health care professional. Two children's applications did not have the choice of hospital name in the event of an emergency or child' physician. .0802(c)(2) 1757 A valid qualification letter was not on file and available to review at the facility. J. Pankey did not have a qualification letter in her file. G.S. 110-90.2(b) & (d) & .2703(e) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter should include: Each items number of noncompliance cited, Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter must be received by my office on, or before 5:00 pm August 9, 2024, and can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received by my office on, or before 5:00 pm August 9, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violations may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. As of July 26, 2024, your compliance is at (95) percent before this visit. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. Technical Assistance: Today we discussed the fact that all staff members must have a physical prior to their hire date. All orientation must be recorded and signed by the director and the employee upon completion. Orientation is a vital part of the employees’ training and will educate them on all the current rules. Trash bags can be a choking/suffocation hazard therefore these items must be kept out of children’s reach. Staff purses should never be down where children can get into them. Employees may have medication, lighters, cigarettes or other types of hazardous items in them harmful to children. All purses must be up to 5 feet and locked away from young children. The driver of school buses should be performing a vehicle check prior to loading children in them. Seatbelts must be in good working before transporting any children. Buses should be swept out and trash and food items removed. Reminder: All directors are responsible for monitoring all van drivers every three years for any DUI violations and all staff are responsible for reporting DUI citations to their director immediately any motor violations are cited. Maintaining ratios is imperative to keeping children safe as well as providing them with quality attention and assistance when needed. Being out of ratio stresses the children and staff out and makes everyone’s day feel unsafe and out of control. This facility is in the process of remodeling classrooms and the consultant monitored for any safety hazards today during this process. Reminders: Your fire inspection will be due before August 10, 2024. Please contact your local fire inspector to schedule an inspection and today we discussed that you may have to ask for an extension if the remodeling is not complete and you cannot get a passed fire inspection in time. This extension will need to be written in a separate email before your fire inspection expires. E. Morrison needs to complete her first aid and CPR trainings before 9/16/24. O. Neely needs to renew her first aid and CPR trainings before 8/26/24. Only half of all in-service training received within the year can be carried over from the required training hours determined by their education. When filling out the staff and training worksheets always clarify what each staff member’s education field is in. For example, an associates in early childhood (EC/CD). This will assist you and the consultant in determining what the correct number of in-service hours are required. All staff that cover in the infant classroom must have ITS-SIDS training. It is good practice to have all staff trained in ITS-SIDS so that you will have more flexibility in covering for this classroom. This is only a suggestion. Please submit your staff and training worksheets with all the revisions we spoke about today before July 31, 2024, by 5:00 pm. UPDATES: COVID-19 INFORMATION: UPDATES: Center for Disease Control and Prevention new guidelines as of March 1, 2024. If you, your staff, or the children you care for should test positive for COVID-19, the CDC has given out new guidelines to follow. If you have a fever the CDC recommends self-isolation for 24 hours or longer, until you are fever free without any fever reducers. -Current Rated Licenses are still in a ‘hold harmless’ state until June 30, 2024, however, please be sure to upload all current and new staff education to the WORK’s Unit. RESOURCES: -The Health and Safety Trainings are being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ We reviewed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins atkaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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 .1002 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 7/29/2024 Number Present: 81 Completed Date: 7/29/2024 Age: From 0 To 10 Total Minutes: 253 Time In: 10:22 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care Requirements. The last Annual Compliance visit was conducted on August 7, 2023. A checklist was used to note the requirements I monitored today, and a copy was provided for you. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was completed on January 8, 2024, with a "Superior" classification and zero (0) demerits. The last Fire Inspection was conducted on August 10, 2023. The last Fire Drill was conducted on July 16, 2024. The last Lock Down/Shelter-in-Place was on July 16, 2024. The last Playground Inspection was conducted on July 17, 2024. The North Carolina Department of the Secretary’s website was used to check the status of the corporation. As of July 26, 2024 (The Nest Schools, Inc.) corporation status was found to be current and active. Upon arrival, I was greeted by the new director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed participating in routines such as diaper changes, bottle feedings, indoor free play and lunch. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program records, criminal background checks, staff and children’s files, medication, outdoor play areas, and transportation. Today eight (8) Children’s files were monitored for compliance. Today two (2) school buses were monitored for general safety and two were on property, but the director stated they are not in use currently however, these two buses were checked for registration and insurance and found to be current. The vehicles were monitored for a mounted fire extinguisher and first aid kit. Transportation logs, and emergency forms with photos of each child's picture attached were also monitored. All four of the vehicles on property are insured through Church Mutual Insurance Company and it will expire on 3/12/25. Ford Transit 350 van, tag number RJM-3813 expires in December 2024. (In use) Chevrolet tag number RDH-1004 expires in December 2024. (In use) Chevrolet tag number RDH-1003 expires in December 2024 (Not in use) Chevrolet tag number LAK-2111 expires December 2024. (Not in use) The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival there were 24 children in the three and four year old classroom. One staff member took ten children to the bathroom and left 14 children with mixed ages of 3-5 with one teacher. This left her out of ratio. GS 110-91(7);.0713(a-d) 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. In three classrooms I monitored several sippy cups with no names on them. 15A NCAC 18A .2804(d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. Two water fountains in the two and three year old classroom were full of sand and were in need of cleaning. .2822(a)(1-4) 721 All equipment and furnishings were not in good repair. Two seatbelts on bus with tag number RDH-1004 were missing the buckle part that secures the child. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. A teachers purse was hanging inside a cabinet that was unlocked and open to children's reach. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two cans of aerosol Axe and Dove deodorant and a Glade air freshener was on the school bus in the bin by the driver seat. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A. Pridgen was hired on 2/4/19 and received a medical on 4/18/19. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. K. Coleman did not have her orientation completed within the six week time frame. .1101(a) 1123 All vehicles used to transport children were not free of hazards. On bus with tag number RDH-1004 a large pair of adult scissors was lying on the floor. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Five school age children did not have photos attached to their emergency forms. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two children's applications did not have the required emergency information on them. .0802(c) 1314 Emergency information did not name child's health care professional. Two children's applications did not have the choice of hospital name in the event of an emergency or child' physician. .0802(c)(2) 1757 A valid qualification letter was not on file and available to review at the facility. J. Pankey did not have a qualification letter in her file. G.S. 110-90.2(b) & (d) & .2703(e) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter should include: Each items number of noncompliance cited, Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter must be received by my office on, or before 5:00 pm August 9, 2024, and can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received by my office on, or before 5:00 pm August 9, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violations may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. As of July 26, 2024, your compliance is at (95) percent before this visit. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. Technical Assistance: Today we discussed the fact that all staff members must have a physical prior to their hire date. All orientation must be recorded and signed by the director and the employee upon completion. Orientation is a vital part of the employees’ training and will educate them on all the current rules. Trash bags can be a choking/suffocation hazard therefore these items must be kept out of children’s reach. Staff purses should never be down where children can get into them. Employees may have medication, lighters, cigarettes or other types of hazardous items in them harmful to children. All purses must be up to 5 feet and locked away from young children. The driver of school buses should be performing a vehicle check prior to loading children in them. Seatbelts must be in good working before transporting any children. Buses should be swept out and trash and food items removed. Reminder: All directors are responsible for monitoring all van drivers every three years for any DUI violations and all staff are responsible for reporting DUI citations to their director immediately any motor violations are cited. Maintaining ratios is imperative to keeping children safe as well as providing them with quality attention and assistance when needed. Being out of ratio stresses the children and staff out and makes everyone’s day feel unsafe and out of control. This facility is in the process of remodeling classrooms and the consultant monitored for any safety hazards today during this process. Reminders: Your fire inspection will be due before August 10, 2024. Please contact your local fire inspector to schedule an inspection and today we discussed that you may have to ask for an extension if the remodeling is not complete and you cannot get a passed fire inspection in time. This extension will need to be written in a separate email before your fire inspection expires. E. Morrison needs to complete her first aid and CPR trainings before 9/16/24. O. Neely needs to renew her first aid and CPR trainings before 8/26/24. Only half of all in-service training received within the year can be carried over from the required training hours determined by their education. When filling out the staff and training worksheets always clarify what each staff member’s education field is in. For example, an associates in early childhood (EC/CD). This will assist you and the consultant in determining what the correct number of in-service hours are required. All staff that cover in the infant classroom must have ITS-SIDS training. It is good practice to have all staff trained in ITS-SIDS so that you will have more flexibility in covering for this classroom. This is only a suggestion. Please submit your staff and training worksheets with all the revisions we spoke about today before July 31, 2024, by 5:00 pm. UPDATES: COVID-19 INFORMATION: UPDATES: Center for Disease Control and Prevention new guidelines as of March 1, 2024. If you, your staff, or the children you care for should test positive for COVID-19, the CDC has given out new guidelines to follow. If you have a fever the CDC recommends self-isolation for 24 hours or longer, until you are fever free without any fever reducers. -Current Rated Licenses are still in a ‘hold harmless’ state until June 30, 2024, however, please be sure to upload all current and new staff education to the WORK’s Unit. RESOURCES: -The Health and Safety Trainings are being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ We reviewed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins atkaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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 .1003 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 7/29/2024 Number Present: 81 Completed Date: 7/29/2024 Age: From 0 To 10 Total Minutes: 253 Time In: 10:22 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care Requirements. The last Annual Compliance visit was conducted on August 7, 2023. A checklist was used to note the requirements I monitored today, and a copy was provided for you. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was completed on January 8, 2024, with a "Superior" classification and zero (0) demerits. The last Fire Inspection was conducted on August 10, 2023. The last Fire Drill was conducted on July 16, 2024. The last Lock Down/Shelter-in-Place was on July 16, 2024. The last Playground Inspection was conducted on July 17, 2024. The North Carolina Department of the Secretary’s website was used to check the status of the corporation. As of July 26, 2024 (The Nest Schools, Inc.) corporation status was found to be current and active. Upon arrival, I was greeted by the new director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed participating in routines such as diaper changes, bottle feedings, indoor free play and lunch. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program records, criminal background checks, staff and children’s files, medication, outdoor play areas, and transportation. Today eight (8) Children’s files were monitored for compliance. Today two (2) school buses were monitored for general safety and two were on property, but the director stated they are not in use currently however, these two buses were checked for registration and insurance and found to be current. The vehicles were monitored for a mounted fire extinguisher and first aid kit. Transportation logs, and emergency forms with photos of each child's picture attached were also monitored. All four of the vehicles on property are insured through Church Mutual Insurance Company and it will expire on 3/12/25. Ford Transit 350 van, tag number RJM-3813 expires in December 2024. (In use) Chevrolet tag number RDH-1004 expires in December 2024. (In use) Chevrolet tag number RDH-1003 expires in December 2024 (Not in use) Chevrolet tag number LAK-2111 expires December 2024. (Not in use) The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival there were 24 children in the three and four year old classroom. One staff member took ten children to the bathroom and left 14 children with mixed ages of 3-5 with one teacher. This left her out of ratio. GS 110-91(7);.0713(a-d) 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. In three classrooms I monitored several sippy cups with no names on them. 15A NCAC 18A .2804(d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. Two water fountains in the two and three year old classroom were full of sand and were in need of cleaning. .2822(a)(1-4) 721 All equipment and furnishings were not in good repair. Two seatbelts on bus with tag number RDH-1004 were missing the buckle part that secures the child. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. A teachers purse was hanging inside a cabinet that was unlocked and open to children's reach. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two cans of aerosol Axe and Dove deodorant and a Glade air freshener was on the school bus in the bin by the driver seat. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A. Pridgen was hired on 2/4/19 and received a medical on 4/18/19. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. K. Coleman did not have her orientation completed within the six week time frame. .1101(a) 1123 All vehicles used to transport children were not free of hazards. On bus with tag number RDH-1004 a large pair of adult scissors was lying on the floor. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Five school age children did not have photos attached to their emergency forms. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two children's applications did not have the required emergency information on them. .0802(c) 1314 Emergency information did not name child's health care professional. Two children's applications did not have the choice of hospital name in the event of an emergency or child' physician. .0802(c)(2) 1757 A valid qualification letter was not on file and available to review at the facility. J. Pankey did not have a qualification letter in her file. G.S. 110-90.2(b) & (d) & .2703(e) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter should include: Each items number of noncompliance cited, Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter must be received by my office on, or before 5:00 pm August 9, 2024, and can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received by my office on, or before 5:00 pm August 9, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violations may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. As of July 26, 2024, your compliance is at (95) percent before this visit. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. Technical Assistance: Today we discussed the fact that all staff members must have a physical prior to their hire date. All orientation must be recorded and signed by the director and the employee upon completion. Orientation is a vital part of the employees’ training and will educate them on all the current rules. Trash bags can be a choking/suffocation hazard therefore these items must be kept out of children’s reach. Staff purses should never be down where children can get into them. Employees may have medication, lighters, cigarettes or other types of hazardous items in them harmful to children. All purses must be up to 5 feet and locked away from young children. The driver of school buses should be performing a vehicle check prior to loading children in them. Seatbelts must be in good working before transporting any children. Buses should be swept out and trash and food items removed. Reminder: All directors are responsible for monitoring all van drivers every three years for any DUI violations and all staff are responsible for reporting DUI citations to their director immediately any motor violations are cited. Maintaining ratios is imperative to keeping children safe as well as providing them with quality attention and assistance when needed. Being out of ratio stresses the children and staff out and makes everyone’s day feel unsafe and out of control. This facility is in the process of remodeling classrooms and the consultant monitored for any safety hazards today during this process. Reminders: Your fire inspection will be due before August 10, 2024. Please contact your local fire inspector to schedule an inspection and today we discussed that you may have to ask for an extension if the remodeling is not complete and you cannot get a passed fire inspection in time. This extension will need to be written in a separate email before your fire inspection expires. E. Morrison needs to complete her first aid and CPR trainings before 9/16/24. O. Neely needs to renew her first aid and CPR trainings before 8/26/24. Only half of all in-service training received within the year can be carried over from the required training hours determined by their education. When filling out the staff and training worksheets always clarify what each staff member’s education field is in. For example, an associates in early childhood (EC/CD). This will assist you and the consultant in determining what the correct number of in-service hours are required. All staff that cover in the infant classroom must have ITS-SIDS training. It is good practice to have all staff trained in ITS-SIDS so that you will have more flexibility in covering for this classroom. This is only a suggestion. Please submit your staff and training worksheets with all the revisions we spoke about today before July 31, 2024, by 5:00 pm. UPDATES: COVID-19 INFORMATION: UPDATES: Center for Disease Control and Prevention new guidelines as of March 1, 2024. If you, your staff, or the children you care for should test positive for COVID-19, the CDC has given out new guidelines to follow. If you have a fever the CDC recommends self-isolation for 24 hours or longer, until you are fever free without any fever reducers. -Current Rated Licenses are still in a ‘hold harmless’ state until June 30, 2024, however, please be sure to upload all current and new staff education to the WORK’s Unit. RESOURCES: -The Health and Safety Trainings are being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ We reviewed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins atkaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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. 110-90 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 7/29/2024 Number Present: 81 Completed Date: 7/29/2024 Age: From 0 To 10 Total Minutes: 253 Time In: 10:22 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care Requirements. The last Annual Compliance visit was conducted on August 7, 2023. A checklist was used to note the requirements I monitored today, and a copy was provided for you. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was completed on January 8, 2024, with a "Superior" classification and zero (0) demerits. The last Fire Inspection was conducted on August 10, 2023. The last Fire Drill was conducted on July 16, 2024. The last Lock Down/Shelter-in-Place was on July 16, 2024. The last Playground Inspection was conducted on July 17, 2024. The North Carolina Department of the Secretary’s website was used to check the status of the corporation. As of July 26, 2024 (The Nest Schools, Inc.) corporation status was found to be current and active. Upon arrival, I was greeted by the new director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed participating in routines such as diaper changes, bottle feedings, indoor free play and lunch. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program records, criminal background checks, staff and children’s files, medication, outdoor play areas, and transportation. Today eight (8) Children’s files were monitored for compliance. Today two (2) school buses were monitored for general safety and two were on property, but the director stated they are not in use currently however, these two buses were checked for registration and insurance and found to be current. The vehicles were monitored for a mounted fire extinguisher and first aid kit. Transportation logs, and emergency forms with photos of each child's picture attached were also monitored. All four of the vehicles on property are insured through Church Mutual Insurance Company and it will expire on 3/12/25. Ford Transit 350 van, tag number RJM-3813 expires in December 2024. (In use) Chevrolet tag number RDH-1004 expires in December 2024. (In use) Chevrolet tag number RDH-1003 expires in December 2024 (Not in use) Chevrolet tag number LAK-2111 expires December 2024. (Not in use) The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival there were 24 children in the three and four year old classroom. One staff member took ten children to the bathroom and left 14 children with mixed ages of 3-5 with one teacher. This left her out of ratio. GS 110-91(7);.0713(a-d) 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. In three classrooms I monitored several sippy cups with no names on them. 15A NCAC 18A .2804(d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. Two water fountains in the two and three year old classroom were full of sand and were in need of cleaning. .2822(a)(1-4) 721 All equipment and furnishings were not in good repair. Two seatbelts on bus with tag number RDH-1004 were missing the buckle part that secures the child. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. A teachers purse was hanging inside a cabinet that was unlocked and open to children's reach. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two cans of aerosol Axe and Dove deodorant and a Glade air freshener was on the school bus in the bin by the driver seat. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A. Pridgen was hired on 2/4/19 and received a medical on 4/18/19. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. K. Coleman did not have her orientation completed within the six week time frame. .1101(a) 1123 All vehicles used to transport children were not free of hazards. On bus with tag number RDH-1004 a large pair of adult scissors was lying on the floor. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Five school age children did not have photos attached to their emergency forms. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two children's applications did not have the required emergency information on them. .0802(c) 1314 Emergency information did not name child's health care professional. Two children's applications did not have the choice of hospital name in the event of an emergency or child' physician. .0802(c)(2) 1757 A valid qualification letter was not on file and available to review at the facility. J. Pankey did not have a qualification letter in her file. G.S. 110-90.2(b) & (d) & .2703(e) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter should include: Each items number of noncompliance cited, Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter must be received by my office on, or before 5:00 pm August 9, 2024, and can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received by my office on, or before 5:00 pm August 9, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violations may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. As of July 26, 2024, your compliance is at (95) percent before this visit. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. Technical Assistance: Today we discussed the fact that all staff members must have a physical prior to their hire date. All orientation must be recorded and signed by the director and the employee upon completion. Orientation is a vital part of the employees’ training and will educate them on all the current rules. Trash bags can be a choking/suffocation hazard therefore these items must be kept out of children’s reach. Staff purses should never be down where children can get into them. Employees may have medication, lighters, cigarettes or other types of hazardous items in them harmful to children. All purses must be up to 5 feet and locked away from young children. The driver of school buses should be performing a vehicle check prior to loading children in them. Seatbelts must be in good working before transporting any children. Buses should be swept out and trash and food items removed. Reminder: All directors are responsible for monitoring all van drivers every three years for any DUI violations and all staff are responsible for reporting DUI citations to their director immediately any motor violations are cited. Maintaining ratios is imperative to keeping children safe as well as providing them with quality attention and assistance when needed. Being out of ratio stresses the children and staff out and makes everyone’s day feel unsafe and out of control. This facility is in the process of remodeling classrooms and the consultant monitored for any safety hazards today during this process. Reminders: Your fire inspection will be due before August 10, 2024. Please contact your local fire inspector to schedule an inspection and today we discussed that you may have to ask for an extension if the remodeling is not complete and you cannot get a passed fire inspection in time. This extension will need to be written in a separate email before your fire inspection expires. E. Morrison needs to complete her first aid and CPR trainings before 9/16/24. O. Neely needs to renew her first aid and CPR trainings before 8/26/24. Only half of all in-service training received within the year can be carried over from the required training hours determined by their education. When filling out the staff and training worksheets always clarify what each staff member’s education field is in. For example, an associates in early childhood (EC/CD). This will assist you and the consultant in determining what the correct number of in-service hours are required. All staff that cover in the infant classroom must have ITS-SIDS training. It is good practice to have all staff trained in ITS-SIDS so that you will have more flexibility in covering for this classroom. This is only a suggestion. Please submit your staff and training worksheets with all the revisions we spoke about today before July 31, 2024, by 5:00 pm. UPDATES: COVID-19 INFORMATION: UPDATES: Center for Disease Control and Prevention new guidelines as of March 1, 2024. If you, your staff, or the children you care for should test positive for COVID-19, the CDC has given out new guidelines to follow. If you have a fever the CDC recommends self-isolation for 24 hours or longer, until you are fever free without any fever reducers. -Current Rated Licenses are still in a ‘hold harmless’ state until June 30, 2024, however, please be sure to upload all current and new staff education to the WORK’s Unit. RESOURCES: -The Health and Safety Trainings are being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ We reviewed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins atkaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 7/29/2024 Number Present: 81 Completed Date: 7/29/2024 Age: From 0 To 10 Total Minutes: 253 Time In: 10:22 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care Requirements. The last Annual Compliance visit was conducted on August 7, 2023. A checklist was used to note the requirements I monitored today, and a copy was provided for you. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was completed on January 8, 2024, with a "Superior" classification and zero (0) demerits. The last Fire Inspection was conducted on August 10, 2023. The last Fire Drill was conducted on July 16, 2024. The last Lock Down/Shelter-in-Place was on July 16, 2024. The last Playground Inspection was conducted on July 17, 2024. The North Carolina Department of the Secretary’s website was used to check the status of the corporation. As of July 26, 2024 (The Nest Schools, Inc.) corporation status was found to be current and active. Upon arrival, I was greeted by the new director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed participating in routines such as diaper changes, bottle feedings, indoor free play and lunch. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program records, criminal background checks, staff and children’s files, medication, outdoor play areas, and transportation. Today eight (8) Children’s files were monitored for compliance. Today two (2) school buses were monitored for general safety and two were on property, but the director stated they are not in use currently however, these two buses were checked for registration and insurance and found to be current. The vehicles were monitored for a mounted fire extinguisher and first aid kit. Transportation logs, and emergency forms with photos of each child's picture attached were also monitored. All four of the vehicles on property are insured through Church Mutual Insurance Company and it will expire on 3/12/25. Ford Transit 350 van, tag number RJM-3813 expires in December 2024. (In use) Chevrolet tag number RDH-1004 expires in December 2024. (In use) Chevrolet tag number RDH-1003 expires in December 2024 (Not in use) Chevrolet tag number LAK-2111 expires December 2024. (Not in use) The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival there were 24 children in the three and four year old classroom. One staff member took ten children to the bathroom and left 14 children with mixed ages of 3-5 with one teacher. This left her out of ratio. GS 110-91(7);.0713(a-d) 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. In three classrooms I monitored several sippy cups with no names on them. 15A NCAC 18A .2804(d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. Two water fountains in the two and three year old classroom were full of sand and were in need of cleaning. .2822(a)(1-4) 721 All equipment and furnishings were not in good repair. Two seatbelts on bus with tag number RDH-1004 were missing the buckle part that secures the child. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. A teachers purse was hanging inside a cabinet that was unlocked and open to children's reach. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two cans of aerosol Axe and Dove deodorant and a Glade air freshener was on the school bus in the bin by the driver seat. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A. Pridgen was hired on 2/4/19 and received a medical on 4/18/19. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. K. Coleman did not have her orientation completed within the six week time frame. .1101(a) 1123 All vehicles used to transport children were not free of hazards. On bus with tag number RDH-1004 a large pair of adult scissors was lying on the floor. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Five school age children did not have photos attached to their emergency forms. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two children's applications did not have the required emergency information on them. .0802(c) 1314 Emergency information did not name child's health care professional. Two children's applications did not have the choice of hospital name in the event of an emergency or child' physician. .0802(c)(2) 1757 A valid qualification letter was not on file and available to review at the facility. J. Pankey did not have a qualification letter in her file. G.S. 110-90.2(b) & (d) & .2703(e) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter should include: Each items number of noncompliance cited, Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter must be received by my office on, or before 5:00 pm August 9, 2024, and can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received by my office on, or before 5:00 pm August 9, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violations may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. As of July 26, 2024, your compliance is at (95) percent before this visit. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. Technical Assistance: Today we discussed the fact that all staff members must have a physical prior to their hire date. All orientation must be recorded and signed by the director and the employee upon completion. Orientation is a vital part of the employees’ training and will educate them on all the current rules. Trash bags can be a choking/suffocation hazard therefore these items must be kept out of children’s reach. Staff purses should never be down where children can get into them. Employees may have medication, lighters, cigarettes or other types of hazardous items in them harmful to children. All purses must be up to 5 feet and locked away from young children. The driver of school buses should be performing a vehicle check prior to loading children in them. Seatbelts must be in good working before transporting any children. Buses should be swept out and trash and food items removed. Reminder: All directors are responsible for monitoring all van drivers every three years for any DUI violations and all staff are responsible for reporting DUI citations to their director immediately any motor violations are cited. Maintaining ratios is imperative to keeping children safe as well as providing them with quality attention and assistance when needed. Being out of ratio stresses the children and staff out and makes everyone’s day feel unsafe and out of control. This facility is in the process of remodeling classrooms and the consultant monitored for any safety hazards today during this process. Reminders: Your fire inspection will be due before August 10, 2024. Please contact your local fire inspector to schedule an inspection and today we discussed that you may have to ask for an extension if the remodeling is not complete and you cannot get a passed fire inspection in time. This extension will need to be written in a separate email before your fire inspection expires. E. Morrison needs to complete her first aid and CPR trainings before 9/16/24. O. Neely needs to renew her first aid and CPR trainings before 8/26/24. Only half of all in-service training received within the year can be carried over from the required training hours determined by their education. When filling out the staff and training worksheets always clarify what each staff member’s education field is in. For example, an associates in early childhood (EC/CD). This will assist you and the consultant in determining what the correct number of in-service hours are required. All staff that cover in the infant classroom must have ITS-SIDS training. It is good practice to have all staff trained in ITS-SIDS so that you will have more flexibility in covering for this classroom. This is only a suggestion. Please submit your staff and training worksheets with all the revisions we spoke about today before July 31, 2024, by 5:00 pm. UPDATES: COVID-19 INFORMATION: UPDATES: Center for Disease Control and Prevention new guidelines as of March 1, 2024. If you, your staff, or the children you care for should test positive for COVID-19, the CDC has given out new guidelines to follow. If you have a fever the CDC recommends self-isolation for 24 hours or longer, until you are fever free without any fever reducers. -Current Rated Licenses are still in a ‘hold harmless’ state until June 30, 2024, however, please be sure to upload all current and new staff education to the WORK’s Unit. RESOURCES: -The Health and Safety Trainings are being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ We reviewed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins atkaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 7/29/2024 Number Present: 81 Completed Date: 7/29/2024 Age: From 0 To 10 Total Minutes: 253 Time In: 10:22 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care Requirements. The last Annual Compliance visit was conducted on August 7, 2023. A checklist was used to note the requirements I monitored today, and a copy was provided for you. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was completed on January 8, 2024, with a "Superior" classification and zero (0) demerits. The last Fire Inspection was conducted on August 10, 2023. The last Fire Drill was conducted on July 16, 2024. The last Lock Down/Shelter-in-Place was on July 16, 2024. The last Playground Inspection was conducted on July 17, 2024. The North Carolina Department of the Secretary’s website was used to check the status of the corporation. As of July 26, 2024 (The Nest Schools, Inc.) corporation status was found to be current and active. Upon arrival, I was greeted by the new director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed participating in routines such as diaper changes, bottle feedings, indoor free play and lunch. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program records, criminal background checks, staff and children’s files, medication, outdoor play areas, and transportation. Today eight (8) Children’s files were monitored for compliance. Today two (2) school buses were monitored for general safety and two were on property, but the director stated they are not in use currently however, these two buses were checked for registration and insurance and found to be current. The vehicles were monitored for a mounted fire extinguisher and first aid kit. Transportation logs, and emergency forms with photos of each child's picture attached were also monitored. All four of the vehicles on property are insured through Church Mutual Insurance Company and it will expire on 3/12/25. Ford Transit 350 van, tag number RJM-3813 expires in December 2024. (In use) Chevrolet tag number RDH-1004 expires in December 2024. (In use) Chevrolet tag number RDH-1003 expires in December 2024 (Not in use) Chevrolet tag number LAK-2111 expires December 2024. (Not in use) The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival there were 24 children in the three and four year old classroom. One staff member took ten children to the bathroom and left 14 children with mixed ages of 3-5 with one teacher. This left her out of ratio. GS 110-91(7);.0713(a-d) 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. In three classrooms I monitored several sippy cups with no names on them. 15A NCAC 18A .2804(d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. Two water fountains in the two and three year old classroom were full of sand and were in need of cleaning. .2822(a)(1-4) 721 All equipment and furnishings were not in good repair. Two seatbelts on bus with tag number RDH-1004 were missing the buckle part that secures the child. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. A teachers purse was hanging inside a cabinet that was unlocked and open to children's reach. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two cans of aerosol Axe and Dove deodorant and a Glade air freshener was on the school bus in the bin by the driver seat. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A. Pridgen was hired on 2/4/19 and received a medical on 4/18/19. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. K. Coleman did not have her orientation completed within the six week time frame. .1101(a) 1123 All vehicles used to transport children were not free of hazards. On bus with tag number RDH-1004 a large pair of adult scissors was lying on the floor. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Five school age children did not have photos attached to their emergency forms. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two children's applications did not have the required emergency information on them. .0802(c) 1314 Emergency information did not name child's health care professional. Two children's applications did not have the choice of hospital name in the event of an emergency or child' physician. .0802(c)(2) 1757 A valid qualification letter was not on file and available to review at the facility. J. Pankey did not have a qualification letter in her file. G.S. 110-90.2(b) & (d) & .2703(e) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter should include: Each items number of noncompliance cited, Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter must be received by my office on, or before 5:00 pm August 9, 2024, and can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received by my office on, or before 5:00 pm August 9, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violations may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. As of July 26, 2024, your compliance is at (95) percent before this visit. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. Technical Assistance: Today we discussed the fact that all staff members must have a physical prior to their hire date. All orientation must be recorded and signed by the director and the employee upon completion. Orientation is a vital part of the employees’ training and will educate them on all the current rules. Trash bags can be a choking/suffocation hazard therefore these items must be kept out of children’s reach. Staff purses should never be down where children can get into them. Employees may have medication, lighters, cigarettes or other types of hazardous items in them harmful to children. All purses must be up to 5 feet and locked away from young children. The driver of school buses should be performing a vehicle check prior to loading children in them. Seatbelts must be in good working before transporting any children. Buses should be swept out and trash and food items removed. Reminder: All directors are responsible for monitoring all van drivers every three years for any DUI violations and all staff are responsible for reporting DUI citations to their director immediately any motor violations are cited. Maintaining ratios is imperative to keeping children safe as well as providing them with quality attention and assistance when needed. Being out of ratio stresses the children and staff out and makes everyone’s day feel unsafe and out of control. This facility is in the process of remodeling classrooms and the consultant monitored for any safety hazards today during this process. Reminders: Your fire inspection will be due before August 10, 2024. Please contact your local fire inspector to schedule an inspection and today we discussed that you may have to ask for an extension if the remodeling is not complete and you cannot get a passed fire inspection in time. This extension will need to be written in a separate email before your fire inspection expires. E. Morrison needs to complete her first aid and CPR trainings before 9/16/24. O. Neely needs to renew her first aid and CPR trainings before 8/26/24. Only half of all in-service training received within the year can be carried over from the required training hours determined by their education. When filling out the staff and training worksheets always clarify what each staff member’s education field is in. For example, an associates in early childhood (EC/CD). This will assist you and the consultant in determining what the correct number of in-service hours are required. All staff that cover in the infant classroom must have ITS-SIDS training. It is good practice to have all staff trained in ITS-SIDS so that you will have more flexibility in covering for this classroom. This is only a suggestion. Please submit your staff and training worksheets with all the revisions we spoke about today before July 31, 2024, by 5:00 pm. UPDATES: COVID-19 INFORMATION: UPDATES: Center for Disease Control and Prevention new guidelines as of March 1, 2024. If you, your staff, or the children you care for should test positive for COVID-19, the CDC has given out new guidelines to follow. If you have a fever the CDC recommends self-isolation for 24 hours or longer, until you are fever free without any fever reducers. -Current Rated Licenses are still in a ‘hold harmless’ state until June 30, 2024, however, please be sure to upload all current and new staff education to the WORK’s Unit. RESOURCES: -The Health and Safety Trainings are being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ We reviewed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins atkaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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 .0701 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: 0724-194L Visit Date: 7/23/2024 Number Present: 82 Completed Date: 7/23/2024 Age: From 0 To 10 Total Minutes: 120 Time In: 08:55 AM Time Out: 10:55 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on July 17, 2024. The facility currently operates with a Four (4) Star License which was issued on December 31, 2021. The last Annual Compliance Visit was conducted on August 7, 2023. Upon my arrival, I met with the Director, Kelsey Rookstool. I stated the purpose of my visit. During today’s visit I discussed the allegations with the director, and she was given an opportunity to provide information surrounding the allegations. A partial assessment of child care requirements was conducted. I monitored permit restrictions, supervision, staff/ child ratio, staff interaction with the children and staff qualifications. ALLEGATION 1: There is concern regarding staff qualifications. Prior to today's visit I spoke with the reporter and took statements regarding their concerns. According to the reporter there was a person in the three and four-year-old classroom working and assisting the lead teacher with no qualifications. The reporter stated that they were unsure of the length of time this person was there at the facility. OBSERVATION: I discussed the allegation of violations of child care requirements with the director. I interviewed two staff members and the director. The director stated that she was aware of the person coming in and that she was only helping in the classroom. The director stated that at no time was this person left alone with children or counted in ratios. The director was informed that this person was sick and told them they could not return to the facility until they were well and had the correct paperwork to be there. The director and the teacher stated that this person was in the facility approximately three weeks, three to four times a week helping the teacher with the children. CONCLUSION: Based on a statement taken from the administration and the staff this allegation is substantiated. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A person allowed in the three year old classroom did not have a medical prior to having contact with children. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A person was present in the facility for several weeks without a TB test or screening must be acquired prior to working with children. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A person was allowed to work with children in the three year old classroom without obtaining an emergency form from them. .0701(a) 1888 On or before the first day of work, the operator did not verify the age of the volunteer and/or substitute provider and/or documentation of date of birth was not maintained in the individual's personnel file. A person was allowed into a classroom without the proper information being obtained to have knowledge of this persons age before working with children. .0703(b) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. There was a person helping in the three year old classroom without obtaining a health questionnaire. 10A NCAC 09 .0701(a) CONSULTATION: The Director was provided an opportunity to ask questions regarding the interpretation and implementation of all child care requirements The qualifications for a volunteer are as follows: Volunteer" means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years of age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. The requirements for a volunteer are as follows: A file should be made for the volunteer and the director would need to verify the age of the volunteer by either a driver’s license or birth certificate, complete an emergency form, health questionnaire, and obtain a medical from them. A TB screening or test must be obtained if the person is coming more than once a week to the facility and is in the children’s care. This person cannot at any time be left alone with the children and must be monitored by a staff member that has a qualification letter and must be 21 years of age. The following violations were cited during today’s visit and technical assistance was given. The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before August 5, 2024. The letter should include each item number of noncompliance cited, describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov . If a compliance letter is not received by my office by August 5, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. This facility is also in the middle of remodeling the gym area and plans are in place to build new classrooms for the two groups in this space. As renovations for the new classrooms are underway, the provider has stated she will let me know when the remodeling is completed. At that time, I will remeasure and inspect the new areas for safety and capacity and to be released for the care of children in them. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@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 .0803 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 65 Completed Date: 1/31/2024 Age: From 0 To 5 Total Minutes: 160 Time In: 09:15 AM Time Out: 11:55 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced visit was to monitor compliance for applicable child care requirements. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was conducted on January 08, 2024, and received a “Superior” classification and (0) demerits. The last Fire Inspection was conducted on August 10, 2023, and the facility was approved for daytime care only. The last Fire Drill was conducted on December 2, 2023. The last Lock Down/ Shelter-in-Place was on January 9, 2024. The last Playground Inspection was conducted on January 3, 2024. Upon arrival, I was greeted by the director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed participating in routines diaper changes in toddler class, story time in four and five-year old class and infants were being held to drink their bottles. Today, a partial assessment of applicable child care requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. The following violations were observed during today’s visit. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Two classrooms did not have a current lesson plan up for the week. GS 110-91(12);.0508(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There were no paper towels in space 8 for the teachers to dry their hands. 15A NCAC 18A .2818(b) & (d) 721 All equipment and furnishings were not in good repair. Three children's sized play sinks had faucets that were not affixed to the sinks. One classroom the play faucet was broken off. G.S. 110-91(6); .0601(b) 847 Parent's medication authorization did not include required information. One Aquaphor diaper cream did not have a signature from parent on the permission form. One Permission form to administer Nystatin did not have a starting and ending date on the form. 10A NCAC 09 .0803(4)(6-9) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The outdoor play structures that were over 18 inches did not have enough mulch around them. There were two sets of swings, one monkey bar, and one large piece of equipment that did not have required mulch based on their height. .0605(k)(1-4) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before February 13, 2024. The letter should include each item number of noncompliance cited, describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov . If a compliance letter is not received by my office by February 13, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Technical Assistance: Today we discussed that all teachers in the younger classrooms should monitor on a weekly basis diaper cream making sure the permission forms have parent signatures and starting and ending dates on them. Today two rooms did not have a current lesson plan up for the week. It would be helpful to them if they put up their lessons for the following week on the Friday before. Make sure you are fluffing mulch after rainy days and checking the mulch levels around large equipment once a month. Teachers should also do a safety check in their rooms once a week for broken toys to be removed or repaired. On three toy sinks the faucets were not attached and one was broken in the two- and three-year-old classroom. Today you inquired about having a room measured so, I will come out on another visit to complete that for you. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all of the applicable laws and rules. Reminder to complete your fire drill today for January. UPDATES: -Current rated licenses are still in a ‘hold harmless’ state until June 2024. It has been determined that your facility is in Cohort 3. This means your preparation year will be from July 1, 2025, through June 30, 2026. Your reassessment year will be from July 1, 2026, through June 30, 2027. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 65 Completed Date: 1/31/2024 Age: From 0 To 5 Total Minutes: 160 Time In: 09:15 AM Time Out: 11:55 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced visit was to monitor compliance for applicable child care requirements. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was conducted on January 08, 2024, and received a “Superior” classification and (0) demerits. The last Fire Inspection was conducted on August 10, 2023, and the facility was approved for daytime care only. The last Fire Drill was conducted on December 2, 2023. The last Lock Down/ Shelter-in-Place was on January 9, 2024. The last Playground Inspection was conducted on January 3, 2024. Upon arrival, I was greeted by the director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed participating in routines diaper changes in toddler class, story time in four and five-year old class and infants were being held to drink their bottles. Today, a partial assessment of applicable child care requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. The following violations were observed during today’s visit. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Two classrooms did not have a current lesson plan up for the week. GS 110-91(12);.0508(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There were no paper towels in space 8 for the teachers to dry their hands. 15A NCAC 18A .2818(b) & (d) 721 All equipment and furnishings were not in good repair. Three children's sized play sinks had faucets that were not affixed to the sinks. One classroom the play faucet was broken off. G.S. 110-91(6); .0601(b) 847 Parent's medication authorization did not include required information. One Aquaphor diaper cream did not have a signature from parent on the permission form. One Permission form to administer Nystatin did not have a starting and ending date on the form. 10A NCAC 09 .0803(4)(6-9) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The outdoor play structures that were over 18 inches did not have enough mulch around them. There were two sets of swings, one monkey bar, and one large piece of equipment that did not have required mulch based on their height. .0605(k)(1-4) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before February 13, 2024. The letter should include each item number of noncompliance cited, describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov . If a compliance letter is not received by my office by February 13, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Technical Assistance: Today we discussed that all teachers in the younger classrooms should monitor on a weekly basis diaper cream making sure the permission forms have parent signatures and starting and ending dates on them. Today two rooms did not have a current lesson plan up for the week. It would be helpful to them if they put up their lessons for the following week on the Friday before. Make sure you are fluffing mulch after rainy days and checking the mulch levels around large equipment once a month. Teachers should also do a safety check in their rooms once a week for broken toys to be removed or repaired. On three toy sinks the faucets were not attached and one was broken in the two- and three-year-old classroom. Today you inquired about having a room measured so, I will come out on another visit to complete that for you. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all of the applicable laws and rules. Reminder to complete your fire drill today for January. UPDATES: -Current rated licenses are still in a ‘hold harmless’ state until June 2024. It has been determined that your facility is in Cohort 3. This means your preparation year will be from July 1, 2025, through June 30, 2026. Your reassessment year will be from July 1, 2026, through June 30, 2027. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 65 Completed Date: 1/31/2024 Age: From 0 To 5 Total Minutes: 160 Time In: 09:15 AM Time Out: 11:55 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced visit was to monitor compliance for applicable child care requirements. This facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was conducted on January 08, 2024, and received a “Superior” classification and (0) demerits. The last Fire Inspection was conducted on August 10, 2023, and the facility was approved for daytime care only. The last Fire Drill was conducted on December 2, 2023. The last Lock Down/ Shelter-in-Place was on January 9, 2024. The last Playground Inspection was conducted on January 3, 2024. Upon arrival, I was greeted by the director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed participating in routines diaper changes in toddler class, story time in four and five-year old class and infants were being held to drink their bottles. Today, a partial assessment of applicable child care requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. The following violations were observed during today’s visit. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Two classrooms did not have a current lesson plan up for the week. GS 110-91(12);.0508(a) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There were no paper towels in space 8 for the teachers to dry their hands. 15A NCAC 18A .2818(b) & (d) 721 All equipment and furnishings were not in good repair. Three children's sized play sinks had faucets that were not affixed to the sinks. One classroom the play faucet was broken off. G.S. 110-91(6); .0601(b) 847 Parent's medication authorization did not include required information. One Aquaphor diaper cream did not have a signature from parent on the permission form. One Permission form to administer Nystatin did not have a starting and ending date on the form. 10A NCAC 09 .0803(4)(6-9) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The outdoor play structures that were over 18 inches did not have enough mulch around them. There were two sets of swings, one monkey bar, and one large piece of equipment that did not have required mulch based on their height. .0605(k)(1-4) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before February 13, 2024. The letter should include each item number of noncompliance cited, describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov . If a compliance letter is not received by my office by February 13, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Technical Assistance: Today we discussed that all teachers in the younger classrooms should monitor on a weekly basis diaper cream making sure the permission forms have parent signatures and starting and ending dates on them. Today two rooms did not have a current lesson plan up for the week. It would be helpful to them if they put up their lessons for the following week on the Friday before. Make sure you are fluffing mulch after rainy days and checking the mulch levels around large equipment once a month. Teachers should also do a safety check in their rooms once a week for broken toys to be removed or repaired. On three toy sinks the faucets were not attached and one was broken in the two- and three-year-old classroom. Today you inquired about having a room measured so, I will come out on another visit to complete that for you. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all of the applicable laws and rules. Reminder to complete your fire drill today for January. UPDATES: -Current rated licenses are still in a ‘hold harmless’ state until June 2024. It has been determined that your facility is in Cohort 3. This means your preparation year will be from July 1, 2025, through June 30, 2026. Your reassessment year will be from July 1, 2026, through June 30, 2027. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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 .0304 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 8/7/2023 Number Present: 67 Completed Date: 8/7/2023 Age: From 0 To 11 Total Minutes: 200 Time In: 09:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care Requirements. The last Annual Compliance visit was conducted on August 9, 2022. The facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was completed on September 13, 2022, with a "Superior" classification and (8) demerits. The last Fire Inspection was conducted on July 9, 2022. After I left today's visit it was determined that there was not a current fire inspection. Please call your local fire inspector for a new inspection. This violation will be added to today's visit. The last Fire Drill was conducted on July 31, 2023. The last Lock Down/Shelter-in-Place was on December 5, 2022. The last Playground Inspection was conducted on June 23, 2023. The Department of the Secretary’s website was used to check the status of the corporation. The facility’s owner is current/active as of August 4, 2023. Upon arrival, I was greeted by the new director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed participating in routines such as diaper changes and hand washing, eating lunch, indoor free play, and outside play. In the infant room teachers were feeding the infants their breakfast when I arrived. Staff and Training worksheets were sent out to the director on July 24, 2023. They were not completed by today's visit, therefore the worksheets must be sent to me before Wednesday at 5:00 PM for review. At this time more violations may be added on if there are any more violations found. Your signature is proof that all documentation information is current and ready for review. Today seven (7) Children’s files were monitored and found to be in compliance. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records, Criminal Background Checks were also monitored. Children’s files were monitored as well as Emergency Drills, Medication, Playground Inspections and Transportation. Today four (4) Chevrolet school buses were monitored for general safety. Seat belts were checked, first aid kits were present, fire extinguishers were mounted. Transportation logs were present on the van. Ms. Kelsey stated that out of the four vans only one was being used to transport children. This vehicle was a 2010 Chevrolet bus, tag number KAR-6224 June 2023. The other three buses were not in use. A 2009 Chevrolet tag number JDF-4917 had an expired tag dated April 2022. A Chevrolet tag number RDH-1009 was dated December 2022. A Chevrolet tag number JDH- 4911 tag was dated April 2022. This van however not currently being used, the front tires are starting to show wear. These will need to be changed soon. The following violations were observed during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on July 9, 2022. 10A NCAC 09 .0304(a) 847 Parent's medication authorization did not include required information. There was not a permission form completed by parent for diaper cream in the toddler class. In the second toddler class there was a permission form for another child with no parent signature on it for a diaper cream. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Diaper creams and sunscreens were not discarded or returned to parent after child was no longer present. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on June 23, 2023. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three staff did not receive orientation within the the first six weeks. .1101(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The buses used to transport children did not have proof of current insurance. .1002(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown/Shelter-in-place was conducted on December 5, 2022. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The swings and the large playground apparatus did not have enough mulch required for the height of the equipment. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information was not kept separate from the main staff file. .0701(d) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before 5:00PM August 18, 2023. The letter should include each item number of noncompliance cited, describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov . If a compliance letter is not received by my office on, or before 5:00PM August 18, 2023, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. As of August 4, 2023, your compliance is at (92) percent before this visit. You and your staff were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. Technical Assistance: Today I monitored four (4) Chevrolet buses and three of them had expired tags on them. The last insurance on these vehicles was dated March of 2023. The director, Kelsey stated she would check her emails for an updated insurance form for all the buses. Today upon my arrival a new employee was going to start but she did not have a qualifying letter, so she was sent home until she is qualified to work with children. Please make sure all new staff has a qualifying letter before their first day of work. Please make sure all medical information is kept in a separate file from their main file. The health questionnaire, medical and TB should be in a separate file. The Emergency form can stay in the main file. Please remember to either return unused diaper creams and sunscreens to the parents or they can be discarded per the parents’ request. All permission forms must be kept in the child’s files once they are completed or not in use for six months. Please make sure all children have a signed permission form before using any ointments on a child. Playground inspections must be completed once a month and Lockdown/Shelter-In-Place must be completed every three months and documented. Upon my inspection of the playground area, the swings did not have the required amount of mulch under them. Please fluff and add more mulch at the end of slides and around the side areas of the slide in case a child should fall off the large play equipment. It has been determined that your facility is in Cohort 3. This means your preparation year will be from July 1, 2025, through June 30, 2026. Your reassessment year will be from July 1, 2026, through June 30, 2027. UPDATES: -CBC qualifying letters are now valid for five (5) years regardless of the date of issue. New letters will not be sent out. -Current Rated Licenses are still in a ‘hold harmless’ state until July 2024. However, please be sure to upload all staff education to the WORK’s Unit. MOODLE: Any teachers, current or new hires can test out of NCECC by accessing the link below and placing in their username and password. You must receive a score of 80% or higher and can only be taken twice. If you fail twice you must enroll in an EDU 119 course at a local community college. https://www.dcdee.moodle.nc.gov/ RESOURCES: - You are encouraged to visit the NCRLAP website for resources and videos on how to prepare for the Rated License Assessment at www.NCRLAP.org . -The Health and Safety Trainings are now being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ -Child Care Aware® of America is a nonprofit organization that works directly with child care agencies and families. They are the third-party administrator that serves and supports eligible military families through the Child Care Fee Assistance programs. They manage the administration of the MCCYN-PLUS program. For more information, visit: https://www.childcareaware.org. -On March 13, 2023, the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative launches in North Carolina to make it easier for military families to access and afford quality child care from community providers. https://www.militaryonesource.mil/parenting/child-care/mccyn-plus-child-care-program/ -Navy families only: The Navy MCCYN Child Care Fee Assistance Program administers the MCCYN program for Navy families. Navy families can visit the following website for additional information: https://public.militarychildcare.csd.disa.mil/mccu/ui/#/navy. We discussed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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 .0803 · Violation
Name of Operation: THE NEST SCHOOL Facility ID: 29000749 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 8/7/2023 Number Present: 67 Completed Date: 8/7/2023 Age: From 0 To 11 Total Minutes: 200 Time In: 09:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care Requirements. The last Annual Compliance visit was conducted on August 9, 2022. The facility currently operates with a Four-Star Child Care License that was issued on December 31, 2021. The last Sanitation Inspection was completed on September 13, 2022, with a "Superior" classification and (8) demerits. The last Fire Inspection was conducted on July 9, 2022. After I left today's visit it was determined that there was not a current fire inspection. Please call your local fire inspector for a new inspection. This violation will be added to today's visit. The last Fire Drill was conducted on July 31, 2023. The last Lock Down/Shelter-in-Place was on December 5, 2022. The last Playground Inspection was conducted on June 23, 2023. The Department of the Secretary’s website was used to check the status of the corporation. The facility’s owner is current/active as of August 4, 2023. Upon arrival, I was greeted by the new director, Kelsey Rookstool. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed participating in routines such as diaper changes and hand washing, eating lunch, indoor free play, and outside play. In the infant room teachers were feeding the infants their breakfast when I arrived. Staff and Training worksheets were sent out to the director on July 24, 2023. They were not completed by today's visit, therefore the worksheets must be sent to me before Wednesday at 5:00 PM for review. At this time more violations may be added on if there are any more violations found. Your signature is proof that all documentation information is current and ready for review. Today seven (7) Children’s files were monitored and found to be in compliance. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records, Criminal Background Checks were also monitored. Children’s files were monitored as well as Emergency Drills, Medication, Playground Inspections and Transportation. Today four (4) Chevrolet school buses were monitored for general safety. Seat belts were checked, first aid kits were present, fire extinguishers were mounted. Transportation logs were present on the van. Ms. Kelsey stated that out of the four vans only one was being used to transport children. This vehicle was a 2010 Chevrolet bus, tag number KAR-6224 June 2023. The other three buses were not in use. A 2009 Chevrolet tag number JDF-4917 had an expired tag dated April 2022. A Chevrolet tag number RDH-1009 was dated December 2022. A Chevrolet tag number JDH- 4911 tag was dated April 2022. This van however not currently being used, the front tires are starting to show wear. These will need to be changed soon. The following violations were observed during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on July 9, 2022. 10A NCAC 09 .0304(a) 847 Parent's medication authorization did not include required information. There was not a permission form completed by parent for diaper cream in the toddler class. In the second toddler class there was a permission form for another child with no parent signature on it for a diaper cream. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Diaper creams and sunscreens were not discarded or returned to parent after child was no longer present. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on June 23, 2023. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three staff did not receive orientation within the the first six weeks. .1101(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The buses used to transport children did not have proof of current insurance. .1002(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown/Shelter-in-place was conducted on December 5, 2022. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The swings and the large playground apparatus did not have enough mulch required for the height of the equipment. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information was not kept separate from the main staff file. .0701(d) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before 5:00PM August 18, 2023. The letter should include each item number of noncompliance cited, describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov . If a compliance letter is not received by my office on, or before 5:00PM August 18, 2023, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. As of August 4, 2023, your compliance is at (92) percent before this visit. You and your staff were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. Technical Assistance: Today I monitored four (4) Chevrolet buses and three of them had expired tags on them. The last insurance on these vehicles was dated March of 2023. The director, Kelsey stated she would check her emails for an updated insurance form for all the buses. Today upon my arrival a new employee was going to start but she did not have a qualifying letter, so she was sent home until she is qualified to work with children. Please make sure all new staff has a qualifying letter before their first day of work. Please make sure all medical information is kept in a separate file from their main file. The health questionnaire, medical and TB should be in a separate file. The Emergency form can stay in the main file. Please remember to either return unused diaper creams and sunscreens to the parents or they can be discarded per the parents’ request. All permission forms must be kept in the child’s files once they are completed or not in use for six months. Please make sure all children have a signed permission form before using any ointments on a child. Playground inspections must be completed once a month and Lockdown/Shelter-In-Place must be completed every three months and documented. Upon my inspection of the playground area, the swings did not have the required amount of mulch under them. Please fluff and add more mulch at the end of slides and around the side areas of the slide in case a child should fall off the large play equipment. It has been determined that your facility is in Cohort 3. This means your preparation year will be from July 1, 2025, through June 30, 2026. Your reassessment year will be from July 1, 2026, through June 30, 2027. UPDATES: -CBC qualifying letters are now valid for five (5) years regardless of the date of issue. New letters will not be sent out. -Current Rated Licenses are still in a ‘hold harmless’ state until July 2024. However, please be sure to upload all staff education to the WORK’s Unit. MOODLE: Any teachers, current or new hires can test out of NCECC by accessing the link below and placing in their username and password. You must receive a score of 80% or higher and can only be taken twice. If you fail twice you must enroll in an EDU 119 course at a local community college. https://www.dcdee.moodle.nc.gov/ RESOURCES: - You are encouraged to visit the NCRLAP website for resources and videos on how to prepare for the Rated License Assessment at www.NCRLAP.org . -The Health and Safety Trainings are now being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ -Child Care Aware® of America is a nonprofit organization that works directly with child care agencies and families. They are the third-party administrator that serves and supports eligible military families through the Child Care Fee Assistance programs. They manage the administration of the MCCYN-PLUS program. For more information, visit: https://www.childcareaware.org. -On March 13, 2023, the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative launches in North Carolina to make it easier for military families to access and afford quality child care from community providers. https://www.militaryonesource.mil/parenting/child-care/mccyn-plus-child-care-program/ -Navy families only: The Navy MCCYN Child Care Fee Assistance Program administers the MCCYN program for Navy families. Navy families can visit the following website for additional information: https://public.militarychildcare.csd.disa.mil/mccu/ui/#/navy. We discussed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.