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Home › NC › Clyde › Clyde Elementary School Intensive Intervention CLA
4182 OLD Clyde Road, Clyde NC 28721 · License #44000163 · Center · Child Care Center
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10A NCAC 09 .0901 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 57 Completed Date: 4/29/2026 Age: From 4 To 12 Total Minutes: 426 Time In: 09:04 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit including compliance with requirements located in Child Care Rule Section .3000 in spaces #1, where children participating in the NC Pre-K program are cared for and requirements located in Child Care Rule Section .2900 in spaces #1, #2, #3, #4, #5, #6, as required for certified developmental day programs. #1 is preschool classroom, and #2 - #6 are school-age classrooms. Due to issues with NCID and the Regulatory system, a handwritten visit summary was created and signed by Kaoru Eddins, Child Care Consultant, and Jacob Shelton, Administrator. A Word document of today’s visit summary was also shared with Mr. Shelton and the details were discussed including violations, corrections and observations. Computer-generated visit summary will be created when NCID is repaired, and the visit summary will be emailed to you. Today, Wendy Underwood, lead teacher in space #1 was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – certified Developmental Day and NC Pre-K. Daytime care, meets enhanced space, playground does not meet child care playground safety standards for school-age children. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 11/13/25. The last fire drill was practiced on 3/31/26. The last shelter-in-place drill was practiced on 10/20/25 then 3/5/26. The last playground inspection was documented on 4/1/26. The last fire inspection was approved on 1/12/26. The last sanitation inspection was conducted on 12/15/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment surveys were started for Lead paint and asbestos. One (1) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Upon arrival, I greeted at front office. In 301 – 305, school age children were cared for. In 301, nine (9) children with eight (8) adults were present. Three (3) adults were from Positive Behavior Supports Corporation and did not count in staff/child ratios. One (1) of them were a nurse, and four (4) were teaching staff. Medications: Room 301: Total of thirteen medications were maintained in the classroom: 1) Children’s Motrin (B. B.) 2) Children’s Tylenol (No name) 3) Children’s Motrin (No name) 4) Family Wellness Children’s Pain Reliever (No name) 5) Briviact 75 mg tablet 6) Zonisamide 100 mg Caps 7) Zonisamide 25 mg caps 8) Creon Dr. 36, 000 unit 9) Creon 6,000 unit 10) Clobazam tab 10mg 11) Quillivant XR 25mg/5ml SRER 12) Valtoco SPR 15 mg (MP) 13) Valtoco 15 mg (LWR) Action plans were on file for both Valtocos for 2025-2026 school year. Medication authorizations were also on file for Briviact, Zonisamide, Valtocos, Clobazam, Quillivant, Creon 36,000 unit and Creon 6,000 unit. Per interview with school nurse, Zonisamide 25 mg caps were prescribed to supplement the quantities of Zonisamide 100 mgs – meaning four (4) 25 mg capsules would be administered to the child instead of one (1) 100 mg capsule. Per interview with classroom staff, Children’s Tylenol and Motrin without names belong to a staff member. No staff knew about Pain Reliever from Family Wellness. No medication authorization form was found for Children’s Motrin (B.B.). Some of the paperwork were maintained in the classroom while others were maintained in the office with a nurse. Other medications: Room 303 – one (1) Valtoco (J. C.) Room 304 – one (1) Ventolin (Z. R.) Room 305 – one (1) Equate Children’s Allergy Relief (T.B.), one (1) Epi-pen (T.B.) Medication authorization forms for four (4) medications and action plans for three (3) emergency medications listed above were on file and valid. In 302, three (3) staff members and nine (9) children were present. Two (2) children and one (1) staff member spent time on the playground outside of the class while other children worked on the assignment with other staff members. In 303, eight (8) children were present with four (4) adults – three (3) staff members and one (1) Registered Behavior Technician (RBT). In 304, eight (8) children with three (3) staff members were present. In 305 – four (4) staff members and eleven (11) children were present. In each classroom, children completed assignments on the tablet or on the paper. Staff members provided one-on-one or small group support for each child. Supervision and interaction were adequate. Snacks were provided during observations – children brought their own snacks. Supervision and interaction were adequate. Room 101 (preschool classroom): A total of seventeen (17) children, four (4) and five (5) years old, were present with three (3) staff members. During observation, children participated in group time and reviewed beginning letter sounds with the lead teacher. After group time, the children lined up and stopped by at the library, returned and borrowed books. After library visit, the children and staff members stopped at the common bathroom, then headed to the cafeteria. Per staff interview, the children will be eating in cafeteria moving forward as transition plan for kindergarten. Children were offered three (3) main dish options, and while individual meal combinations varied, each child received all required components. Some children were served peanut butter and jelly (grape) sandwiches with graham crackers, cheese sticks, and milk. Fruit options included orange slices, mixed fruit, or orange juice. Other children were served baked chicken legs with mashed potatoes and rolls, while some received fried steaks with mashed potatoes and rolls. Playground was monitored. No preschool children played with the areas where fall zones are required. While preschool children were inside, children from 301 were observed on the preschool playground. Staff files: Twelve (12) existing staff files were monitored for criminal background letters and CPR/FA certificates. CBC letter expiration dates: J. Rathbone – 9/7/27 A. Parton – 11/15/29 S. Floyd -2/9/28 P. Thomas – 8/15/27 D. Johnson – 9/23/27 R. Cooper – 4/6/27 A. Leatherwood – 8/7/30 S. Dewees – 7/18/27 M. DeFalco – 12/18/29 W. Underwood K. Webb A. West J. Shelton – 9/18/28 W. Underwood – 9/23/27 K. Webb – 5/12/26 A. West – 7/24/28 CPR/First aid expiration date: J. Rathbone – 3/4/26 A. Parton – 3/4/26 S. Floyd – 3/4/26 R. Cooper – 3/4/26 A. Leatherwood – 3/4/26 D. Johnson – 2/1/25 P. Thomas – 1/2028 S. Dewees – 3/5/27 M. DeFalco – 1/8/27 W. Underwood – 08/2026 K. Webb – 08/2026 A. West – 06/2027 The following new staff members’ files were monitored in full: S. Bass: CPR expiration date – 6/20/26 * first aid not 9included CBC issued on 1/11/24, expires on 1/11/29 TB screening – 2/6/20 EI – 8/2025 Shaken baby policy review – 8/25/25 L. Jones: HQ – 1/15/26 EI – 1/15/26 TB – 1/23/26 C. Cooper: CBC issued on 1/20/26, expires on 1/20/31 HQ – 1/14/26 EI – 1/14/26 Health exam – 10/17/25 TB – 10/17/25 CPR/FA – 5/22/24, expires on 5/22/26 K. Ruff: CBC issued on 7/25/22, expires on 7/25/27 Recognizing and Responding to Suspicions of Child Maltreatment (RRSCM) training: 4/23/24 Health and Safety training – Shaken baby… maltreatment – 1/29/23, medication in child care – 6/24/24 E. Miller: HQ – 10/30/25 EI – 10/30/25 E. Reed: HQ – 11/4/25 EI – 11/4/25 J. Berrincha: HQ – 10/30/25 EI – 10/30/25 Off-site verification form for staff files were available for three (3) staff members in room 101 but not for other staff members. Due to lack of records, the date of employment for the new staff listed above were unknown. Per Mr. Queen, S. Bass and C. Cooper are the substitutes from ESS and not Haywood County Schools employees. Substitute staff file requirements were reviewed during today’s visit. The ABCMS system was reviewed for the following staff members: J. Barrincha – CBC will expire on 6/13/30 E. Reed – CBC will expire on 7/10/30 E. Miller – CBC will expire 1/9/30 L. Jones – CBC will expire 12/11/20 During the post conference, S. Bass and C. Cooper were identified as substitute staff members through EES. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Barbara Jeffreys from Region A Partnership conducted a desk audit on 12/9/25. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Wendy Underwood and teachers, Kaycee Webb and Alexandria West. No children files were monitored for completed health assessments and developmental screenings as they were reviewed during annual compliance visit. The first day of school was 8/26/25. The classroom operates from 7:30 am to 2:30 pm. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1 - #6. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses/ Special Education and the administrator has a Level III NCECAC equivalency. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A current license with issue date of February 7, 2025, was not posted. G.S. 110-99(a1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. In addition to the listed items, peanut butter and grape jelly, cheese sticks, graham crackers, sliced oranges, orange juice and mixed fruits were served as options. Those items were not documented on the menu prior to serving children. 10A NCAC 09 .0901(b) 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. The key to the cabinet where two (2) containers of Arm & Hammer Oxy Clean laundry detergent were maintained remained in the key hole in room 101. .2820(b) 847 Parent's medication authorization did not include required information. Medication authorization form was not on file for Children's Motrin in room 301. 10A NCAC 09 .0803(4)(6-9) 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. The TB screening submitted was completed on 2/6/20 for a substitute staff member who was hired in 2025 (exact date of employment unknown). The substitute is an ESS employee. .0701(a) 1043 All staff records, except financial records, were not made available for review. Many documents for staff files or the dates were not available for review for seven (7) new staff members and substitute staff. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letters were not printed and maintained in the staff files for four (4) staff members, and no off-site verification form was completed for them. G.S. 110-90.2(b) & (d) & .2703(e) 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. one (1) staff member was listed on the ABCMS roster while Twenty-two (22) staff members were identified during today's visit. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 102: License Current license must be posted. To comply, locate the current permit and post it in the space 101. Additionally, remove the old license. The current license was issued on 2/7/25. In your compliance letter, please verify completion of this task. 528: Food substitution Food substitution must be recoded on the menu prior to serving children. To comply, peanut butter and grape jelly sandwich, cheese sticks, mixed fruits, sliced oranges, graham crackers, orange juice must be listed on the menu. Discuss this requirement with kitchen staff members for accurate listings of menu items. In your compliance letter, please verify that correct items were listed on the menu for 4/29/26 as well as the review of this requirements with kitchen staff members. 840: potentially hazardous products No products that are potentially hazardous to children shall be accessible. To comply, the key to the cabinet where Arm & Hammer Oxy Clean laundry detergent must not be left on the key hole. This is considered the same as not being locked. In your compliance letter, please verify the correction of this item. 847: medication authorization form All medications required parental authorization form. To comply, you must obtain the authorization form for Children’s Tylenol for B.B. or return the medication home immediately. In the compliance letter, please state how you met the compliance. 1033 TB screening: TB screen is required to be completed on or prior to first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. To comply, S. Bass must complete new TB screening and submit the result to the school. In your compliance letter, please verify the date S. Bass submitted the document and filed in the staff file. 1043: records All records requested by the Division must be available for review. To comply, following information must be presented to consultant for S. Bass, L. Jones, C. Cooper, K. Ruff, E. Miller, E. Reed, and J. Berrincha: • Public School Off-Site Records Verification form for Staff Records (including the list of staff names) • Staff and Training Worksheet with all the dates Or • Application forms • Date of employment • Orientation form • Criminal background qualification letter • Medical exam • TB screening • Emergency information form • Health Questionnaire (required for 2nd year and thereafter) • Health and Safety training completion date and training certificates • Annual on-going training (required for 2nd year and thereafter) • Education information (WORKS letter) • Review of Shaken Baby policy (for preschool only) • Recognizing and Responding to Suspicions of Child Maltreatment Training certificate • Documentation of review of EPR plan • Documentation of review of EMC plan • Documentation of review of personnel/operation policies • Annual staff evaluation (required for 2nd year and thereafter) • Staff development plan (required for 2nd year and thereafter) • CPR and First Aid certificates You must submit either choice within twenty-four (24) hours. Based on the information, additional violations may be added. 1048: First Aid 1049: CPR Valid CPR and First Aid certificates must be maintained, and the certificates shall be maintained in the staff files. To comply, six (6) staff members – J. Rathbone, A. Parton, S. Floyd, D. Johnson, R. Cooper and A. Leatherwood shall review their CPR and First Aid certificates immediately. Adult and Pediatric First Aid/CPR/AED skills session – R.25 is available on 5/7/26, 5/8/26 at various time slots. For details, visit https://www.redcross.org/take-a-class/cpr?latitude=35.5334379&longitude=-82.910691&searchtype=class&zip=Clyde%2C%20NC%2028721%2C%20USA&zipcode=28721 In your compliance letter, please verify completion of CPR and First Aid training for each staff member. 1757: A valid qualification letter must be on file for review. To comply, you shall print qualification letter for L. Jones, E. Miller, E. Reed, and J. Berrincha and maintain them in their staff files or maintain them in the personnel files at off-site location and fill out Public School off-site verification form for staff records. In your compliance letter, please state the action you took to meet the compliance. 1805: ABCMS roster As we discussed during correction process in December 2025, all staff members, including substitute staff members, administrator and teaching staff must be listed on the roster. To comply, please list all staff members on the ABCMS roster within the next two (2) weeks. I will be monitoring the roster throughout the process. In your compliance letter, please verify the completion of this task. In case you face technical challenges, please contact ABCMS – Help Desk. Phone: 919.814.6401 Email: ABCMSSupport@Improving.com Hours of Operation: Monday-Friday (8am-6pm) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/13/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: K. Webb’s criminal background check will expire on 5/12/26. Please renew the background check without any lapse. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that al providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
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
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Category: supervision. Open / not marked corrected.
10A NCAC 09 .0304 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 57 Completed Date: 4/29/2026 Age: From 4 To 12 Total Minutes: 426 Time In: 09:04 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit including compliance with requirements located in Child Care Rule Section .3000 in spaces #1, where children participating in the NC Pre-K program are cared for and requirements located in Child Care Rule Section .2900 in spaces #1, #2, #3, #4, #5, #6, as required for certified developmental day programs. #1 is preschool classroom, and #2 - #6 are school-age classrooms. Due to issues with NCID and the Regulatory system, a handwritten visit summary was created and signed by Kaoru Eddins, Child Care Consultant, and Jacob Shelton, Administrator. A Word document of today’s visit summary was also shared with Mr. Shelton and the details were discussed including violations, corrections and observations. Computer-generated visit summary will be created when NCID is repaired, and the visit summary will be emailed to you. Today, Wendy Underwood, lead teacher in space #1 was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – certified Developmental Day and NC Pre-K. Daytime care, meets enhanced space, playground does not meet child care playground safety standards for school-age children. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 11/13/25. The last fire drill was practiced on 3/31/26. The last shelter-in-place drill was practiced on 10/20/25 then 3/5/26. The last playground inspection was documented on 4/1/26. The last fire inspection was approved on 1/12/26. The last sanitation inspection was conducted on 12/15/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment surveys were started for Lead paint and asbestos. One (1) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Upon arrival, I greeted at front office. In 301 – 305, school age children were cared for. In 301, nine (9) children with eight (8) adults were present. Three (3) adults were from Positive Behavior Supports Corporation and did not count in staff/child ratios. One (1) of them were a nurse, and four (4) were teaching staff. Medications: Room 301: Total of thirteen medications were maintained in the classroom: 1) Children’s Motrin (B. B.) 2) Children’s Tylenol (No name) 3) Children’s Motrin (No name) 4) Family Wellness Children’s Pain Reliever (No name) 5) Briviact 75 mg tablet 6) Zonisamide 100 mg Caps 7) Zonisamide 25 mg caps 8) Creon Dr. 36, 000 unit 9) Creon 6,000 unit 10) Clobazam tab 10mg 11) Quillivant XR 25mg/5ml SRER 12) Valtoco SPR 15 mg (MP) 13) Valtoco 15 mg (LWR) Action plans were on file for both Valtocos for 2025-2026 school year. Medication authorizations were also on file for Briviact, Zonisamide, Valtocos, Clobazam, Quillivant, Creon 36,000 unit and Creon 6,000 unit. Per interview with school nurse, Zonisamide 25 mg caps were prescribed to supplement the quantities of Zonisamide 100 mgs – meaning four (4) 25 mg capsules would be administered to the child instead of one (1) 100 mg capsule. Per interview with classroom staff, Children’s Tylenol and Motrin without names belong to a staff member. No staff knew about Pain Reliever from Family Wellness. No medication authorization form was found for Children’s Motrin (B.B.). Some of the paperwork were maintained in the classroom while others were maintained in the office with a nurse. Other medications: Room 303 – one (1) Valtoco (J. C.) Room 304 – one (1) Ventolin (Z. R.) Room 305 – one (1) Equate Children’s Allergy Relief (T.B.), one (1) Epi-pen (T.B.) Medication authorization forms for four (4) medications and action plans for three (3) emergency medications listed above were on file and valid. In 302, three (3) staff members and nine (9) children were present. Two (2) children and one (1) staff member spent time on the playground outside of the class while other children worked on the assignment with other staff members. In 303, eight (8) children were present with four (4) adults – three (3) staff members and one (1) Registered Behavior Technician (RBT). In 304, eight (8) children with three (3) staff members were present. In 305 – four (4) staff members and eleven (11) children were present. In each classroom, children completed assignments on the tablet or on the paper. Staff members provided one-on-one or small group support for each child. Supervision and interaction were adequate. Snacks were provided during observations – children brought their own snacks. Supervision and interaction were adequate. Room 101 (preschool classroom): A total of seventeen (17) children, four (4) and five (5) years old, were present with three (3) staff members. During observation, children participated in group time and reviewed beginning letter sounds with the lead teacher. After group time, the children lined up and stopped by at the library, returned and borrowed books. After library visit, the children and staff members stopped at the common bathroom, then headed to the cafeteria. Per staff interview, the children will be eating in cafeteria moving forward as transition plan for kindergarten. Children were offered three (3) main dish options, and while individual meal combinations varied, each child received all required components. Some children were served peanut butter and jelly (grape) sandwiches with graham crackers, cheese sticks, and milk. Fruit options included orange slices, mixed fruit, or orange juice. Other children were served baked chicken legs with mashed potatoes and rolls, while some received fried steaks with mashed potatoes and rolls. Playground was monitored. No preschool children played with the areas where fall zones are required. While preschool children were inside, children from 301 were observed on the preschool playground. Staff files: Twelve (12) existing staff files were monitored for criminal background letters and CPR/FA certificates. CBC letter expiration dates: J. Rathbone – 9/7/27 A. Parton – 11/15/29 S. Floyd -2/9/28 P. Thomas – 8/15/27 D. Johnson – 9/23/27 R. Cooper – 4/6/27 A. Leatherwood – 8/7/30 S. Dewees – 7/18/27 M. DeFalco – 12/18/29 W. Underwood K. Webb A. West J. Shelton – 9/18/28 W. Underwood – 9/23/27 K. Webb – 5/12/26 A. West – 7/24/28 CPR/First aid expiration date: J. Rathbone – 3/4/26 A. Parton – 3/4/26 S. Floyd – 3/4/26 R. Cooper – 3/4/26 A. Leatherwood – 3/4/26 D. Johnson – 2/1/25 P. Thomas – 1/2028 S. Dewees – 3/5/27 M. DeFalco – 1/8/27 W. Underwood – 08/2026 K. Webb – 08/2026 A. West – 06/2027 The following new staff members’ files were monitored in full: S. Bass: CPR expiration date – 6/20/26 * first aid not 9included CBC issued on 1/11/24, expires on 1/11/29 TB screening – 2/6/20 EI – 8/2025 Shaken baby policy review – 8/25/25 L. Jones: HQ – 1/15/26 EI – 1/15/26 TB – 1/23/26 C. Cooper: CBC issued on 1/20/26, expires on 1/20/31 HQ – 1/14/26 EI – 1/14/26 Health exam – 10/17/25 TB – 10/17/25 CPR/FA – 5/22/24, expires on 5/22/26 K. Ruff: CBC issued on 7/25/22, expires on 7/25/27 Recognizing and Responding to Suspicions of Child Maltreatment (RRSCM) training: 4/23/24 Health and Safety training – Shaken baby… maltreatment – 1/29/23, medication in child care – 6/24/24 E. Miller: HQ – 10/30/25 EI – 10/30/25 E. Reed: HQ – 11/4/25 EI – 11/4/25 J. Berrincha: HQ – 10/30/25 EI – 10/30/25 Off-site verification form for staff files were available for three (3) staff members in room 101 but not for other staff members. Due to lack of records, the date of employment for the new staff listed above were unknown. Per Mr. Queen, S. Bass and C. Cooper are the substitutes from ESS and not Haywood County Schools employees. Substitute staff file requirements were reviewed during today’s visit. The ABCMS system was reviewed for the following staff members: J. Barrincha – CBC will expire on 6/13/30 E. Reed – CBC will expire on 7/10/30 E. Miller – CBC will expire 1/9/30 L. Jones – CBC will expire 12/11/20 During the post conference, S. Bass and C. Cooper were identified as substitute staff members through EES. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Barbara Jeffreys from Region A Partnership conducted a desk audit on 12/9/25. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Wendy Underwood and teachers, Kaycee Webb and Alexandria West. No children files were monitored for completed health assessments and developmental screenings as they were reviewed during annual compliance visit. The first day of school was 8/26/25. The classroom operates from 7:30 am to 2:30 pm. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1 - #6. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses/ Special Education and the administrator has a Level III NCECAC equivalency. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A current license with issue date of February 7, 2025, was not posted. G.S. 110-99(a1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. In addition to the listed items, peanut butter and grape jelly, cheese sticks, graham crackers, sliced oranges, orange juice and mixed fruits were served as options. Those items were not documented on the menu prior to serving children. 10A NCAC 09 .0901(b) 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. The key to the cabinet where two (2) containers of Arm & Hammer Oxy Clean laundry detergent were maintained remained in the key hole in room 101. .2820(b) 847 Parent's medication authorization did not include required information. Medication authorization form was not on file for Children's Motrin in room 301. 10A NCAC 09 .0803(4)(6-9) 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. The TB screening submitted was completed on 2/6/20 for a substitute staff member who was hired in 2025 (exact date of employment unknown). The substitute is an ESS employee. .0701(a) 1043 All staff records, except financial records, were not made available for review. Many documents for staff files or the dates were not available for review for seven (7) new staff members and substitute staff. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letters were not printed and maintained in the staff files for four (4) staff members, and no off-site verification form was completed for them. G.S. 110-90.2(b) & (d) & .2703(e) 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. one (1) staff member was listed on the ABCMS roster while Twenty-two (22) staff members were identified during today's visit. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 102: License Current license must be posted. To comply, locate the current permit and post it in the space 101. Additionally, remove the old license. The current license was issued on 2/7/25. In your compliance letter, please verify completion of this task. 528: Food substitution Food substitution must be recoded on the menu prior to serving children. To comply, peanut butter and grape jelly sandwich, cheese sticks, mixed fruits, sliced oranges, graham crackers, orange juice must be listed on the menu. Discuss this requirement with kitchen staff members for accurate listings of menu items. In your compliance letter, please verify that correct items were listed on the menu for 4/29/26 as well as the review of this requirements with kitchen staff members. 840: potentially hazardous products No products that are potentially hazardous to children shall be accessible. To comply, the key to the cabinet where Arm & Hammer Oxy Clean laundry detergent must not be left on the key hole. This is considered the same as not being locked. In your compliance letter, please verify the correction of this item. 847: medication authorization form All medications required parental authorization form. To comply, you must obtain the authorization form for Children’s Tylenol for B.B. or return the medication home immediately. In the compliance letter, please state how you met the compliance. 1033 TB screening: TB screen is required to be completed on or prior to first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. To comply, S. Bass must complete new TB screening and submit the result to the school. In your compliance letter, please verify the date S. Bass submitted the document and filed in the staff file. 1043: records All records requested by the Division must be available for review. To comply, following information must be presented to consultant for S. Bass, L. Jones, C. Cooper, K. Ruff, E. Miller, E. Reed, and J. Berrincha: • Public School Off-Site Records Verification form for Staff Records (including the list of staff names) • Staff and Training Worksheet with all the dates Or • Application forms • Date of employment • Orientation form • Criminal background qualification letter • Medical exam • TB screening • Emergency information form • Health Questionnaire (required for 2nd year and thereafter) • Health and Safety training completion date and training certificates • Annual on-going training (required for 2nd year and thereafter) • Education information (WORKS letter) • Review of Shaken Baby policy (for preschool only) • Recognizing and Responding to Suspicions of Child Maltreatment Training certificate • Documentation of review of EPR plan • Documentation of review of EMC plan • Documentation of review of personnel/operation policies • Annual staff evaluation (required for 2nd year and thereafter) • Staff development plan (required for 2nd year and thereafter) • CPR and First Aid certificates You must submit either choice within twenty-four (24) hours. Based on the information, additional violations may be added. 1048: First Aid 1049: CPR Valid CPR and First Aid certificates must be maintained, and the certificates shall be maintained in the staff files. To comply, six (6) staff members – J. Rathbone, A. Parton, S. Floyd, D. Johnson, R. Cooper and A. Leatherwood shall review their CPR and First Aid certificates immediately. Adult and Pediatric First Aid/CPR/AED skills session – R.25 is available on 5/7/26, 5/8/26 at various time slots. For details, visit https://www.redcross.org/take-a-class/cpr?latitude=35.5334379&longitude=-82.910691&searchtype=class&zip=Clyde%2C%20NC%2028721%2C%20USA&zipcode=28721 In your compliance letter, please verify completion of CPR and First Aid training for each staff member. 1757: A valid qualification letter must be on file for review. To comply, you shall print qualification letter for L. Jones, E. Miller, E. Reed, and J. Berrincha and maintain them in their staff files or maintain them in the personnel files at off-site location and fill out Public School off-site verification form for staff records. In your compliance letter, please state the action you took to meet the compliance. 1805: ABCMS roster As we discussed during correction process in December 2025, all staff members, including substitute staff members, administrator and teaching staff must be listed on the roster. To comply, please list all staff members on the ABCMS roster within the next two (2) weeks. I will be monitoring the roster throughout the process. In your compliance letter, please verify the completion of this task. In case you face technical challenges, please contact ABCMS – Help Desk. Phone: 919.814.6401 Email: ABCMSSupport@Improving.com Hours of Operation: Monday-Friday (8am-6pm) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/13/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: K. Webb’s criminal background check will expire on 5/12/26. Please renew the background check without any lapse. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that al providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 57 Completed Date: 4/29/2026 Age: From 4 To 12 Total Minutes: 426 Time In: 09:04 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit including compliance with requirements located in Child Care Rule Section .3000 in spaces #1, where children participating in the NC Pre-K program are cared for and requirements located in Child Care Rule Section .2900 in spaces #1, #2, #3, #4, #5, #6, as required for certified developmental day programs. #1 is preschool classroom, and #2 - #6 are school-age classrooms. Due to issues with NCID and the Regulatory system, a handwritten visit summary was created and signed by Kaoru Eddins, Child Care Consultant, and Jacob Shelton, Administrator. A Word document of today’s visit summary was also shared with Mr. Shelton and the details were discussed including violations, corrections and observations. Computer-generated visit summary will be created when NCID is repaired, and the visit summary will be emailed to you. Today, Wendy Underwood, lead teacher in space #1 was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – certified Developmental Day and NC Pre-K. Daytime care, meets enhanced space, playground does not meet child care playground safety standards for school-age children. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 11/13/25. The last fire drill was practiced on 3/31/26. The last shelter-in-place drill was practiced on 10/20/25 then 3/5/26. The last playground inspection was documented on 4/1/26. The last fire inspection was approved on 1/12/26. The last sanitation inspection was conducted on 12/15/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment surveys were started for Lead paint and asbestos. One (1) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Upon arrival, I greeted at front office. In 301 – 305, school age children were cared for. In 301, nine (9) children with eight (8) adults were present. Three (3) adults were from Positive Behavior Supports Corporation and did not count in staff/child ratios. One (1) of them were a nurse, and four (4) were teaching staff. Medications: Room 301: Total of thirteen medications were maintained in the classroom: 1) Children’s Motrin (B. B.) 2) Children’s Tylenol (No name) 3) Children’s Motrin (No name) 4) Family Wellness Children’s Pain Reliever (No name) 5) Briviact 75 mg tablet 6) Zonisamide 100 mg Caps 7) Zonisamide 25 mg caps 8) Creon Dr. 36, 000 unit 9) Creon 6,000 unit 10) Clobazam tab 10mg 11) Quillivant XR 25mg/5ml SRER 12) Valtoco SPR 15 mg (MP) 13) Valtoco 15 mg (LWR) Action plans were on file for both Valtocos for 2025-2026 school year. Medication authorizations were also on file for Briviact, Zonisamide, Valtocos, Clobazam, Quillivant, Creon 36,000 unit and Creon 6,000 unit. Per interview with school nurse, Zonisamide 25 mg caps were prescribed to supplement the quantities of Zonisamide 100 mgs – meaning four (4) 25 mg capsules would be administered to the child instead of one (1) 100 mg capsule. Per interview with classroom staff, Children’s Tylenol and Motrin without names belong to a staff member. No staff knew about Pain Reliever from Family Wellness. No medication authorization form was found for Children’s Motrin (B.B.). Some of the paperwork were maintained in the classroom while others were maintained in the office with a nurse. Other medications: Room 303 – one (1) Valtoco (J. C.) Room 304 – one (1) Ventolin (Z. R.) Room 305 – one (1) Equate Children’s Allergy Relief (T.B.), one (1) Epi-pen (T.B.) Medication authorization forms for four (4) medications and action plans for three (3) emergency medications listed above were on file and valid. In 302, three (3) staff members and nine (9) children were present. Two (2) children and one (1) staff member spent time on the playground outside of the class while other children worked on the assignment with other staff members. In 303, eight (8) children were present with four (4) adults – three (3) staff members and one (1) Registered Behavior Technician (RBT). In 304, eight (8) children with three (3) staff members were present. In 305 – four (4) staff members and eleven (11) children were present. In each classroom, children completed assignments on the tablet or on the paper. Staff members provided one-on-one or small group support for each child. Supervision and interaction were adequate. Snacks were provided during observations – children brought their own snacks. Supervision and interaction were adequate. Room 101 (preschool classroom): A total of seventeen (17) children, four (4) and five (5) years old, were present with three (3) staff members. During observation, children participated in group time and reviewed beginning letter sounds with the lead teacher. After group time, the children lined up and stopped by at the library, returned and borrowed books. After library visit, the children and staff members stopped at the common bathroom, then headed to the cafeteria. Per staff interview, the children will be eating in cafeteria moving forward as transition plan for kindergarten. Children were offered three (3) main dish options, and while individual meal combinations varied, each child received all required components. Some children were served peanut butter and jelly (grape) sandwiches with graham crackers, cheese sticks, and milk. Fruit options included orange slices, mixed fruit, or orange juice. Other children were served baked chicken legs with mashed potatoes and rolls, while some received fried steaks with mashed potatoes and rolls. Playground was monitored. No preschool children played with the areas where fall zones are required. While preschool children were inside, children from 301 were observed on the preschool playground. Staff files: Twelve (12) existing staff files were monitored for criminal background letters and CPR/FA certificates. CBC letter expiration dates: J. Rathbone – 9/7/27 A. Parton – 11/15/29 S. Floyd -2/9/28 P. Thomas – 8/15/27 D. Johnson – 9/23/27 R. Cooper – 4/6/27 A. Leatherwood – 8/7/30 S. Dewees – 7/18/27 M. DeFalco – 12/18/29 W. Underwood K. Webb A. West J. Shelton – 9/18/28 W. Underwood – 9/23/27 K. Webb – 5/12/26 A. West – 7/24/28 CPR/First aid expiration date: J. Rathbone – 3/4/26 A. Parton – 3/4/26 S. Floyd – 3/4/26 R. Cooper – 3/4/26 A. Leatherwood – 3/4/26 D. Johnson – 2/1/25 P. Thomas – 1/2028 S. Dewees – 3/5/27 M. DeFalco – 1/8/27 W. Underwood – 08/2026 K. Webb – 08/2026 A. West – 06/2027 The following new staff members’ files were monitored in full: S. Bass: CPR expiration date – 6/20/26 * first aid not 9included CBC issued on 1/11/24, expires on 1/11/29 TB screening – 2/6/20 EI – 8/2025 Shaken baby policy review – 8/25/25 L. Jones: HQ – 1/15/26 EI – 1/15/26 TB – 1/23/26 C. Cooper: CBC issued on 1/20/26, expires on 1/20/31 HQ – 1/14/26 EI – 1/14/26 Health exam – 10/17/25 TB – 10/17/25 CPR/FA – 5/22/24, expires on 5/22/26 K. Ruff: CBC issued on 7/25/22, expires on 7/25/27 Recognizing and Responding to Suspicions of Child Maltreatment (RRSCM) training: 4/23/24 Health and Safety training – Shaken baby… maltreatment – 1/29/23, medication in child care – 6/24/24 E. Miller: HQ – 10/30/25 EI – 10/30/25 E. Reed: HQ – 11/4/25 EI – 11/4/25 J. Berrincha: HQ – 10/30/25 EI – 10/30/25 Off-site verification form for staff files were available for three (3) staff members in room 101 but not for other staff members. Due to lack of records, the date of employment for the new staff listed above were unknown. Per Mr. Queen, S. Bass and C. Cooper are the substitutes from ESS and not Haywood County Schools employees. Substitute staff file requirements were reviewed during today’s visit. The ABCMS system was reviewed for the following staff members: J. Barrincha – CBC will expire on 6/13/30 E. Reed – CBC will expire on 7/10/30 E. Miller – CBC will expire 1/9/30 L. Jones – CBC will expire 12/11/20 During the post conference, S. Bass and C. Cooper were identified as substitute staff members through EES. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Barbara Jeffreys from Region A Partnership conducted a desk audit on 12/9/25. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Wendy Underwood and teachers, Kaycee Webb and Alexandria West. No children files were monitored for completed health assessments and developmental screenings as they were reviewed during annual compliance visit. The first day of school was 8/26/25. The classroom operates from 7:30 am to 2:30 pm. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1 - #6. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses/ Special Education and the administrator has a Level III NCECAC equivalency. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A current license with issue date of February 7, 2025, was not posted. G.S. 110-99(a1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. In addition to the listed items, peanut butter and grape jelly, cheese sticks, graham crackers, sliced oranges, orange juice and mixed fruits were served as options. Those items were not documented on the menu prior to serving children. 10A NCAC 09 .0901(b) 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. The key to the cabinet where two (2) containers of Arm & Hammer Oxy Clean laundry detergent were maintained remained in the key hole in room 101. .2820(b) 847 Parent's medication authorization did not include required information. Medication authorization form was not on file for Children's Motrin in room 301. 10A NCAC 09 .0803(4)(6-9) 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. The TB screening submitted was completed on 2/6/20 for a substitute staff member who was hired in 2025 (exact date of employment unknown). The substitute is an ESS employee. .0701(a) 1043 All staff records, except financial records, were not made available for review. Many documents for staff files or the dates were not available for review for seven (7) new staff members and substitute staff. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letters were not printed and maintained in the staff files for four (4) staff members, and no off-site verification form was completed for them. G.S. 110-90.2(b) & (d) & .2703(e) 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. one (1) staff member was listed on the ABCMS roster while Twenty-two (22) staff members were identified during today's visit. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 102: License Current license must be posted. To comply, locate the current permit and post it in the space 101. Additionally, remove the old license. The current license was issued on 2/7/25. In your compliance letter, please verify completion of this task. 528: Food substitution Food substitution must be recoded on the menu prior to serving children. To comply, peanut butter and grape jelly sandwich, cheese sticks, mixed fruits, sliced oranges, graham crackers, orange juice must be listed on the menu. Discuss this requirement with kitchen staff members for accurate listings of menu items. In your compliance letter, please verify that correct items were listed on the menu for 4/29/26 as well as the review of this requirements with kitchen staff members. 840: potentially hazardous products No products that are potentially hazardous to children shall be accessible. To comply, the key to the cabinet where Arm & Hammer Oxy Clean laundry detergent must not be left on the key hole. This is considered the same as not being locked. In your compliance letter, please verify the correction of this item. 847: medication authorization form All medications required parental authorization form. To comply, you must obtain the authorization form for Children’s Tylenol for B.B. or return the medication home immediately. In the compliance letter, please state how you met the compliance. 1033 TB screening: TB screen is required to be completed on or prior to first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. To comply, S. Bass must complete new TB screening and submit the result to the school. In your compliance letter, please verify the date S. Bass submitted the document and filed in the staff file. 1043: records All records requested by the Division must be available for review. To comply, following information must be presented to consultant for S. Bass, L. Jones, C. Cooper, K. Ruff, E. Miller, E. Reed, and J. Berrincha: • Public School Off-Site Records Verification form for Staff Records (including the list of staff names) • Staff and Training Worksheet with all the dates Or • Application forms • Date of employment • Orientation form • Criminal background qualification letter • Medical exam • TB screening • Emergency information form • Health Questionnaire (required for 2nd year and thereafter) • Health and Safety training completion date and training certificates • Annual on-going training (required for 2nd year and thereafter) • Education information (WORKS letter) • Review of Shaken Baby policy (for preschool only) • Recognizing and Responding to Suspicions of Child Maltreatment Training certificate • Documentation of review of EPR plan • Documentation of review of EMC plan • Documentation of review of personnel/operation policies • Annual staff evaluation (required for 2nd year and thereafter) • Staff development plan (required for 2nd year and thereafter) • CPR and First Aid certificates You must submit either choice within twenty-four (24) hours. Based on the information, additional violations may be added. 1048: First Aid 1049: CPR Valid CPR and First Aid certificates must be maintained, and the certificates shall be maintained in the staff files. To comply, six (6) staff members – J. Rathbone, A. Parton, S. Floyd, D. Johnson, R. Cooper and A. Leatherwood shall review their CPR and First Aid certificates immediately. Adult and Pediatric First Aid/CPR/AED skills session – R.25 is available on 5/7/26, 5/8/26 at various time slots. For details, visit https://www.redcross.org/take-a-class/cpr?latitude=35.5334379&longitude=-82.910691&searchtype=class&zip=Clyde%2C%20NC%2028721%2C%20USA&zipcode=28721 In your compliance letter, please verify completion of CPR and First Aid training for each staff member. 1757: A valid qualification letter must be on file for review. To comply, you shall print qualification letter for L. Jones, E. Miller, E. Reed, and J. Berrincha and maintain them in their staff files or maintain them in the personnel files at off-site location and fill out Public School off-site verification form for staff records. In your compliance letter, please state the action you took to meet the compliance. 1805: ABCMS roster As we discussed during correction process in December 2025, all staff members, including substitute staff members, administrator and teaching staff must be listed on the roster. To comply, please list all staff members on the ABCMS roster within the next two (2) weeks. I will be monitoring the roster throughout the process. In your compliance letter, please verify the completion of this task. In case you face technical challenges, please contact ABCMS – Help Desk. Phone: 919.814.6401 Email: ABCMSSupport@Improving.com Hours of Operation: Monday-Friday (8am-6pm) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/13/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: K. Webb’s criminal background check will expire on 5/12/26. Please renew the background check without any lapse. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that al providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 57 Completed Date: 4/29/2026 Age: From 4 To 12 Total Minutes: 426 Time In: 09:04 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit including compliance with requirements located in Child Care Rule Section .3000 in spaces #1, where children participating in the NC Pre-K program are cared for and requirements located in Child Care Rule Section .2900 in spaces #1, #2, #3, #4, #5, #6, as required for certified developmental day programs. #1 is preschool classroom, and #2 - #6 are school-age classrooms. Due to issues with NCID and the Regulatory system, a handwritten visit summary was created and signed by Kaoru Eddins, Child Care Consultant, and Jacob Shelton, Administrator. A Word document of today’s visit summary was also shared with Mr. Shelton and the details were discussed including violations, corrections and observations. Computer-generated visit summary will be created when NCID is repaired, and the visit summary will be emailed to you. Today, Wendy Underwood, lead teacher in space #1 was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – certified Developmental Day and NC Pre-K. Daytime care, meets enhanced space, playground does not meet child care playground safety standards for school-age children. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 11/13/25. The last fire drill was practiced on 3/31/26. The last shelter-in-place drill was practiced on 10/20/25 then 3/5/26. The last playground inspection was documented on 4/1/26. The last fire inspection was approved on 1/12/26. The last sanitation inspection was conducted on 12/15/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment surveys were started for Lead paint and asbestos. One (1) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Upon arrival, I greeted at front office. In 301 – 305, school age children were cared for. In 301, nine (9) children with eight (8) adults were present. Three (3) adults were from Positive Behavior Supports Corporation and did not count in staff/child ratios. One (1) of them were a nurse, and four (4) were teaching staff. Medications: Room 301: Total of thirteen medications were maintained in the classroom: 1) Children’s Motrin (B. B.) 2) Children’s Tylenol (No name) 3) Children’s Motrin (No name) 4) Family Wellness Children’s Pain Reliever (No name) 5) Briviact 75 mg tablet 6) Zonisamide 100 mg Caps 7) Zonisamide 25 mg caps 8) Creon Dr. 36, 000 unit 9) Creon 6,000 unit 10) Clobazam tab 10mg 11) Quillivant XR 25mg/5ml SRER 12) Valtoco SPR 15 mg (MP) 13) Valtoco 15 mg (LWR) Action plans were on file for both Valtocos for 2025-2026 school year. Medication authorizations were also on file for Briviact, Zonisamide, Valtocos, Clobazam, Quillivant, Creon 36,000 unit and Creon 6,000 unit. Per interview with school nurse, Zonisamide 25 mg caps were prescribed to supplement the quantities of Zonisamide 100 mgs – meaning four (4) 25 mg capsules would be administered to the child instead of one (1) 100 mg capsule. Per interview with classroom staff, Children’s Tylenol and Motrin without names belong to a staff member. No staff knew about Pain Reliever from Family Wellness. No medication authorization form was found for Children’s Motrin (B.B.). Some of the paperwork were maintained in the classroom while others were maintained in the office with a nurse. Other medications: Room 303 – one (1) Valtoco (J. C.) Room 304 – one (1) Ventolin (Z. R.) Room 305 – one (1) Equate Children’s Allergy Relief (T.B.), one (1) Epi-pen (T.B.) Medication authorization forms for four (4) medications and action plans for three (3) emergency medications listed above were on file and valid. In 302, three (3) staff members and nine (9) children were present. Two (2) children and one (1) staff member spent time on the playground outside of the class while other children worked on the assignment with other staff members. In 303, eight (8) children were present with four (4) adults – three (3) staff members and one (1) Registered Behavior Technician (RBT). In 304, eight (8) children with three (3) staff members were present. In 305 – four (4) staff members and eleven (11) children were present. In each classroom, children completed assignments on the tablet or on the paper. Staff members provided one-on-one or small group support for each child. Supervision and interaction were adequate. Snacks were provided during observations – children brought their own snacks. Supervision and interaction were adequate. Room 101 (preschool classroom): A total of seventeen (17) children, four (4) and five (5) years old, were present with three (3) staff members. During observation, children participated in group time and reviewed beginning letter sounds with the lead teacher. After group time, the children lined up and stopped by at the library, returned and borrowed books. After library visit, the children and staff members stopped at the common bathroom, then headed to the cafeteria. Per staff interview, the children will be eating in cafeteria moving forward as transition plan for kindergarten. Children were offered three (3) main dish options, and while individual meal combinations varied, each child received all required components. Some children were served peanut butter and jelly (grape) sandwiches with graham crackers, cheese sticks, and milk. Fruit options included orange slices, mixed fruit, or orange juice. Other children were served baked chicken legs with mashed potatoes and rolls, while some received fried steaks with mashed potatoes and rolls. Playground was monitored. No preschool children played with the areas where fall zones are required. While preschool children were inside, children from 301 were observed on the preschool playground. Staff files: Twelve (12) existing staff files were monitored for criminal background letters and CPR/FA certificates. CBC letter expiration dates: J. Rathbone – 9/7/27 A. Parton – 11/15/29 S. Floyd -2/9/28 P. Thomas – 8/15/27 D. Johnson – 9/23/27 R. Cooper – 4/6/27 A. Leatherwood – 8/7/30 S. Dewees – 7/18/27 M. DeFalco – 12/18/29 W. Underwood K. Webb A. West J. Shelton – 9/18/28 W. Underwood – 9/23/27 K. Webb – 5/12/26 A. West – 7/24/28 CPR/First aid expiration date: J. Rathbone – 3/4/26 A. Parton – 3/4/26 S. Floyd – 3/4/26 R. Cooper – 3/4/26 A. Leatherwood – 3/4/26 D. Johnson – 2/1/25 P. Thomas – 1/2028 S. Dewees – 3/5/27 M. DeFalco – 1/8/27 W. Underwood – 08/2026 K. Webb – 08/2026 A. West – 06/2027 The following new staff members’ files were monitored in full: S. Bass: CPR expiration date – 6/20/26 * first aid not 9included CBC issued on 1/11/24, expires on 1/11/29 TB screening – 2/6/20 EI – 8/2025 Shaken baby policy review – 8/25/25 L. Jones: HQ – 1/15/26 EI – 1/15/26 TB – 1/23/26 C. Cooper: CBC issued on 1/20/26, expires on 1/20/31 HQ – 1/14/26 EI – 1/14/26 Health exam – 10/17/25 TB – 10/17/25 CPR/FA – 5/22/24, expires on 5/22/26 K. Ruff: CBC issued on 7/25/22, expires on 7/25/27 Recognizing and Responding to Suspicions of Child Maltreatment (RRSCM) training: 4/23/24 Health and Safety training – Shaken baby… maltreatment – 1/29/23, medication in child care – 6/24/24 E. Miller: HQ – 10/30/25 EI – 10/30/25 E. Reed: HQ – 11/4/25 EI – 11/4/25 J. Berrincha: HQ – 10/30/25 EI – 10/30/25 Off-site verification form for staff files were available for three (3) staff members in room 101 but not for other staff members. Due to lack of records, the date of employment for the new staff listed above were unknown. Per Mr. Queen, S. Bass and C. Cooper are the substitutes from ESS and not Haywood County Schools employees. Substitute staff file requirements were reviewed during today’s visit. The ABCMS system was reviewed for the following staff members: J. Barrincha – CBC will expire on 6/13/30 E. Reed – CBC will expire on 7/10/30 E. Miller – CBC will expire 1/9/30 L. Jones – CBC will expire 12/11/20 During the post conference, S. Bass and C. Cooper were identified as substitute staff members through EES. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Barbara Jeffreys from Region A Partnership conducted a desk audit on 12/9/25. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Wendy Underwood and teachers, Kaycee Webb and Alexandria West. No children files were monitored for completed health assessments and developmental screenings as they were reviewed during annual compliance visit. The first day of school was 8/26/25. The classroom operates from 7:30 am to 2:30 pm. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1 - #6. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses/ Special Education and the administrator has a Level III NCECAC equivalency. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A current license with issue date of February 7, 2025, was not posted. G.S. 110-99(a1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. In addition to the listed items, peanut butter and grape jelly, cheese sticks, graham crackers, sliced oranges, orange juice and mixed fruits were served as options. Those items were not documented on the menu prior to serving children. 10A NCAC 09 .0901(b) 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. The key to the cabinet where two (2) containers of Arm & Hammer Oxy Clean laundry detergent were maintained remained in the key hole in room 101. .2820(b) 847 Parent's medication authorization did not include required information. Medication authorization form was not on file for Children's Motrin in room 301. 10A NCAC 09 .0803(4)(6-9) 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. The TB screening submitted was completed on 2/6/20 for a substitute staff member who was hired in 2025 (exact date of employment unknown). The substitute is an ESS employee. .0701(a) 1043 All staff records, except financial records, were not made available for review. Many documents for staff files or the dates were not available for review for seven (7) new staff members and substitute staff. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letters were not printed and maintained in the staff files for four (4) staff members, and no off-site verification form was completed for them. G.S. 110-90.2(b) & (d) & .2703(e) 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. one (1) staff member was listed on the ABCMS roster while Twenty-two (22) staff members were identified during today's visit. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 102: License Current license must be posted. To comply, locate the current permit and post it in the space 101. Additionally, remove the old license. The current license was issued on 2/7/25. In your compliance letter, please verify completion of this task. 528: Food substitution Food substitution must be recoded on the menu prior to serving children. To comply, peanut butter and grape jelly sandwich, cheese sticks, mixed fruits, sliced oranges, graham crackers, orange juice must be listed on the menu. Discuss this requirement with kitchen staff members for accurate listings of menu items. In your compliance letter, please verify that correct items were listed on the menu for 4/29/26 as well as the review of this requirements with kitchen staff members. 840: potentially hazardous products No products that are potentially hazardous to children shall be accessible. To comply, the key to the cabinet where Arm & Hammer Oxy Clean laundry detergent must not be left on the key hole. This is considered the same as not being locked. In your compliance letter, please verify the correction of this item. 847: medication authorization form All medications required parental authorization form. To comply, you must obtain the authorization form for Children’s Tylenol for B.B. or return the medication home immediately. In the compliance letter, please state how you met the compliance. 1033 TB screening: TB screen is required to be completed on or prior to first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. To comply, S. Bass must complete new TB screening and submit the result to the school. In your compliance letter, please verify the date S. Bass submitted the document and filed in the staff file. 1043: records All records requested by the Division must be available for review. To comply, following information must be presented to consultant for S. Bass, L. Jones, C. Cooper, K. Ruff, E. Miller, E. Reed, and J. Berrincha: • Public School Off-Site Records Verification form for Staff Records (including the list of staff names) • Staff and Training Worksheet with all the dates Or • Application forms • Date of employment • Orientation form • Criminal background qualification letter • Medical exam • TB screening • Emergency information form • Health Questionnaire (required for 2nd year and thereafter) • Health and Safety training completion date and training certificates • Annual on-going training (required for 2nd year and thereafter) • Education information (WORKS letter) • Review of Shaken Baby policy (for preschool only) • Recognizing and Responding to Suspicions of Child Maltreatment Training certificate • Documentation of review of EPR plan • Documentation of review of EMC plan • Documentation of review of personnel/operation policies • Annual staff evaluation (required for 2nd year and thereafter) • Staff development plan (required for 2nd year and thereafter) • CPR and First Aid certificates You must submit either choice within twenty-four (24) hours. Based on the information, additional violations may be added. 1048: First Aid 1049: CPR Valid CPR and First Aid certificates must be maintained, and the certificates shall be maintained in the staff files. To comply, six (6) staff members – J. Rathbone, A. Parton, S. Floyd, D. Johnson, R. Cooper and A. Leatherwood shall review their CPR and First Aid certificates immediately. Adult and Pediatric First Aid/CPR/AED skills session – R.25 is available on 5/7/26, 5/8/26 at various time slots. For details, visit https://www.redcross.org/take-a-class/cpr?latitude=35.5334379&longitude=-82.910691&searchtype=class&zip=Clyde%2C%20NC%2028721%2C%20USA&zipcode=28721 In your compliance letter, please verify completion of CPR and First Aid training for each staff member. 1757: A valid qualification letter must be on file for review. To comply, you shall print qualification letter for L. Jones, E. Miller, E. Reed, and J. Berrincha and maintain them in their staff files or maintain them in the personnel files at off-site location and fill out Public School off-site verification form for staff records. In your compliance letter, please state the action you took to meet the compliance. 1805: ABCMS roster As we discussed during correction process in December 2025, all staff members, including substitute staff members, administrator and teaching staff must be listed on the roster. To comply, please list all staff members on the ABCMS roster within the next two (2) weeks. I will be monitoring the roster throughout the process. In your compliance letter, please verify the completion of this task. In case you face technical challenges, please contact ABCMS – Help Desk. Phone: 919.814.6401 Email: ABCMSSupport@Improving.com Hours of Operation: Monday-Friday (8am-6pm) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/13/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: K. Webb’s criminal background check will expire on 5/12/26. Please renew the background check without any lapse. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that al providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 57 Completed Date: 4/29/2026 Age: From 4 To 12 Total Minutes: 426 Time In: 09:04 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit including compliance with requirements located in Child Care Rule Section .3000 in spaces #1, where children participating in the NC Pre-K program are cared for and requirements located in Child Care Rule Section .2900 in spaces #1, #2, #3, #4, #5, #6, as required for certified developmental day programs. #1 is preschool classroom, and #2 - #6 are school-age classrooms. Due to issues with NCID and the Regulatory system, a handwritten visit summary was created and signed by Kaoru Eddins, Child Care Consultant, and Jacob Shelton, Administrator. A Word document of today’s visit summary was also shared with Mr. Shelton and the details were discussed including violations, corrections and observations. Computer-generated visit summary will be created when NCID is repaired, and the visit summary will be emailed to you. Today, Wendy Underwood, lead teacher in space #1 was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – certified Developmental Day and NC Pre-K. Daytime care, meets enhanced space, playground does not meet child care playground safety standards for school-age children. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 11/13/25. The last fire drill was practiced on 3/31/26. The last shelter-in-place drill was practiced on 10/20/25 then 3/5/26. The last playground inspection was documented on 4/1/26. The last fire inspection was approved on 1/12/26. The last sanitation inspection was conducted on 12/15/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment surveys were started for Lead paint and asbestos. One (1) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Upon arrival, I greeted at front office. In 301 – 305, school age children were cared for. In 301, nine (9) children with eight (8) adults were present. Three (3) adults were from Positive Behavior Supports Corporation and did not count in staff/child ratios. One (1) of them were a nurse, and four (4) were teaching staff. Medications: Room 301: Total of thirteen medications were maintained in the classroom: 1) Children’s Motrin (B. B.) 2) Children’s Tylenol (No name) 3) Children’s Motrin (No name) 4) Family Wellness Children’s Pain Reliever (No name) 5) Briviact 75 mg tablet 6) Zonisamide 100 mg Caps 7) Zonisamide 25 mg caps 8) Creon Dr. 36, 000 unit 9) Creon 6,000 unit 10) Clobazam tab 10mg 11) Quillivant XR 25mg/5ml SRER 12) Valtoco SPR 15 mg (MP) 13) Valtoco 15 mg (LWR) Action plans were on file for both Valtocos for 2025-2026 school year. Medication authorizations were also on file for Briviact, Zonisamide, Valtocos, Clobazam, Quillivant, Creon 36,000 unit and Creon 6,000 unit. Per interview with school nurse, Zonisamide 25 mg caps were prescribed to supplement the quantities of Zonisamide 100 mgs – meaning four (4) 25 mg capsules would be administered to the child instead of one (1) 100 mg capsule. Per interview with classroom staff, Children’s Tylenol and Motrin without names belong to a staff member. No staff knew about Pain Reliever from Family Wellness. No medication authorization form was found for Children’s Motrin (B.B.). Some of the paperwork were maintained in the classroom while others were maintained in the office with a nurse. Other medications: Room 303 – one (1) Valtoco (J. C.) Room 304 – one (1) Ventolin (Z. R.) Room 305 – one (1) Equate Children’s Allergy Relief (T.B.), one (1) Epi-pen (T.B.) Medication authorization forms for four (4) medications and action plans for three (3) emergency medications listed above were on file and valid. In 302, three (3) staff members and nine (9) children were present. Two (2) children and one (1) staff member spent time on the playground outside of the class while other children worked on the assignment with other staff members. In 303, eight (8) children were present with four (4) adults – three (3) staff members and one (1) Registered Behavior Technician (RBT). In 304, eight (8) children with three (3) staff members were present. In 305 – four (4) staff members and eleven (11) children were present. In each classroom, children completed assignments on the tablet or on the paper. Staff members provided one-on-one or small group support for each child. Supervision and interaction were adequate. Snacks were provided during observations – children brought their own snacks. Supervision and interaction were adequate. Room 101 (preschool classroom): A total of seventeen (17) children, four (4) and five (5) years old, were present with three (3) staff members. During observation, children participated in group time and reviewed beginning letter sounds with the lead teacher. After group time, the children lined up and stopped by at the library, returned and borrowed books. After library visit, the children and staff members stopped at the common bathroom, then headed to the cafeteria. Per staff interview, the children will be eating in cafeteria moving forward as transition plan for kindergarten. Children were offered three (3) main dish options, and while individual meal combinations varied, each child received all required components. Some children were served peanut butter and jelly (grape) sandwiches with graham crackers, cheese sticks, and milk. Fruit options included orange slices, mixed fruit, or orange juice. Other children were served baked chicken legs with mashed potatoes and rolls, while some received fried steaks with mashed potatoes and rolls. Playground was monitored. No preschool children played with the areas where fall zones are required. While preschool children were inside, children from 301 were observed on the preschool playground. Staff files: Twelve (12) existing staff files were monitored for criminal background letters and CPR/FA certificates. CBC letter expiration dates: J. Rathbone – 9/7/27 A. Parton – 11/15/29 S. Floyd -2/9/28 P. Thomas – 8/15/27 D. Johnson – 9/23/27 R. Cooper – 4/6/27 A. Leatherwood – 8/7/30 S. Dewees – 7/18/27 M. DeFalco – 12/18/29 W. Underwood K. Webb A. West J. Shelton – 9/18/28 W. Underwood – 9/23/27 K. Webb – 5/12/26 A. West – 7/24/28 CPR/First aid expiration date: J. Rathbone – 3/4/26 A. Parton – 3/4/26 S. Floyd – 3/4/26 R. Cooper – 3/4/26 A. Leatherwood – 3/4/26 D. Johnson – 2/1/25 P. Thomas – 1/2028 S. Dewees – 3/5/27 M. DeFalco – 1/8/27 W. Underwood – 08/2026 K. Webb – 08/2026 A. West – 06/2027 The following new staff members’ files were monitored in full: S. Bass: CPR expiration date – 6/20/26 * first aid not 9included CBC issued on 1/11/24, expires on 1/11/29 TB screening – 2/6/20 EI – 8/2025 Shaken baby policy review – 8/25/25 L. Jones: HQ – 1/15/26 EI – 1/15/26 TB – 1/23/26 C. Cooper: CBC issued on 1/20/26, expires on 1/20/31 HQ – 1/14/26 EI – 1/14/26 Health exam – 10/17/25 TB – 10/17/25 CPR/FA – 5/22/24, expires on 5/22/26 K. Ruff: CBC issued on 7/25/22, expires on 7/25/27 Recognizing and Responding to Suspicions of Child Maltreatment (RRSCM) training: 4/23/24 Health and Safety training – Shaken baby… maltreatment – 1/29/23, medication in child care – 6/24/24 E. Miller: HQ – 10/30/25 EI – 10/30/25 E. Reed: HQ – 11/4/25 EI – 11/4/25 J. Berrincha: HQ – 10/30/25 EI – 10/30/25 Off-site verification form for staff files were available for three (3) staff members in room 101 but not for other staff members. Due to lack of records, the date of employment for the new staff listed above were unknown. Per Mr. Queen, S. Bass and C. Cooper are the substitutes from ESS and not Haywood County Schools employees. Substitute staff file requirements were reviewed during today’s visit. The ABCMS system was reviewed for the following staff members: J. Barrincha – CBC will expire on 6/13/30 E. Reed – CBC will expire on 7/10/30 E. Miller – CBC will expire 1/9/30 L. Jones – CBC will expire 12/11/20 During the post conference, S. Bass and C. Cooper were identified as substitute staff members through EES. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Barbara Jeffreys from Region A Partnership conducted a desk audit on 12/9/25. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Wendy Underwood and teachers, Kaycee Webb and Alexandria West. No children files were monitored for completed health assessments and developmental screenings as they were reviewed during annual compliance visit. The first day of school was 8/26/25. The classroom operates from 7:30 am to 2:30 pm. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1 - #6. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses/ Special Education and the administrator has a Level III NCECAC equivalency. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A current license with issue date of February 7, 2025, was not posted. G.S. 110-99(a1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. In addition to the listed items, peanut butter and grape jelly, cheese sticks, graham crackers, sliced oranges, orange juice and mixed fruits were served as options. Those items were not documented on the menu prior to serving children. 10A NCAC 09 .0901(b) 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. The key to the cabinet where two (2) containers of Arm & Hammer Oxy Clean laundry detergent were maintained remained in the key hole in room 101. .2820(b) 847 Parent's medication authorization did not include required information. Medication authorization form was not on file for Children's Motrin in room 301. 10A NCAC 09 .0803(4)(6-9) 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. The TB screening submitted was completed on 2/6/20 for a substitute staff member who was hired in 2025 (exact date of employment unknown). The substitute is an ESS employee. .0701(a) 1043 All staff records, except financial records, were not made available for review. Many documents for staff files or the dates were not available for review for seven (7) new staff members and substitute staff. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letters were not printed and maintained in the staff files for four (4) staff members, and no off-site verification form was completed for them. G.S. 110-90.2(b) & (d) & .2703(e) 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. one (1) staff member was listed on the ABCMS roster while Twenty-two (22) staff members were identified during today's visit. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 102: License Current license must be posted. To comply, locate the current permit and post it in the space 101. Additionally, remove the old license. The current license was issued on 2/7/25. In your compliance letter, please verify completion of this task. 528: Food substitution Food substitution must be recoded on the menu prior to serving children. To comply, peanut butter and grape jelly sandwich, cheese sticks, mixed fruits, sliced oranges, graham crackers, orange juice must be listed on the menu. Discuss this requirement with kitchen staff members for accurate listings of menu items. In your compliance letter, please verify that correct items were listed on the menu for 4/29/26 as well as the review of this requirements with kitchen staff members. 840: potentially hazardous products No products that are potentially hazardous to children shall be accessible. To comply, the key to the cabinet where Arm & Hammer Oxy Clean laundry detergent must not be left on the key hole. This is considered the same as not being locked. In your compliance letter, please verify the correction of this item. 847: medication authorization form All medications required parental authorization form. To comply, you must obtain the authorization form for Children’s Tylenol for B.B. or return the medication home immediately. In the compliance letter, please state how you met the compliance. 1033 TB screening: TB screen is required to be completed on or prior to first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. To comply, S. Bass must complete new TB screening and submit the result to the school. In your compliance letter, please verify the date S. Bass submitted the document and filed in the staff file. 1043: records All records requested by the Division must be available for review. To comply, following information must be presented to consultant for S. Bass, L. Jones, C. Cooper, K. Ruff, E. Miller, E. Reed, and J. Berrincha: • Public School Off-Site Records Verification form for Staff Records (including the list of staff names) • Staff and Training Worksheet with all the dates Or • Application forms • Date of employment • Orientation form • Criminal background qualification letter • Medical exam • TB screening • Emergency information form • Health Questionnaire (required for 2nd year and thereafter) • Health and Safety training completion date and training certificates • Annual on-going training (required for 2nd year and thereafter) • Education information (WORKS letter) • Review of Shaken Baby policy (for preschool only) • Recognizing and Responding to Suspicions of Child Maltreatment Training certificate • Documentation of review of EPR plan • Documentation of review of EMC plan • Documentation of review of personnel/operation policies • Annual staff evaluation (required for 2nd year and thereafter) • Staff development plan (required for 2nd year and thereafter) • CPR and First Aid certificates You must submit either choice within twenty-four (24) hours. Based on the information, additional violations may be added. 1048: First Aid 1049: CPR Valid CPR and First Aid certificates must be maintained, and the certificates shall be maintained in the staff files. To comply, six (6) staff members – J. Rathbone, A. Parton, S. Floyd, D. Johnson, R. Cooper and A. Leatherwood shall review their CPR and First Aid certificates immediately. Adult and Pediatric First Aid/CPR/AED skills session – R.25 is available on 5/7/26, 5/8/26 at various time slots. For details, visit https://www.redcross.org/take-a-class/cpr?latitude=35.5334379&longitude=-82.910691&searchtype=class&zip=Clyde%2C%20NC%2028721%2C%20USA&zipcode=28721 In your compliance letter, please verify completion of CPR and First Aid training for each staff member. 1757: A valid qualification letter must be on file for review. To comply, you shall print qualification letter for L. Jones, E. Miller, E. Reed, and J. Berrincha and maintain them in their staff files or maintain them in the personnel files at off-site location and fill out Public School off-site verification form for staff records. In your compliance letter, please state the action you took to meet the compliance. 1805: ABCMS roster As we discussed during correction process in December 2025, all staff members, including substitute staff members, administrator and teaching staff must be listed on the roster. To comply, please list all staff members on the ABCMS roster within the next two (2) weeks. I will be monitoring the roster throughout the process. In your compliance letter, please verify the completion of this task. In case you face technical challenges, please contact ABCMS – Help Desk. Phone: 919.814.6401 Email: ABCMSSupport@Improving.com Hours of Operation: Monday-Friday (8am-6pm) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/13/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: K. Webb’s criminal background check will expire on 5/12/26. Please renew the background check without any lapse. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that al providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2902 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 57 Completed Date: 4/29/2026 Age: From 4 To 12 Total Minutes: 426 Time In: 09:04 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit including compliance with requirements located in Child Care Rule Section .3000 in spaces #1, where children participating in the NC Pre-K program are cared for and requirements located in Child Care Rule Section .2900 in spaces #1, #2, #3, #4, #5, #6, as required for certified developmental day programs. #1 is preschool classroom, and #2 - #6 are school-age classrooms. Due to issues with NCID and the Regulatory system, a handwritten visit summary was created and signed by Kaoru Eddins, Child Care Consultant, and Jacob Shelton, Administrator. A Word document of today’s visit summary was also shared with Mr. Shelton and the details were discussed including violations, corrections and observations. Computer-generated visit summary will be created when NCID is repaired, and the visit summary will be emailed to you. Today, Wendy Underwood, lead teacher in space #1 was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – certified Developmental Day and NC Pre-K. Daytime care, meets enhanced space, playground does not meet child care playground safety standards for school-age children. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 11/13/25. The last fire drill was practiced on 3/31/26. The last shelter-in-place drill was practiced on 10/20/25 then 3/5/26. The last playground inspection was documented on 4/1/26. The last fire inspection was approved on 1/12/26. The last sanitation inspection was conducted on 12/15/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment surveys were started for Lead paint and asbestos. One (1) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Upon arrival, I greeted at front office. In 301 – 305, school age children were cared for. In 301, nine (9) children with eight (8) adults were present. Three (3) adults were from Positive Behavior Supports Corporation and did not count in staff/child ratios. One (1) of them were a nurse, and four (4) were teaching staff. Medications: Room 301: Total of thirteen medications were maintained in the classroom: 1) Children’s Motrin (B. B.) 2) Children’s Tylenol (No name) 3) Children’s Motrin (No name) 4) Family Wellness Children’s Pain Reliever (No name) 5) Briviact 75 mg tablet 6) Zonisamide 100 mg Caps 7) Zonisamide 25 mg caps 8) Creon Dr. 36, 000 unit 9) Creon 6,000 unit 10) Clobazam tab 10mg 11) Quillivant XR 25mg/5ml SRER 12) Valtoco SPR 15 mg (MP) 13) Valtoco 15 mg (LWR) Action plans were on file for both Valtocos for 2025-2026 school year. Medication authorizations were also on file for Briviact, Zonisamide, Valtocos, Clobazam, Quillivant, Creon 36,000 unit and Creon 6,000 unit. Per interview with school nurse, Zonisamide 25 mg caps were prescribed to supplement the quantities of Zonisamide 100 mgs – meaning four (4) 25 mg capsules would be administered to the child instead of one (1) 100 mg capsule. Per interview with classroom staff, Children’s Tylenol and Motrin without names belong to a staff member. No staff knew about Pain Reliever from Family Wellness. No medication authorization form was found for Children’s Motrin (B.B.). Some of the paperwork were maintained in the classroom while others were maintained in the office with a nurse. Other medications: Room 303 – one (1) Valtoco (J. C.) Room 304 – one (1) Ventolin (Z. R.) Room 305 – one (1) Equate Children’s Allergy Relief (T.B.), one (1) Epi-pen (T.B.) Medication authorization forms for four (4) medications and action plans for three (3) emergency medications listed above were on file and valid. In 302, three (3) staff members and nine (9) children were present. Two (2) children and one (1) staff member spent time on the playground outside of the class while other children worked on the assignment with other staff members. In 303, eight (8) children were present with four (4) adults – three (3) staff members and one (1) Registered Behavior Technician (RBT). In 304, eight (8) children with three (3) staff members were present. In 305 – four (4) staff members and eleven (11) children were present. In each classroom, children completed assignments on the tablet or on the paper. Staff members provided one-on-one or small group support for each child. Supervision and interaction were adequate. Snacks were provided during observations – children brought their own snacks. Supervision and interaction were adequate. Room 101 (preschool classroom): A total of seventeen (17) children, four (4) and five (5) years old, were present with three (3) staff members. During observation, children participated in group time and reviewed beginning letter sounds with the lead teacher. After group time, the children lined up and stopped by at the library, returned and borrowed books. After library visit, the children and staff members stopped at the common bathroom, then headed to the cafeteria. Per staff interview, the children will be eating in cafeteria moving forward as transition plan for kindergarten. Children were offered three (3) main dish options, and while individual meal combinations varied, each child received all required components. Some children were served peanut butter and jelly (grape) sandwiches with graham crackers, cheese sticks, and milk. Fruit options included orange slices, mixed fruit, or orange juice. Other children were served baked chicken legs with mashed potatoes and rolls, while some received fried steaks with mashed potatoes and rolls. Playground was monitored. No preschool children played with the areas where fall zones are required. While preschool children were inside, children from 301 were observed on the preschool playground. Staff files: Twelve (12) existing staff files were monitored for criminal background letters and CPR/FA certificates. CBC letter expiration dates: J. Rathbone – 9/7/27 A. Parton – 11/15/29 S. Floyd -2/9/28 P. Thomas – 8/15/27 D. Johnson – 9/23/27 R. Cooper – 4/6/27 A. Leatherwood – 8/7/30 S. Dewees – 7/18/27 M. DeFalco – 12/18/29 W. Underwood K. Webb A. West J. Shelton – 9/18/28 W. Underwood – 9/23/27 K. Webb – 5/12/26 A. West – 7/24/28 CPR/First aid expiration date: J. Rathbone – 3/4/26 A. Parton – 3/4/26 S. Floyd – 3/4/26 R. Cooper – 3/4/26 A. Leatherwood – 3/4/26 D. Johnson – 2/1/25 P. Thomas – 1/2028 S. Dewees – 3/5/27 M. DeFalco – 1/8/27 W. Underwood – 08/2026 K. Webb – 08/2026 A. West – 06/2027 The following new staff members’ files were monitored in full: S. Bass: CPR expiration date – 6/20/26 * first aid not 9included CBC issued on 1/11/24, expires on 1/11/29 TB screening – 2/6/20 EI – 8/2025 Shaken baby policy review – 8/25/25 L. Jones: HQ – 1/15/26 EI – 1/15/26 TB – 1/23/26 C. Cooper: CBC issued on 1/20/26, expires on 1/20/31 HQ – 1/14/26 EI – 1/14/26 Health exam – 10/17/25 TB – 10/17/25 CPR/FA – 5/22/24, expires on 5/22/26 K. Ruff: CBC issued on 7/25/22, expires on 7/25/27 Recognizing and Responding to Suspicions of Child Maltreatment (RRSCM) training: 4/23/24 Health and Safety training – Shaken baby… maltreatment – 1/29/23, medication in child care – 6/24/24 E. Miller: HQ – 10/30/25 EI – 10/30/25 E. Reed: HQ – 11/4/25 EI – 11/4/25 J. Berrincha: HQ – 10/30/25 EI – 10/30/25 Off-site verification form for staff files were available for three (3) staff members in room 101 but not for other staff members. Due to lack of records, the date of employment for the new staff listed above were unknown. Per Mr. Queen, S. Bass and C. Cooper are the substitutes from ESS and not Haywood County Schools employees. Substitute staff file requirements were reviewed during today’s visit. The ABCMS system was reviewed for the following staff members: J. Barrincha – CBC will expire on 6/13/30 E. Reed – CBC will expire on 7/10/30 E. Miller – CBC will expire 1/9/30 L. Jones – CBC will expire 12/11/20 During the post conference, S. Bass and C. Cooper were identified as substitute staff members through EES. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Barbara Jeffreys from Region A Partnership conducted a desk audit on 12/9/25. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Wendy Underwood and teachers, Kaycee Webb and Alexandria West. No children files were monitored for completed health assessments and developmental screenings as they were reviewed during annual compliance visit. The first day of school was 8/26/25. The classroom operates from 7:30 am to 2:30 pm. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1 - #6. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses/ Special Education and the administrator has a Level III NCECAC equivalency. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A current license with issue date of February 7, 2025, was not posted. G.S. 110-99(a1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. In addition to the listed items, peanut butter and grape jelly, cheese sticks, graham crackers, sliced oranges, orange juice and mixed fruits were served as options. Those items were not documented on the menu prior to serving children. 10A NCAC 09 .0901(b) 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. The key to the cabinet where two (2) containers of Arm & Hammer Oxy Clean laundry detergent were maintained remained in the key hole in room 101. .2820(b) 847 Parent's medication authorization did not include required information. Medication authorization form was not on file for Children's Motrin in room 301. 10A NCAC 09 .0803(4)(6-9) 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. The TB screening submitted was completed on 2/6/20 for a substitute staff member who was hired in 2025 (exact date of employment unknown). The substitute is an ESS employee. .0701(a) 1043 All staff records, except financial records, were not made available for review. Many documents for staff files or the dates were not available for review for seven (7) new staff members and substitute staff. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letters were not printed and maintained in the staff files for four (4) staff members, and no off-site verification form was completed for them. G.S. 110-90.2(b) & (d) & .2703(e) 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. one (1) staff member was listed on the ABCMS roster while Twenty-two (22) staff members were identified during today's visit. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 102: License Current license must be posted. To comply, locate the current permit and post it in the space 101. Additionally, remove the old license. The current license was issued on 2/7/25. In your compliance letter, please verify completion of this task. 528: Food substitution Food substitution must be recoded on the menu prior to serving children. To comply, peanut butter and grape jelly sandwich, cheese sticks, mixed fruits, sliced oranges, graham crackers, orange juice must be listed on the menu. Discuss this requirement with kitchen staff members for accurate listings of menu items. In your compliance letter, please verify that correct items were listed on the menu for 4/29/26 as well as the review of this requirements with kitchen staff members. 840: potentially hazardous products No products that are potentially hazardous to children shall be accessible. To comply, the key to the cabinet where Arm & Hammer Oxy Clean laundry detergent must not be left on the key hole. This is considered the same as not being locked. In your compliance letter, please verify the correction of this item. 847: medication authorization form All medications required parental authorization form. To comply, you must obtain the authorization form for Children’s Tylenol for B.B. or return the medication home immediately. In the compliance letter, please state how you met the compliance. 1033 TB screening: TB screen is required to be completed on or prior to first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. To comply, S. Bass must complete new TB screening and submit the result to the school. In your compliance letter, please verify the date S. Bass submitted the document and filed in the staff file. 1043: records All records requested by the Division must be available for review. To comply, following information must be presented to consultant for S. Bass, L. Jones, C. Cooper, K. Ruff, E. Miller, E. Reed, and J. Berrincha: • Public School Off-Site Records Verification form for Staff Records (including the list of staff names) • Staff and Training Worksheet with all the dates Or • Application forms • Date of employment • Orientation form • Criminal background qualification letter • Medical exam • TB screening • Emergency information form • Health Questionnaire (required for 2nd year and thereafter) • Health and Safety training completion date and training certificates • Annual on-going training (required for 2nd year and thereafter) • Education information (WORKS letter) • Review of Shaken Baby policy (for preschool only) • Recognizing and Responding to Suspicions of Child Maltreatment Training certificate • Documentation of review of EPR plan • Documentation of review of EMC plan • Documentation of review of personnel/operation policies • Annual staff evaluation (required for 2nd year and thereafter) • Staff development plan (required for 2nd year and thereafter) • CPR and First Aid certificates You must submit either choice within twenty-four (24) hours. Based on the information, additional violations may be added. 1048: First Aid 1049: CPR Valid CPR and First Aid certificates must be maintained, and the certificates shall be maintained in the staff files. To comply, six (6) staff members – J. Rathbone, A. Parton, S. Floyd, D. Johnson, R. Cooper and A. Leatherwood shall review their CPR and First Aid certificates immediately. Adult and Pediatric First Aid/CPR/AED skills session – R.25 is available on 5/7/26, 5/8/26 at various time slots. For details, visit https://www.redcross.org/take-a-class/cpr?latitude=35.5334379&longitude=-82.910691&searchtype=class&zip=Clyde%2C%20NC%2028721%2C%20USA&zipcode=28721 In your compliance letter, please verify completion of CPR and First Aid training for each staff member. 1757: A valid qualification letter must be on file for review. To comply, you shall print qualification letter for L. Jones, E. Miller, E. Reed, and J. Berrincha and maintain them in their staff files or maintain them in the personnel files at off-site location and fill out Public School off-site verification form for staff records. In your compliance letter, please state the action you took to meet the compliance. 1805: ABCMS roster As we discussed during correction process in December 2025, all staff members, including substitute staff members, administrator and teaching staff must be listed on the roster. To comply, please list all staff members on the ABCMS roster within the next two (2) weeks. I will be monitoring the roster throughout the process. In your compliance letter, please verify the completion of this task. In case you face technical challenges, please contact ABCMS – Help Desk. Phone: 919.814.6401 Email: ABCMSSupport@Improving.com Hours of Operation: Monday-Friday (8am-6pm) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/13/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: K. Webb’s criminal background check will expire on 5/12/26. Please renew the background check without any lapse. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that al providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .3009 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 57 Completed Date: 4/29/2026 Age: From 4 To 12 Total Minutes: 426 Time In: 09:04 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit including compliance with requirements located in Child Care Rule Section .3000 in spaces #1, where children participating in the NC Pre-K program are cared for and requirements located in Child Care Rule Section .2900 in spaces #1, #2, #3, #4, #5, #6, as required for certified developmental day programs. #1 is preschool classroom, and #2 - #6 are school-age classrooms. Due to issues with NCID and the Regulatory system, a handwritten visit summary was created and signed by Kaoru Eddins, Child Care Consultant, and Jacob Shelton, Administrator. A Word document of today’s visit summary was also shared with Mr. Shelton and the details were discussed including violations, corrections and observations. Computer-generated visit summary will be created when NCID is repaired, and the visit summary will be emailed to you. Today, Wendy Underwood, lead teacher in space #1 was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – certified Developmental Day and NC Pre-K. Daytime care, meets enhanced space, playground does not meet child care playground safety standards for school-age children. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 11/13/25. The last fire drill was practiced on 3/31/26. The last shelter-in-place drill was practiced on 10/20/25 then 3/5/26. The last playground inspection was documented on 4/1/26. The last fire inspection was approved on 1/12/26. The last sanitation inspection was conducted on 12/15/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment surveys were started for Lead paint and asbestos. One (1) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Upon arrival, I greeted at front office. In 301 – 305, school age children were cared for. In 301, nine (9) children with eight (8) adults were present. Three (3) adults were from Positive Behavior Supports Corporation and did not count in staff/child ratios. One (1) of them were a nurse, and four (4) were teaching staff. Medications: Room 301: Total of thirteen medications were maintained in the classroom: 1) Children’s Motrin (B. B.) 2) Children’s Tylenol (No name) 3) Children’s Motrin (No name) 4) Family Wellness Children’s Pain Reliever (No name) 5) Briviact 75 mg tablet 6) Zonisamide 100 mg Caps 7) Zonisamide 25 mg caps 8) Creon Dr. 36, 000 unit 9) Creon 6,000 unit 10) Clobazam tab 10mg 11) Quillivant XR 25mg/5ml SRER 12) Valtoco SPR 15 mg (MP) 13) Valtoco 15 mg (LWR) Action plans were on file for both Valtocos for 2025-2026 school year. Medication authorizations were also on file for Briviact, Zonisamide, Valtocos, Clobazam, Quillivant, Creon 36,000 unit and Creon 6,000 unit. Per interview with school nurse, Zonisamide 25 mg caps were prescribed to supplement the quantities of Zonisamide 100 mgs – meaning four (4) 25 mg capsules would be administered to the child instead of one (1) 100 mg capsule. Per interview with classroom staff, Children’s Tylenol and Motrin without names belong to a staff member. No staff knew about Pain Reliever from Family Wellness. No medication authorization form was found for Children’s Motrin (B.B.). Some of the paperwork were maintained in the classroom while others were maintained in the office with a nurse. Other medications: Room 303 – one (1) Valtoco (J. C.) Room 304 – one (1) Ventolin (Z. R.) Room 305 – one (1) Equate Children’s Allergy Relief (T.B.), one (1) Epi-pen (T.B.) Medication authorization forms for four (4) medications and action plans for three (3) emergency medications listed above were on file and valid. In 302, three (3) staff members and nine (9) children were present. Two (2) children and one (1) staff member spent time on the playground outside of the class while other children worked on the assignment with other staff members. In 303, eight (8) children were present with four (4) adults – three (3) staff members and one (1) Registered Behavior Technician (RBT). In 304, eight (8) children with three (3) staff members were present. In 305 – four (4) staff members and eleven (11) children were present. In each classroom, children completed assignments on the tablet or on the paper. Staff members provided one-on-one or small group support for each child. Supervision and interaction were adequate. Snacks were provided during observations – children brought their own snacks. Supervision and interaction were adequate. Room 101 (preschool classroom): A total of seventeen (17) children, four (4) and five (5) years old, were present with three (3) staff members. During observation, children participated in group time and reviewed beginning letter sounds with the lead teacher. After group time, the children lined up and stopped by at the library, returned and borrowed books. After library visit, the children and staff members stopped at the common bathroom, then headed to the cafeteria. Per staff interview, the children will be eating in cafeteria moving forward as transition plan for kindergarten. Children were offered three (3) main dish options, and while individual meal combinations varied, each child received all required components. Some children were served peanut butter and jelly (grape) sandwiches with graham crackers, cheese sticks, and milk. Fruit options included orange slices, mixed fruit, or orange juice. Other children were served baked chicken legs with mashed potatoes and rolls, while some received fried steaks with mashed potatoes and rolls. Playground was monitored. No preschool children played with the areas where fall zones are required. While preschool children were inside, children from 301 were observed on the preschool playground. Staff files: Twelve (12) existing staff files were monitored for criminal background letters and CPR/FA certificates. CBC letter expiration dates: J. Rathbone – 9/7/27 A. Parton – 11/15/29 S. Floyd -2/9/28 P. Thomas – 8/15/27 D. Johnson – 9/23/27 R. Cooper – 4/6/27 A. Leatherwood – 8/7/30 S. Dewees – 7/18/27 M. DeFalco – 12/18/29 W. Underwood K. Webb A. West J. Shelton – 9/18/28 W. Underwood – 9/23/27 K. Webb – 5/12/26 A. West – 7/24/28 CPR/First aid expiration date: J. Rathbone – 3/4/26 A. Parton – 3/4/26 S. Floyd – 3/4/26 R. Cooper – 3/4/26 A. Leatherwood – 3/4/26 D. Johnson – 2/1/25 P. Thomas – 1/2028 S. Dewees – 3/5/27 M. DeFalco – 1/8/27 W. Underwood – 08/2026 K. Webb – 08/2026 A. West – 06/2027 The following new staff members’ files were monitored in full: S. Bass: CPR expiration date – 6/20/26 * first aid not 9included CBC issued on 1/11/24, expires on 1/11/29 TB screening – 2/6/20 EI – 8/2025 Shaken baby policy review – 8/25/25 L. Jones: HQ – 1/15/26 EI – 1/15/26 TB – 1/23/26 C. Cooper: CBC issued on 1/20/26, expires on 1/20/31 HQ – 1/14/26 EI – 1/14/26 Health exam – 10/17/25 TB – 10/17/25 CPR/FA – 5/22/24, expires on 5/22/26 K. Ruff: CBC issued on 7/25/22, expires on 7/25/27 Recognizing and Responding to Suspicions of Child Maltreatment (RRSCM) training: 4/23/24 Health and Safety training – Shaken baby… maltreatment – 1/29/23, medication in child care – 6/24/24 E. Miller: HQ – 10/30/25 EI – 10/30/25 E. Reed: HQ – 11/4/25 EI – 11/4/25 J. Berrincha: HQ – 10/30/25 EI – 10/30/25 Off-site verification form for staff files were available for three (3) staff members in room 101 but not for other staff members. Due to lack of records, the date of employment for the new staff listed above were unknown. Per Mr. Queen, S. Bass and C. Cooper are the substitutes from ESS and not Haywood County Schools employees. Substitute staff file requirements were reviewed during today’s visit. The ABCMS system was reviewed for the following staff members: J. Barrincha – CBC will expire on 6/13/30 E. Reed – CBC will expire on 7/10/30 E. Miller – CBC will expire 1/9/30 L. Jones – CBC will expire 12/11/20 During the post conference, S. Bass and C. Cooper were identified as substitute staff members through EES. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Barbara Jeffreys from Region A Partnership conducted a desk audit on 12/9/25. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Wendy Underwood and teachers, Kaycee Webb and Alexandria West. No children files were monitored for completed health assessments and developmental screenings as they were reviewed during annual compliance visit. The first day of school was 8/26/25. The classroom operates from 7:30 am to 2:30 pm. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1 - #6. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses/ Special Education and the administrator has a Level III NCECAC equivalency. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A current license with issue date of February 7, 2025, was not posted. G.S. 110-99(a1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. In addition to the listed items, peanut butter and grape jelly, cheese sticks, graham crackers, sliced oranges, orange juice and mixed fruits were served as options. Those items were not documented on the menu prior to serving children. 10A NCAC 09 .0901(b) 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. The key to the cabinet where two (2) containers of Arm & Hammer Oxy Clean laundry detergent were maintained remained in the key hole in room 101. .2820(b) 847 Parent's medication authorization did not include required information. Medication authorization form was not on file for Children's Motrin in room 301. 10A NCAC 09 .0803(4)(6-9) 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. The TB screening submitted was completed on 2/6/20 for a substitute staff member who was hired in 2025 (exact date of employment unknown). The substitute is an ESS employee. .0701(a) 1043 All staff records, except financial records, were not made available for review. Many documents for staff files or the dates were not available for review for seven (7) new staff members and substitute staff. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letters were not printed and maintained in the staff files for four (4) staff members, and no off-site verification form was completed for them. G.S. 110-90.2(b) & (d) & .2703(e) 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. one (1) staff member was listed on the ABCMS roster while Twenty-two (22) staff members were identified during today's visit. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 102: License Current license must be posted. To comply, locate the current permit and post it in the space 101. Additionally, remove the old license. The current license was issued on 2/7/25. In your compliance letter, please verify completion of this task. 528: Food substitution Food substitution must be recoded on the menu prior to serving children. To comply, peanut butter and grape jelly sandwich, cheese sticks, mixed fruits, sliced oranges, graham crackers, orange juice must be listed on the menu. Discuss this requirement with kitchen staff members for accurate listings of menu items. In your compliance letter, please verify that correct items were listed on the menu for 4/29/26 as well as the review of this requirements with kitchen staff members. 840: potentially hazardous products No products that are potentially hazardous to children shall be accessible. To comply, the key to the cabinet where Arm & Hammer Oxy Clean laundry detergent must not be left on the key hole. This is considered the same as not being locked. In your compliance letter, please verify the correction of this item. 847: medication authorization form All medications required parental authorization form. To comply, you must obtain the authorization form for Children’s Tylenol for B.B. or return the medication home immediately. In the compliance letter, please state how you met the compliance. 1033 TB screening: TB screen is required to be completed on or prior to first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. To comply, S. Bass must complete new TB screening and submit the result to the school. In your compliance letter, please verify the date S. Bass submitted the document and filed in the staff file. 1043: records All records requested by the Division must be available for review. To comply, following information must be presented to consultant for S. Bass, L. Jones, C. Cooper, K. Ruff, E. Miller, E. Reed, and J. Berrincha: • Public School Off-Site Records Verification form for Staff Records (including the list of staff names) • Staff and Training Worksheet with all the dates Or • Application forms • Date of employment • Orientation form • Criminal background qualification letter • Medical exam • TB screening • Emergency information form • Health Questionnaire (required for 2nd year and thereafter) • Health and Safety training completion date and training certificates • Annual on-going training (required for 2nd year and thereafter) • Education information (WORKS letter) • Review of Shaken Baby policy (for preschool only) • Recognizing and Responding to Suspicions of Child Maltreatment Training certificate • Documentation of review of EPR plan • Documentation of review of EMC plan • Documentation of review of personnel/operation policies • Annual staff evaluation (required for 2nd year and thereafter) • Staff development plan (required for 2nd year and thereafter) • CPR and First Aid certificates You must submit either choice within twenty-four (24) hours. Based on the information, additional violations may be added. 1048: First Aid 1049: CPR Valid CPR and First Aid certificates must be maintained, and the certificates shall be maintained in the staff files. To comply, six (6) staff members – J. Rathbone, A. Parton, S. Floyd, D. Johnson, R. Cooper and A. Leatherwood shall review their CPR and First Aid certificates immediately. Adult and Pediatric First Aid/CPR/AED skills session – R.25 is available on 5/7/26, 5/8/26 at various time slots. For details, visit https://www.redcross.org/take-a-class/cpr?latitude=35.5334379&longitude=-82.910691&searchtype=class&zip=Clyde%2C%20NC%2028721%2C%20USA&zipcode=28721 In your compliance letter, please verify completion of CPR and First Aid training for each staff member. 1757: A valid qualification letter must be on file for review. To comply, you shall print qualification letter for L. Jones, E. Miller, E. Reed, and J. Berrincha and maintain them in their staff files or maintain them in the personnel files at off-site location and fill out Public School off-site verification form for staff records. In your compliance letter, please state the action you took to meet the compliance. 1805: ABCMS roster As we discussed during correction process in December 2025, all staff members, including substitute staff members, administrator and teaching staff must be listed on the roster. To comply, please list all staff members on the ABCMS roster within the next two (2) weeks. I will be monitoring the roster throughout the process. In your compliance letter, please verify the completion of this task. In case you face technical challenges, please contact ABCMS – Help Desk. Phone: 919.814.6401 Email: ABCMSSupport@Improving.com Hours of Operation: Monday-Friday (8am-6pm) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/13/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: K. Webb’s criminal background check will expire on 5/12/26. Please renew the background check without any lapse. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that al providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .3222 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 57 Completed Date: 4/29/2026 Age: From 4 To 12 Total Minutes: 426 Time In: 09:04 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit including compliance with requirements located in Child Care Rule Section .3000 in spaces #1, where children participating in the NC Pre-K program are cared for and requirements located in Child Care Rule Section .2900 in spaces #1, #2, #3, #4, #5, #6, as required for certified developmental day programs. #1 is preschool classroom, and #2 - #6 are school-age classrooms. Due to issues with NCID and the Regulatory system, a handwritten visit summary was created and signed by Kaoru Eddins, Child Care Consultant, and Jacob Shelton, Administrator. A Word document of today’s visit summary was also shared with Mr. Shelton and the details were discussed including violations, corrections and observations. Computer-generated visit summary will be created when NCID is repaired, and the visit summary will be emailed to you. Today, Wendy Underwood, lead teacher in space #1 was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – certified Developmental Day and NC Pre-K. Daytime care, meets enhanced space, playground does not meet child care playground safety standards for school-age children. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 11/13/25. The last fire drill was practiced on 3/31/26. The last shelter-in-place drill was practiced on 10/20/25 then 3/5/26. The last playground inspection was documented on 4/1/26. The last fire inspection was approved on 1/12/26. The last sanitation inspection was conducted on 12/15/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment surveys were started for Lead paint and asbestos. One (1) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Upon arrival, I greeted at front office. In 301 – 305, school age children were cared for. In 301, nine (9) children with eight (8) adults were present. Three (3) adults were from Positive Behavior Supports Corporation and did not count in staff/child ratios. One (1) of them were a nurse, and four (4) were teaching staff. Medications: Room 301: Total of thirteen medications were maintained in the classroom: 1) Children’s Motrin (B. B.) 2) Children’s Tylenol (No name) 3) Children’s Motrin (No name) 4) Family Wellness Children’s Pain Reliever (No name) 5) Briviact 75 mg tablet 6) Zonisamide 100 mg Caps 7) Zonisamide 25 mg caps 8) Creon Dr. 36, 000 unit 9) Creon 6,000 unit 10) Clobazam tab 10mg 11) Quillivant XR 25mg/5ml SRER 12) Valtoco SPR 15 mg (MP) 13) Valtoco 15 mg (LWR) Action plans were on file for both Valtocos for 2025-2026 school year. Medication authorizations were also on file for Briviact, Zonisamide, Valtocos, Clobazam, Quillivant, Creon 36,000 unit and Creon 6,000 unit. Per interview with school nurse, Zonisamide 25 mg caps were prescribed to supplement the quantities of Zonisamide 100 mgs – meaning four (4) 25 mg capsules would be administered to the child instead of one (1) 100 mg capsule. Per interview with classroom staff, Children’s Tylenol and Motrin without names belong to a staff member. No staff knew about Pain Reliever from Family Wellness. No medication authorization form was found for Children’s Motrin (B.B.). Some of the paperwork were maintained in the classroom while others were maintained in the office with a nurse. Other medications: Room 303 – one (1) Valtoco (J. C.) Room 304 – one (1) Ventolin (Z. R.) Room 305 – one (1) Equate Children’s Allergy Relief (T.B.), one (1) Epi-pen (T.B.) Medication authorization forms for four (4) medications and action plans for three (3) emergency medications listed above were on file and valid. In 302, three (3) staff members and nine (9) children were present. Two (2) children and one (1) staff member spent time on the playground outside of the class while other children worked on the assignment with other staff members. In 303, eight (8) children were present with four (4) adults – three (3) staff members and one (1) Registered Behavior Technician (RBT). In 304, eight (8) children with three (3) staff members were present. In 305 – four (4) staff members and eleven (11) children were present. In each classroom, children completed assignments on the tablet or on the paper. Staff members provided one-on-one or small group support for each child. Supervision and interaction were adequate. Snacks were provided during observations – children brought their own snacks. Supervision and interaction were adequate. Room 101 (preschool classroom): A total of seventeen (17) children, four (4) and five (5) years old, were present with three (3) staff members. During observation, children participated in group time and reviewed beginning letter sounds with the lead teacher. After group time, the children lined up and stopped by at the library, returned and borrowed books. After library visit, the children and staff members stopped at the common bathroom, then headed to the cafeteria. Per staff interview, the children will be eating in cafeteria moving forward as transition plan for kindergarten. Children were offered three (3) main dish options, and while individual meal combinations varied, each child received all required components. Some children were served peanut butter and jelly (grape) sandwiches with graham crackers, cheese sticks, and milk. Fruit options included orange slices, mixed fruit, or orange juice. Other children were served baked chicken legs with mashed potatoes and rolls, while some received fried steaks with mashed potatoes and rolls. Playground was monitored. No preschool children played with the areas where fall zones are required. While preschool children were inside, children from 301 were observed on the preschool playground. Staff files: Twelve (12) existing staff files were monitored for criminal background letters and CPR/FA certificates. CBC letter expiration dates: J. Rathbone – 9/7/27 A. Parton – 11/15/29 S. Floyd -2/9/28 P. Thomas – 8/15/27 D. Johnson – 9/23/27 R. Cooper – 4/6/27 A. Leatherwood – 8/7/30 S. Dewees – 7/18/27 M. DeFalco – 12/18/29 W. Underwood K. Webb A. West J. Shelton – 9/18/28 W. Underwood – 9/23/27 K. Webb – 5/12/26 A. West – 7/24/28 CPR/First aid expiration date: J. Rathbone – 3/4/26 A. Parton – 3/4/26 S. Floyd – 3/4/26 R. Cooper – 3/4/26 A. Leatherwood – 3/4/26 D. Johnson – 2/1/25 P. Thomas – 1/2028 S. Dewees – 3/5/27 M. DeFalco – 1/8/27 W. Underwood – 08/2026 K. Webb – 08/2026 A. West – 06/2027 The following new staff members’ files were monitored in full: S. Bass: CPR expiration date – 6/20/26 * first aid not 9included CBC issued on 1/11/24, expires on 1/11/29 TB screening – 2/6/20 EI – 8/2025 Shaken baby policy review – 8/25/25 L. Jones: HQ – 1/15/26 EI – 1/15/26 TB – 1/23/26 C. Cooper: CBC issued on 1/20/26, expires on 1/20/31 HQ – 1/14/26 EI – 1/14/26 Health exam – 10/17/25 TB – 10/17/25 CPR/FA – 5/22/24, expires on 5/22/26 K. Ruff: CBC issued on 7/25/22, expires on 7/25/27 Recognizing and Responding to Suspicions of Child Maltreatment (RRSCM) training: 4/23/24 Health and Safety training – Shaken baby… maltreatment – 1/29/23, medication in child care – 6/24/24 E. Miller: HQ – 10/30/25 EI – 10/30/25 E. Reed: HQ – 11/4/25 EI – 11/4/25 J. Berrincha: HQ – 10/30/25 EI – 10/30/25 Off-site verification form for staff files were available for three (3) staff members in room 101 but not for other staff members. Due to lack of records, the date of employment for the new staff listed above were unknown. Per Mr. Queen, S. Bass and C. Cooper are the substitutes from ESS and not Haywood County Schools employees. Substitute staff file requirements were reviewed during today’s visit. The ABCMS system was reviewed for the following staff members: J. Barrincha – CBC will expire on 6/13/30 E. Reed – CBC will expire on 7/10/30 E. Miller – CBC will expire 1/9/30 L. Jones – CBC will expire 12/11/20 During the post conference, S. Bass and C. Cooper were identified as substitute staff members through EES. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Barbara Jeffreys from Region A Partnership conducted a desk audit on 12/9/25. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Wendy Underwood and teachers, Kaycee Webb and Alexandria West. No children files were monitored for completed health assessments and developmental screenings as they were reviewed during annual compliance visit. The first day of school was 8/26/25. The classroom operates from 7:30 am to 2:30 pm. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1 - #6. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses/ Special Education and the administrator has a Level III NCECAC equivalency. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A current license with issue date of February 7, 2025, was not posted. G.S. 110-99(a1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. In addition to the listed items, peanut butter and grape jelly, cheese sticks, graham crackers, sliced oranges, orange juice and mixed fruits were served as options. Those items were not documented on the menu prior to serving children. 10A NCAC 09 .0901(b) 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. The key to the cabinet where two (2) containers of Arm & Hammer Oxy Clean laundry detergent were maintained remained in the key hole in room 101. .2820(b) 847 Parent's medication authorization did not include required information. Medication authorization form was not on file for Children's Motrin in room 301. 10A NCAC 09 .0803(4)(6-9) 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. The TB screening submitted was completed on 2/6/20 for a substitute staff member who was hired in 2025 (exact date of employment unknown). The substitute is an ESS employee. .0701(a) 1043 All staff records, except financial records, were not made available for review. Many documents for staff files or the dates were not available for review for seven (7) new staff members and substitute staff. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letters were not printed and maintained in the staff files for four (4) staff members, and no off-site verification form was completed for them. G.S. 110-90.2(b) & (d) & .2703(e) 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. one (1) staff member was listed on the ABCMS roster while Twenty-two (22) staff members were identified during today's visit. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 102: License Current license must be posted. To comply, locate the current permit and post it in the space 101. Additionally, remove the old license. The current license was issued on 2/7/25. In your compliance letter, please verify completion of this task. 528: Food substitution Food substitution must be recoded on the menu prior to serving children. To comply, peanut butter and grape jelly sandwich, cheese sticks, mixed fruits, sliced oranges, graham crackers, orange juice must be listed on the menu. Discuss this requirement with kitchen staff members for accurate listings of menu items. In your compliance letter, please verify that correct items were listed on the menu for 4/29/26 as well as the review of this requirements with kitchen staff members. 840: potentially hazardous products No products that are potentially hazardous to children shall be accessible. To comply, the key to the cabinet where Arm & Hammer Oxy Clean laundry detergent must not be left on the key hole. This is considered the same as not being locked. In your compliance letter, please verify the correction of this item. 847: medication authorization form All medications required parental authorization form. To comply, you must obtain the authorization form for Children’s Tylenol for B.B. or return the medication home immediately. In the compliance letter, please state how you met the compliance. 1033 TB screening: TB screen is required to be completed on or prior to first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. To comply, S. Bass must complete new TB screening and submit the result to the school. In your compliance letter, please verify the date S. Bass submitted the document and filed in the staff file. 1043: records All records requested by the Division must be available for review. To comply, following information must be presented to consultant for S. Bass, L. Jones, C. Cooper, K. Ruff, E. Miller, E. Reed, and J. Berrincha: • Public School Off-Site Records Verification form for Staff Records (including the list of staff names) • Staff and Training Worksheet with all the dates Or • Application forms • Date of employment • Orientation form • Criminal background qualification letter • Medical exam • TB screening • Emergency information form • Health Questionnaire (required for 2nd year and thereafter) • Health and Safety training completion date and training certificates • Annual on-going training (required for 2nd year and thereafter) • Education information (WORKS letter) • Review of Shaken Baby policy (for preschool only) • Recognizing and Responding to Suspicions of Child Maltreatment Training certificate • Documentation of review of EPR plan • Documentation of review of EMC plan • Documentation of review of personnel/operation policies • Annual staff evaluation (required for 2nd year and thereafter) • Staff development plan (required for 2nd year and thereafter) • CPR and First Aid certificates You must submit either choice within twenty-four (24) hours. Based on the information, additional violations may be added. 1048: First Aid 1049: CPR Valid CPR and First Aid certificates must be maintained, and the certificates shall be maintained in the staff files. To comply, six (6) staff members – J. Rathbone, A. Parton, S. Floyd, D. Johnson, R. Cooper and A. Leatherwood shall review their CPR and First Aid certificates immediately. Adult and Pediatric First Aid/CPR/AED skills session – R.25 is available on 5/7/26, 5/8/26 at various time slots. For details, visit https://www.redcross.org/take-a-class/cpr?latitude=35.5334379&longitude=-82.910691&searchtype=class&zip=Clyde%2C%20NC%2028721%2C%20USA&zipcode=28721 In your compliance letter, please verify completion of CPR and First Aid training for each staff member. 1757: A valid qualification letter must be on file for review. To comply, you shall print qualification letter for L. Jones, E. Miller, E. Reed, and J. Berrincha and maintain them in their staff files or maintain them in the personnel files at off-site location and fill out Public School off-site verification form for staff records. In your compliance letter, please state the action you took to meet the compliance. 1805: ABCMS roster As we discussed during correction process in December 2025, all staff members, including substitute staff members, administrator and teaching staff must be listed on the roster. To comply, please list all staff members on the ABCMS roster within the next two (2) weeks. I will be monitoring the roster throughout the process. In your compliance letter, please verify the completion of this task. In case you face technical challenges, please contact ABCMS – Help Desk. Phone: 919.814.6401 Email: ABCMSSupport@Improving.com Hours of Operation: Monday-Friday (8am-6pm) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/13/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: K. Webb’s criminal background check will expire on 5/12/26. Please renew the background check without any lapse. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that al providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 57 Completed Date: 4/29/2026 Age: From 4 To 12 Total Minutes: 426 Time In: 09:04 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit including compliance with requirements located in Child Care Rule Section .3000 in spaces #1, where children participating in the NC Pre-K program are cared for and requirements located in Child Care Rule Section .2900 in spaces #1, #2, #3, #4, #5, #6, as required for certified developmental day programs. #1 is preschool classroom, and #2 - #6 are school-age classrooms. Due to issues with NCID and the Regulatory system, a handwritten visit summary was created and signed by Kaoru Eddins, Child Care Consultant, and Jacob Shelton, Administrator. A Word document of today’s visit summary was also shared with Mr. Shelton and the details were discussed including violations, corrections and observations. Computer-generated visit summary will be created when NCID is repaired, and the visit summary will be emailed to you. Today, Wendy Underwood, lead teacher in space #1 was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – certified Developmental Day and NC Pre-K. Daytime care, meets enhanced space, playground does not meet child care playground safety standards for school-age children. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 11/13/25. The last fire drill was practiced on 3/31/26. The last shelter-in-place drill was practiced on 10/20/25 then 3/5/26. The last playground inspection was documented on 4/1/26. The last fire inspection was approved on 1/12/26. The last sanitation inspection was conducted on 12/15/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment surveys were started for Lead paint and asbestos. One (1) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Upon arrival, I greeted at front office. In 301 – 305, school age children were cared for. In 301, nine (9) children with eight (8) adults were present. Three (3) adults were from Positive Behavior Supports Corporation and did not count in staff/child ratios. One (1) of them were a nurse, and four (4) were teaching staff. Medications: Room 301: Total of thirteen medications were maintained in the classroom: 1) Children’s Motrin (B. B.) 2) Children’s Tylenol (No name) 3) Children’s Motrin (No name) 4) Family Wellness Children’s Pain Reliever (No name) 5) Briviact 75 mg tablet 6) Zonisamide 100 mg Caps 7) Zonisamide 25 mg caps 8) Creon Dr. 36, 000 unit 9) Creon 6,000 unit 10) Clobazam tab 10mg 11) Quillivant XR 25mg/5ml SRER 12) Valtoco SPR 15 mg (MP) 13) Valtoco 15 mg (LWR) Action plans were on file for both Valtocos for 2025-2026 school year. Medication authorizations were also on file for Briviact, Zonisamide, Valtocos, Clobazam, Quillivant, Creon 36,000 unit and Creon 6,000 unit. Per interview with school nurse, Zonisamide 25 mg caps were prescribed to supplement the quantities of Zonisamide 100 mgs – meaning four (4) 25 mg capsules would be administered to the child instead of one (1) 100 mg capsule. Per interview with classroom staff, Children’s Tylenol and Motrin without names belong to a staff member. No staff knew about Pain Reliever from Family Wellness. No medication authorization form was found for Children’s Motrin (B.B.). Some of the paperwork were maintained in the classroom while others were maintained in the office with a nurse. Other medications: Room 303 – one (1) Valtoco (J. C.) Room 304 – one (1) Ventolin (Z. R.) Room 305 – one (1) Equate Children’s Allergy Relief (T.B.), one (1) Epi-pen (T.B.) Medication authorization forms for four (4) medications and action plans for three (3) emergency medications listed above were on file and valid. In 302, three (3) staff members and nine (9) children were present. Two (2) children and one (1) staff member spent time on the playground outside of the class while other children worked on the assignment with other staff members. In 303, eight (8) children were present with four (4) adults – three (3) staff members and one (1) Registered Behavior Technician (RBT). In 304, eight (8) children with three (3) staff members were present. In 305 – four (4) staff members and eleven (11) children were present. In each classroom, children completed assignments on the tablet or on the paper. Staff members provided one-on-one or small group support for each child. Supervision and interaction were adequate. Snacks were provided during observations – children brought their own snacks. Supervision and interaction were adequate. Room 101 (preschool classroom): A total of seventeen (17) children, four (4) and five (5) years old, were present with three (3) staff members. During observation, children participated in group time and reviewed beginning letter sounds with the lead teacher. After group time, the children lined up and stopped by at the library, returned and borrowed books. After library visit, the children and staff members stopped at the common bathroom, then headed to the cafeteria. Per staff interview, the children will be eating in cafeteria moving forward as transition plan for kindergarten. Children were offered three (3) main dish options, and while individual meal combinations varied, each child received all required components. Some children were served peanut butter and jelly (grape) sandwiches with graham crackers, cheese sticks, and milk. Fruit options included orange slices, mixed fruit, or orange juice. Other children were served baked chicken legs with mashed potatoes and rolls, while some received fried steaks with mashed potatoes and rolls. Playground was monitored. No preschool children played with the areas where fall zones are required. While preschool children were inside, children from 301 were observed on the preschool playground. Staff files: Twelve (12) existing staff files were monitored for criminal background letters and CPR/FA certificates. CBC letter expiration dates: J. Rathbone – 9/7/27 A. Parton – 11/15/29 S. Floyd -2/9/28 P. Thomas – 8/15/27 D. Johnson – 9/23/27 R. Cooper – 4/6/27 A. Leatherwood – 8/7/30 S. Dewees – 7/18/27 M. DeFalco – 12/18/29 W. Underwood K. Webb A. West J. Shelton – 9/18/28 W. Underwood – 9/23/27 K. Webb – 5/12/26 A. West – 7/24/28 CPR/First aid expiration date: J. Rathbone – 3/4/26 A. Parton – 3/4/26 S. Floyd – 3/4/26 R. Cooper – 3/4/26 A. Leatherwood – 3/4/26 D. Johnson – 2/1/25 P. Thomas – 1/2028 S. Dewees – 3/5/27 M. DeFalco – 1/8/27 W. Underwood – 08/2026 K. Webb – 08/2026 A. West – 06/2027 The following new staff members’ files were monitored in full: S. Bass: CPR expiration date – 6/20/26 * first aid not 9included CBC issued on 1/11/24, expires on 1/11/29 TB screening – 2/6/20 EI – 8/2025 Shaken baby policy review – 8/25/25 L. Jones: HQ – 1/15/26 EI – 1/15/26 TB – 1/23/26 C. Cooper: CBC issued on 1/20/26, expires on 1/20/31 HQ – 1/14/26 EI – 1/14/26 Health exam – 10/17/25 TB – 10/17/25 CPR/FA – 5/22/24, expires on 5/22/26 K. Ruff: CBC issued on 7/25/22, expires on 7/25/27 Recognizing and Responding to Suspicions of Child Maltreatment (RRSCM) training: 4/23/24 Health and Safety training – Shaken baby… maltreatment – 1/29/23, medication in child care – 6/24/24 E. Miller: HQ – 10/30/25 EI – 10/30/25 E. Reed: HQ – 11/4/25 EI – 11/4/25 J. Berrincha: HQ – 10/30/25 EI – 10/30/25 Off-site verification form for staff files were available for three (3) staff members in room 101 but not for other staff members. Due to lack of records, the date of employment for the new staff listed above were unknown. Per Mr. Queen, S. Bass and C. Cooper are the substitutes from ESS and not Haywood County Schools employees. Substitute staff file requirements were reviewed during today’s visit. The ABCMS system was reviewed for the following staff members: J. Barrincha – CBC will expire on 6/13/30 E. Reed – CBC will expire on 7/10/30 E. Miller – CBC will expire 1/9/30 L. Jones – CBC will expire 12/11/20 During the post conference, S. Bass and C. Cooper were identified as substitute staff members through EES. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Barbara Jeffreys from Region A Partnership conducted a desk audit on 12/9/25. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Wendy Underwood and teachers, Kaycee Webb and Alexandria West. No children files were monitored for completed health assessments and developmental screenings as they were reviewed during annual compliance visit. The first day of school was 8/26/25. The classroom operates from 7:30 am to 2:30 pm. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1 - #6. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses/ Special Education and the administrator has a Level III NCECAC equivalency. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A current license with issue date of February 7, 2025, was not posted. G.S. 110-99(a1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. In addition to the listed items, peanut butter and grape jelly, cheese sticks, graham crackers, sliced oranges, orange juice and mixed fruits were served as options. Those items were not documented on the menu prior to serving children. 10A NCAC 09 .0901(b) 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. The key to the cabinet where two (2) containers of Arm & Hammer Oxy Clean laundry detergent were maintained remained in the key hole in room 101. .2820(b) 847 Parent's medication authorization did not include required information. Medication authorization form was not on file for Children's Motrin in room 301. 10A NCAC 09 .0803(4)(6-9) 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. The TB screening submitted was completed on 2/6/20 for a substitute staff member who was hired in 2025 (exact date of employment unknown). The substitute is an ESS employee. .0701(a) 1043 All staff records, except financial records, were not made available for review. Many documents for staff files or the dates were not available for review for seven (7) new staff members and substitute staff. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letters were not printed and maintained in the staff files for four (4) staff members, and no off-site verification form was completed for them. G.S. 110-90.2(b) & (d) & .2703(e) 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. one (1) staff member was listed on the ABCMS roster while Twenty-two (22) staff members were identified during today's visit. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 102: License Current license must be posted. To comply, locate the current permit and post it in the space 101. Additionally, remove the old license. The current license was issued on 2/7/25. In your compliance letter, please verify completion of this task. 528: Food substitution Food substitution must be recoded on the menu prior to serving children. To comply, peanut butter and grape jelly sandwich, cheese sticks, mixed fruits, sliced oranges, graham crackers, orange juice must be listed on the menu. Discuss this requirement with kitchen staff members for accurate listings of menu items. In your compliance letter, please verify that correct items were listed on the menu for 4/29/26 as well as the review of this requirements with kitchen staff members. 840: potentially hazardous products No products that are potentially hazardous to children shall be accessible. To comply, the key to the cabinet where Arm & Hammer Oxy Clean laundry detergent must not be left on the key hole. This is considered the same as not being locked. In your compliance letter, please verify the correction of this item. 847: medication authorization form All medications required parental authorization form. To comply, you must obtain the authorization form for Children’s Tylenol for B.B. or return the medication home immediately. In the compliance letter, please state how you met the compliance. 1033 TB screening: TB screen is required to be completed on or prior to first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. To comply, S. Bass must complete new TB screening and submit the result to the school. In your compliance letter, please verify the date S. Bass submitted the document and filed in the staff file. 1043: records All records requested by the Division must be available for review. To comply, following information must be presented to consultant for S. Bass, L. Jones, C. Cooper, K. Ruff, E. Miller, E. Reed, and J. Berrincha: • Public School Off-Site Records Verification form for Staff Records (including the list of staff names) • Staff and Training Worksheet with all the dates Or • Application forms • Date of employment • Orientation form • Criminal background qualification letter • Medical exam • TB screening • Emergency information form • Health Questionnaire (required for 2nd year and thereafter) • Health and Safety training completion date and training certificates • Annual on-going training (required for 2nd year and thereafter) • Education information (WORKS letter) • Review of Shaken Baby policy (for preschool only) • Recognizing and Responding to Suspicions of Child Maltreatment Training certificate • Documentation of review of EPR plan • Documentation of review of EMC plan • Documentation of review of personnel/operation policies • Annual staff evaluation (required for 2nd year and thereafter) • Staff development plan (required for 2nd year and thereafter) • CPR and First Aid certificates You must submit either choice within twenty-four (24) hours. Based on the information, additional violations may be added. 1048: First Aid 1049: CPR Valid CPR and First Aid certificates must be maintained, and the certificates shall be maintained in the staff files. To comply, six (6) staff members – J. Rathbone, A. Parton, S. Floyd, D. Johnson, R. Cooper and A. Leatherwood shall review their CPR and First Aid certificates immediately. Adult and Pediatric First Aid/CPR/AED skills session – R.25 is available on 5/7/26, 5/8/26 at various time slots. For details, visit https://www.redcross.org/take-a-class/cpr?latitude=35.5334379&longitude=-82.910691&searchtype=class&zip=Clyde%2C%20NC%2028721%2C%20USA&zipcode=28721 In your compliance letter, please verify completion of CPR and First Aid training for each staff member. 1757: A valid qualification letter must be on file for review. To comply, you shall print qualification letter for L. Jones, E. Miller, E. Reed, and J. Berrincha and maintain them in their staff files or maintain them in the personnel files at off-site location and fill out Public School off-site verification form for staff records. In your compliance letter, please state the action you took to meet the compliance. 1805: ABCMS roster As we discussed during correction process in December 2025, all staff members, including substitute staff members, administrator and teaching staff must be listed on the roster. To comply, please list all staff members on the ABCMS roster within the next two (2) weeks. I will be monitoring the roster throughout the process. In your compliance letter, please verify the completion of this task. In case you face technical challenges, please contact ABCMS – Help Desk. Phone: 919.814.6401 Email: ABCMSSupport@Improving.com Hours of Operation: Monday-Friday (8am-6pm) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/13/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: K. Webb’s criminal background check will expire on 5/12/26. Please renew the background check without any lapse. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that al providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-91 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 57 Completed Date: 4/29/2026 Age: From 4 To 12 Total Minutes: 426 Time In: 09:04 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit including compliance with requirements located in Child Care Rule Section .3000 in spaces #1, where children participating in the NC Pre-K program are cared for and requirements located in Child Care Rule Section .2900 in spaces #1, #2, #3, #4, #5, #6, as required for certified developmental day programs. #1 is preschool classroom, and #2 - #6 are school-age classrooms. Due to issues with NCID and the Regulatory system, a handwritten visit summary was created and signed by Kaoru Eddins, Child Care Consultant, and Jacob Shelton, Administrator. A Word document of today’s visit summary was also shared with Mr. Shelton and the details were discussed including violations, corrections and observations. Computer-generated visit summary will be created when NCID is repaired, and the visit summary will be emailed to you. Today, Wendy Underwood, lead teacher in space #1 was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – certified Developmental Day and NC Pre-K. Daytime care, meets enhanced space, playground does not meet child care playground safety standards for school-age children. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 11/13/25. The last fire drill was practiced on 3/31/26. The last shelter-in-place drill was practiced on 10/20/25 then 3/5/26. The last playground inspection was documented on 4/1/26. The last fire inspection was approved on 1/12/26. The last sanitation inspection was conducted on 12/15/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment surveys were started for Lead paint and asbestos. One (1) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Upon arrival, I greeted at front office. In 301 – 305, school age children were cared for. In 301, nine (9) children with eight (8) adults were present. Three (3) adults were from Positive Behavior Supports Corporation and did not count in staff/child ratios. One (1) of them were a nurse, and four (4) were teaching staff. Medications: Room 301: Total of thirteen medications were maintained in the classroom: 1) Children’s Motrin (B. B.) 2) Children’s Tylenol (No name) 3) Children’s Motrin (No name) 4) Family Wellness Children’s Pain Reliever (No name) 5) Briviact 75 mg tablet 6) Zonisamide 100 mg Caps 7) Zonisamide 25 mg caps 8) Creon Dr. 36, 000 unit 9) Creon 6,000 unit 10) Clobazam tab 10mg 11) Quillivant XR 25mg/5ml SRER 12) Valtoco SPR 15 mg (MP) 13) Valtoco 15 mg (LWR) Action plans were on file for both Valtocos for 2025-2026 school year. Medication authorizations were also on file for Briviact, Zonisamide, Valtocos, Clobazam, Quillivant, Creon 36,000 unit and Creon 6,000 unit. Per interview with school nurse, Zonisamide 25 mg caps were prescribed to supplement the quantities of Zonisamide 100 mgs – meaning four (4) 25 mg capsules would be administered to the child instead of one (1) 100 mg capsule. Per interview with classroom staff, Children’s Tylenol and Motrin without names belong to a staff member. No staff knew about Pain Reliever from Family Wellness. No medication authorization form was found for Children’s Motrin (B.B.). Some of the paperwork were maintained in the classroom while others were maintained in the office with a nurse. Other medications: Room 303 – one (1) Valtoco (J. C.) Room 304 – one (1) Ventolin (Z. R.) Room 305 – one (1) Equate Children’s Allergy Relief (T.B.), one (1) Epi-pen (T.B.) Medication authorization forms for four (4) medications and action plans for three (3) emergency medications listed above were on file and valid. In 302, three (3) staff members and nine (9) children were present. Two (2) children and one (1) staff member spent time on the playground outside of the class while other children worked on the assignment with other staff members. In 303, eight (8) children were present with four (4) adults – three (3) staff members and one (1) Registered Behavior Technician (RBT). In 304, eight (8) children with three (3) staff members were present. In 305 – four (4) staff members and eleven (11) children were present. In each classroom, children completed assignments on the tablet or on the paper. Staff members provided one-on-one or small group support for each child. Supervision and interaction were adequate. Snacks were provided during observations – children brought their own snacks. Supervision and interaction were adequate. Room 101 (preschool classroom): A total of seventeen (17) children, four (4) and five (5) years old, were present with three (3) staff members. During observation, children participated in group time and reviewed beginning letter sounds with the lead teacher. After group time, the children lined up and stopped by at the library, returned and borrowed books. After library visit, the children and staff members stopped at the common bathroom, then headed to the cafeteria. Per staff interview, the children will be eating in cafeteria moving forward as transition plan for kindergarten. Children were offered three (3) main dish options, and while individual meal combinations varied, each child received all required components. Some children were served peanut butter and jelly (grape) sandwiches with graham crackers, cheese sticks, and milk. Fruit options included orange slices, mixed fruit, or orange juice. Other children were served baked chicken legs with mashed potatoes and rolls, while some received fried steaks with mashed potatoes and rolls. Playground was monitored. No preschool children played with the areas where fall zones are required. While preschool children were inside, children from 301 were observed on the preschool playground. Staff files: Twelve (12) existing staff files were monitored for criminal background letters and CPR/FA certificates. CBC letter expiration dates: J. Rathbone – 9/7/27 A. Parton – 11/15/29 S. Floyd -2/9/28 P. Thomas – 8/15/27 D. Johnson – 9/23/27 R. Cooper – 4/6/27 A. Leatherwood – 8/7/30 S. Dewees – 7/18/27 M. DeFalco – 12/18/29 W. Underwood K. Webb A. West J. Shelton – 9/18/28 W. Underwood – 9/23/27 K. Webb – 5/12/26 A. West – 7/24/28 CPR/First aid expiration date: J. Rathbone – 3/4/26 A. Parton – 3/4/26 S. Floyd – 3/4/26 R. Cooper – 3/4/26 A. Leatherwood – 3/4/26 D. Johnson – 2/1/25 P. Thomas – 1/2028 S. Dewees – 3/5/27 M. DeFalco – 1/8/27 W. Underwood – 08/2026 K. Webb – 08/2026 A. West – 06/2027 The following new staff members’ files were monitored in full: S. Bass: CPR expiration date – 6/20/26 * first aid not 9included CBC issued on 1/11/24, expires on 1/11/29 TB screening – 2/6/20 EI – 8/2025 Shaken baby policy review – 8/25/25 L. Jones: HQ – 1/15/26 EI – 1/15/26 TB – 1/23/26 C. Cooper: CBC issued on 1/20/26, expires on 1/20/31 HQ – 1/14/26 EI – 1/14/26 Health exam – 10/17/25 TB – 10/17/25 CPR/FA – 5/22/24, expires on 5/22/26 K. Ruff: CBC issued on 7/25/22, expires on 7/25/27 Recognizing and Responding to Suspicions of Child Maltreatment (RRSCM) training: 4/23/24 Health and Safety training – Shaken baby… maltreatment – 1/29/23, medication in child care – 6/24/24 E. Miller: HQ – 10/30/25 EI – 10/30/25 E. Reed: HQ – 11/4/25 EI – 11/4/25 J. Berrincha: HQ – 10/30/25 EI – 10/30/25 Off-site verification form for staff files were available for three (3) staff members in room 101 but not for other staff members. Due to lack of records, the date of employment for the new staff listed above were unknown. Per Mr. Queen, S. Bass and C. Cooper are the substitutes from ESS and not Haywood County Schools employees. Substitute staff file requirements were reviewed during today’s visit. The ABCMS system was reviewed for the following staff members: J. Barrincha – CBC will expire on 6/13/30 E. Reed – CBC will expire on 7/10/30 E. Miller – CBC will expire 1/9/30 L. Jones – CBC will expire 12/11/20 During the post conference, S. Bass and C. Cooper were identified as substitute staff members through EES. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Barbara Jeffreys from Region A Partnership conducted a desk audit on 12/9/25. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Wendy Underwood and teachers, Kaycee Webb and Alexandria West. No children files were monitored for completed health assessments and developmental screenings as they were reviewed during annual compliance visit. The first day of school was 8/26/25. The classroom operates from 7:30 am to 2:30 pm. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1 - #6. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses/ Special Education and the administrator has a Level III NCECAC equivalency. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A current license with issue date of February 7, 2025, was not posted. G.S. 110-99(a1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. In addition to the listed items, peanut butter and grape jelly, cheese sticks, graham crackers, sliced oranges, orange juice and mixed fruits were served as options. Those items were not documented on the menu prior to serving children. 10A NCAC 09 .0901(b) 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. The key to the cabinet where two (2) containers of Arm & Hammer Oxy Clean laundry detergent were maintained remained in the key hole in room 101. .2820(b) 847 Parent's medication authorization did not include required information. Medication authorization form was not on file for Children's Motrin in room 301. 10A NCAC 09 .0803(4)(6-9) 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. The TB screening submitted was completed on 2/6/20 for a substitute staff member who was hired in 2025 (exact date of employment unknown). The substitute is an ESS employee. .0701(a) 1043 All staff records, except financial records, were not made available for review. Many documents for staff files or the dates were not available for review for seven (7) new staff members and substitute staff. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letters were not printed and maintained in the staff files for four (4) staff members, and no off-site verification form was completed for them. G.S. 110-90.2(b) & (d) & .2703(e) 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. one (1) staff member was listed on the ABCMS roster while Twenty-two (22) staff members were identified during today's visit. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 102: License Current license must be posted. To comply, locate the current permit and post it in the space 101. Additionally, remove the old license. The current license was issued on 2/7/25. In your compliance letter, please verify completion of this task. 528: Food substitution Food substitution must be recoded on the menu prior to serving children. To comply, peanut butter and grape jelly sandwich, cheese sticks, mixed fruits, sliced oranges, graham crackers, orange juice must be listed on the menu. Discuss this requirement with kitchen staff members for accurate listings of menu items. In your compliance letter, please verify that correct items were listed on the menu for 4/29/26 as well as the review of this requirements with kitchen staff members. 840: potentially hazardous products No products that are potentially hazardous to children shall be accessible. To comply, the key to the cabinet where Arm & Hammer Oxy Clean laundry detergent must not be left on the key hole. This is considered the same as not being locked. In your compliance letter, please verify the correction of this item. 847: medication authorization form All medications required parental authorization form. To comply, you must obtain the authorization form for Children’s Tylenol for B.B. or return the medication home immediately. In the compliance letter, please state how you met the compliance. 1033 TB screening: TB screen is required to be completed on or prior to first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. To comply, S. Bass must complete new TB screening and submit the result to the school. In your compliance letter, please verify the date S. Bass submitted the document and filed in the staff file. 1043: records All records requested by the Division must be available for review. To comply, following information must be presented to consultant for S. Bass, L. Jones, C. Cooper, K. Ruff, E. Miller, E. Reed, and J. Berrincha: • Public School Off-Site Records Verification form for Staff Records (including the list of staff names) • Staff and Training Worksheet with all the dates Or • Application forms • Date of employment • Orientation form • Criminal background qualification letter • Medical exam • TB screening • Emergency information form • Health Questionnaire (required for 2nd year and thereafter) • Health and Safety training completion date and training certificates • Annual on-going training (required for 2nd year and thereafter) • Education information (WORKS letter) • Review of Shaken Baby policy (for preschool only) • Recognizing and Responding to Suspicions of Child Maltreatment Training certificate • Documentation of review of EPR plan • Documentation of review of EMC plan • Documentation of review of personnel/operation policies • Annual staff evaluation (required for 2nd year and thereafter) • Staff development plan (required for 2nd year and thereafter) • CPR and First Aid certificates You must submit either choice within twenty-four (24) hours. Based on the information, additional violations may be added. 1048: First Aid 1049: CPR Valid CPR and First Aid certificates must be maintained, and the certificates shall be maintained in the staff files. To comply, six (6) staff members – J. Rathbone, A. Parton, S. Floyd, D. Johnson, R. Cooper and A. Leatherwood shall review their CPR and First Aid certificates immediately. Adult and Pediatric First Aid/CPR/AED skills session – R.25 is available on 5/7/26, 5/8/26 at various time slots. For details, visit https://www.redcross.org/take-a-class/cpr?latitude=35.5334379&longitude=-82.910691&searchtype=class&zip=Clyde%2C%20NC%2028721%2C%20USA&zipcode=28721 In your compliance letter, please verify completion of CPR and First Aid training for each staff member. 1757: A valid qualification letter must be on file for review. To comply, you shall print qualification letter for L. Jones, E. Miller, E. Reed, and J. Berrincha and maintain them in their staff files or maintain them in the personnel files at off-site location and fill out Public School off-site verification form for staff records. In your compliance letter, please state the action you took to meet the compliance. 1805: ABCMS roster As we discussed during correction process in December 2025, all staff members, including substitute staff members, administrator and teaching staff must be listed on the roster. To comply, please list all staff members on the ABCMS roster within the next two (2) weeks. I will be monitoring the roster throughout the process. In your compliance letter, please verify the completion of this task. In case you face technical challenges, please contact ABCMS – Help Desk. Phone: 919.814.6401 Email: ABCMSSupport@Improving.com Hours of Operation: Monday-Friday (8am-6pm) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/13/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: K. Webb’s criminal background check will expire on 5/12/26. Please renew the background check without any lapse. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that al providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-99 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 57 Completed Date: 4/29/2026 Age: From 4 To 12 Total Minutes: 426 Time In: 09:04 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit including compliance with requirements located in Child Care Rule Section .3000 in spaces #1, where children participating in the NC Pre-K program are cared for and requirements located in Child Care Rule Section .2900 in spaces #1, #2, #3, #4, #5, #6, as required for certified developmental day programs. #1 is preschool classroom, and #2 - #6 are school-age classrooms. Due to issues with NCID and the Regulatory system, a handwritten visit summary was created and signed by Kaoru Eddins, Child Care Consultant, and Jacob Shelton, Administrator. A Word document of today’s visit summary was also shared with Mr. Shelton and the details were discussed including violations, corrections and observations. Computer-generated visit summary will be created when NCID is repaired, and the visit summary will be emailed to you. Today, Wendy Underwood, lead teacher in space #1 was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – certified Developmental Day and NC Pre-K. Daytime care, meets enhanced space, playground does not meet child care playground safety standards for school-age children. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 11/13/25. The last fire drill was practiced on 3/31/26. The last shelter-in-place drill was practiced on 10/20/25 then 3/5/26. The last playground inspection was documented on 4/1/26. The last fire inspection was approved on 1/12/26. The last sanitation inspection was conducted on 12/15/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment surveys were started for Lead paint and asbestos. One (1) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Upon arrival, I greeted at front office. In 301 – 305, school age children were cared for. In 301, nine (9) children with eight (8) adults were present. Three (3) adults were from Positive Behavior Supports Corporation and did not count in staff/child ratios. One (1) of them were a nurse, and four (4) were teaching staff. Medications: Room 301: Total of thirteen medications were maintained in the classroom: 1) Children’s Motrin (B. B.) 2) Children’s Tylenol (No name) 3) Children’s Motrin (No name) 4) Family Wellness Children’s Pain Reliever (No name) 5) Briviact 75 mg tablet 6) Zonisamide 100 mg Caps 7) Zonisamide 25 mg caps 8) Creon Dr. 36, 000 unit 9) Creon 6,000 unit 10) Clobazam tab 10mg 11) Quillivant XR 25mg/5ml SRER 12) Valtoco SPR 15 mg (MP) 13) Valtoco 15 mg (LWR) Action plans were on file for both Valtocos for 2025-2026 school year. Medication authorizations were also on file for Briviact, Zonisamide, Valtocos, Clobazam, Quillivant, Creon 36,000 unit and Creon 6,000 unit. Per interview with school nurse, Zonisamide 25 mg caps were prescribed to supplement the quantities of Zonisamide 100 mgs – meaning four (4) 25 mg capsules would be administered to the child instead of one (1) 100 mg capsule. Per interview with classroom staff, Children’s Tylenol and Motrin without names belong to a staff member. No staff knew about Pain Reliever from Family Wellness. No medication authorization form was found for Children’s Motrin (B.B.). Some of the paperwork were maintained in the classroom while others were maintained in the office with a nurse. Other medications: Room 303 – one (1) Valtoco (J. C.) Room 304 – one (1) Ventolin (Z. R.) Room 305 – one (1) Equate Children’s Allergy Relief (T.B.), one (1) Epi-pen (T.B.) Medication authorization forms for four (4) medications and action plans for three (3) emergency medications listed above were on file and valid. In 302, three (3) staff members and nine (9) children were present. Two (2) children and one (1) staff member spent time on the playground outside of the class while other children worked on the assignment with other staff members. In 303, eight (8) children were present with four (4) adults – three (3) staff members and one (1) Registered Behavior Technician (RBT). In 304, eight (8) children with three (3) staff members were present. In 305 – four (4) staff members and eleven (11) children were present. In each classroom, children completed assignments on the tablet or on the paper. Staff members provided one-on-one or small group support for each child. Supervision and interaction were adequate. Snacks were provided during observations – children brought their own snacks. Supervision and interaction were adequate. Room 101 (preschool classroom): A total of seventeen (17) children, four (4) and five (5) years old, were present with three (3) staff members. During observation, children participated in group time and reviewed beginning letter sounds with the lead teacher. After group time, the children lined up and stopped by at the library, returned and borrowed books. After library visit, the children and staff members stopped at the common bathroom, then headed to the cafeteria. Per staff interview, the children will be eating in cafeteria moving forward as transition plan for kindergarten. Children were offered three (3) main dish options, and while individual meal combinations varied, each child received all required components. Some children were served peanut butter and jelly (grape) sandwiches with graham crackers, cheese sticks, and milk. Fruit options included orange slices, mixed fruit, or orange juice. Other children were served baked chicken legs with mashed potatoes and rolls, while some received fried steaks with mashed potatoes and rolls. Playground was monitored. No preschool children played with the areas where fall zones are required. While preschool children were inside, children from 301 were observed on the preschool playground. Staff files: Twelve (12) existing staff files were monitored for criminal background letters and CPR/FA certificates. CBC letter expiration dates: J. Rathbone – 9/7/27 A. Parton – 11/15/29 S. Floyd -2/9/28 P. Thomas – 8/15/27 D. Johnson – 9/23/27 R. Cooper – 4/6/27 A. Leatherwood – 8/7/30 S. Dewees – 7/18/27 M. DeFalco – 12/18/29 W. Underwood K. Webb A. West J. Shelton – 9/18/28 W. Underwood – 9/23/27 K. Webb – 5/12/26 A. West – 7/24/28 CPR/First aid expiration date: J. Rathbone – 3/4/26 A. Parton – 3/4/26 S. Floyd – 3/4/26 R. Cooper – 3/4/26 A. Leatherwood – 3/4/26 D. Johnson – 2/1/25 P. Thomas – 1/2028 S. Dewees – 3/5/27 M. DeFalco – 1/8/27 W. Underwood – 08/2026 K. Webb – 08/2026 A. West – 06/2027 The following new staff members’ files were monitored in full: S. Bass: CPR expiration date – 6/20/26 * first aid not 9included CBC issued on 1/11/24, expires on 1/11/29 TB screening – 2/6/20 EI – 8/2025 Shaken baby policy review – 8/25/25 L. Jones: HQ – 1/15/26 EI – 1/15/26 TB – 1/23/26 C. Cooper: CBC issued on 1/20/26, expires on 1/20/31 HQ – 1/14/26 EI – 1/14/26 Health exam – 10/17/25 TB – 10/17/25 CPR/FA – 5/22/24, expires on 5/22/26 K. Ruff: CBC issued on 7/25/22, expires on 7/25/27 Recognizing and Responding to Suspicions of Child Maltreatment (RRSCM) training: 4/23/24 Health and Safety training – Shaken baby… maltreatment – 1/29/23, medication in child care – 6/24/24 E. Miller: HQ – 10/30/25 EI – 10/30/25 E. Reed: HQ – 11/4/25 EI – 11/4/25 J. Berrincha: HQ – 10/30/25 EI – 10/30/25 Off-site verification form for staff files were available for three (3) staff members in room 101 but not for other staff members. Due to lack of records, the date of employment for the new staff listed above were unknown. Per Mr. Queen, S. Bass and C. Cooper are the substitutes from ESS and not Haywood County Schools employees. Substitute staff file requirements were reviewed during today’s visit. The ABCMS system was reviewed for the following staff members: J. Barrincha – CBC will expire on 6/13/30 E. Reed – CBC will expire on 7/10/30 E. Miller – CBC will expire 1/9/30 L. Jones – CBC will expire 12/11/20 During the post conference, S. Bass and C. Cooper were identified as substitute staff members through EES. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Barbara Jeffreys from Region A Partnership conducted a desk audit on 12/9/25. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Wendy Underwood and teachers, Kaycee Webb and Alexandria West. No children files were monitored for completed health assessments and developmental screenings as they were reviewed during annual compliance visit. The first day of school was 8/26/25. The classroom operates from 7:30 am to 2:30 pm. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1 - #6. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses/ Special Education and the administrator has a Level III NCECAC equivalency. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A current license with issue date of February 7, 2025, was not posted. G.S. 110-99(a1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. In addition to the listed items, peanut butter and grape jelly, cheese sticks, graham crackers, sliced oranges, orange juice and mixed fruits were served as options. Those items were not documented on the menu prior to serving children. 10A NCAC 09 .0901(b) 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. The key to the cabinet where two (2) containers of Arm & Hammer Oxy Clean laundry detergent were maintained remained in the key hole in room 101. .2820(b) 847 Parent's medication authorization did not include required information. Medication authorization form was not on file for Children's Motrin in room 301. 10A NCAC 09 .0803(4)(6-9) 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. The TB screening submitted was completed on 2/6/20 for a substitute staff member who was hired in 2025 (exact date of employment unknown). The substitute is an ESS employee. .0701(a) 1043 All staff records, except financial records, were not made available for review. Many documents for staff files or the dates were not available for review for seven (7) new staff members and substitute staff. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letters were not printed and maintained in the staff files for four (4) staff members, and no off-site verification form was completed for them. G.S. 110-90.2(b) & (d) & .2703(e) 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. one (1) staff member was listed on the ABCMS roster while Twenty-two (22) staff members were identified during today's visit. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 102: License Current license must be posted. To comply, locate the current permit and post it in the space 101. Additionally, remove the old license. The current license was issued on 2/7/25. In your compliance letter, please verify completion of this task. 528: Food substitution Food substitution must be recoded on the menu prior to serving children. To comply, peanut butter and grape jelly sandwich, cheese sticks, mixed fruits, sliced oranges, graham crackers, orange juice must be listed on the menu. Discuss this requirement with kitchen staff members for accurate listings of menu items. In your compliance letter, please verify that correct items were listed on the menu for 4/29/26 as well as the review of this requirements with kitchen staff members. 840: potentially hazardous products No products that are potentially hazardous to children shall be accessible. To comply, the key to the cabinet where Arm & Hammer Oxy Clean laundry detergent must not be left on the key hole. This is considered the same as not being locked. In your compliance letter, please verify the correction of this item. 847: medication authorization form All medications required parental authorization form. To comply, you must obtain the authorization form for Children’s Tylenol for B.B. or return the medication home immediately. In the compliance letter, please state how you met the compliance. 1033 TB screening: TB screen is required to be completed on or prior to first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. To comply, S. Bass must complete new TB screening and submit the result to the school. In your compliance letter, please verify the date S. Bass submitted the document and filed in the staff file. 1043: records All records requested by the Division must be available for review. To comply, following information must be presented to consultant for S. Bass, L. Jones, C. Cooper, K. Ruff, E. Miller, E. Reed, and J. Berrincha: • Public School Off-Site Records Verification form for Staff Records (including the list of staff names) • Staff and Training Worksheet with all the dates Or • Application forms • Date of employment • Orientation form • Criminal background qualification letter • Medical exam • TB screening • Emergency information form • Health Questionnaire (required for 2nd year and thereafter) • Health and Safety training completion date and training certificates • Annual on-going training (required for 2nd year and thereafter) • Education information (WORKS letter) • Review of Shaken Baby policy (for preschool only) • Recognizing and Responding to Suspicions of Child Maltreatment Training certificate • Documentation of review of EPR plan • Documentation of review of EMC plan • Documentation of review of personnel/operation policies • Annual staff evaluation (required for 2nd year and thereafter) • Staff development plan (required for 2nd year and thereafter) • CPR and First Aid certificates You must submit either choice within twenty-four (24) hours. Based on the information, additional violations may be added. 1048: First Aid 1049: CPR Valid CPR and First Aid certificates must be maintained, and the certificates shall be maintained in the staff files. To comply, six (6) staff members – J. Rathbone, A. Parton, S. Floyd, D. Johnson, R. Cooper and A. Leatherwood shall review their CPR and First Aid certificates immediately. Adult and Pediatric First Aid/CPR/AED skills session – R.25 is available on 5/7/26, 5/8/26 at various time slots. For details, visit https://www.redcross.org/take-a-class/cpr?latitude=35.5334379&longitude=-82.910691&searchtype=class&zip=Clyde%2C%20NC%2028721%2C%20USA&zipcode=28721 In your compliance letter, please verify completion of CPR and First Aid training for each staff member. 1757: A valid qualification letter must be on file for review. To comply, you shall print qualification letter for L. Jones, E. Miller, E. Reed, and J. Berrincha and maintain them in their staff files or maintain them in the personnel files at off-site location and fill out Public School off-site verification form for staff records. In your compliance letter, please state the action you took to meet the compliance. 1805: ABCMS roster As we discussed during correction process in December 2025, all staff members, including substitute staff members, administrator and teaching staff must be listed on the roster. To comply, please list all staff members on the ABCMS roster within the next two (2) weeks. I will be monitoring the roster throughout the process. In your compliance letter, please verify the completion of this task. In case you face technical challenges, please contact ABCMS – Help Desk. Phone: 919.814.6401 Email: ABCMSSupport@Improving.com Hours of Operation: Monday-Friday (8am-6pm) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/13/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: K. Webb’s criminal background check will expire on 5/12/26. Please renew the background check without any lapse. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that al providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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.
NC GS 110-90 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 57 Completed Date: 4/29/2026 Age: From 4 To 12 Total Minutes: 426 Time In: 09:04 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit including compliance with requirements located in Child Care Rule Section .3000 in spaces #1, where children participating in the NC Pre-K program are cared for and requirements located in Child Care Rule Section .2900 in spaces #1, #2, #3, #4, #5, #6, as required for certified developmental day programs. #1 is preschool classroom, and #2 - #6 are school-age classrooms. Due to issues with NCID and the Regulatory system, a handwritten visit summary was created and signed by Kaoru Eddins, Child Care Consultant, and Jacob Shelton, Administrator. A Word document of today’s visit summary was also shared with Mr. Shelton and the details were discussed including violations, corrections and observations. Computer-generated visit summary will be created when NCID is repaired, and the visit summary will be emailed to you. Today, Wendy Underwood, lead teacher in space #1 was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – certified Developmental Day and NC Pre-K. Daytime care, meets enhanced space, playground does not meet child care playground safety standards for school-age children. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 11/13/25. The last fire drill was practiced on 3/31/26. The last shelter-in-place drill was practiced on 10/20/25 then 3/5/26. The last playground inspection was documented on 4/1/26. The last fire inspection was approved on 1/12/26. The last sanitation inspection was conducted on 12/15/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment surveys were started for Lead paint and asbestos. One (1) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Upon arrival, I greeted at front office. In 301 – 305, school age children were cared for. In 301, nine (9) children with eight (8) adults were present. Three (3) adults were from Positive Behavior Supports Corporation and did not count in staff/child ratios. One (1) of them were a nurse, and four (4) were teaching staff. Medications: Room 301: Total of thirteen medications were maintained in the classroom: 1) Children’s Motrin (B. B.) 2) Children’s Tylenol (No name) 3) Children’s Motrin (No name) 4) Family Wellness Children’s Pain Reliever (No name) 5) Briviact 75 mg tablet 6) Zonisamide 100 mg Caps 7) Zonisamide 25 mg caps 8) Creon Dr. 36, 000 unit 9) Creon 6,000 unit 10) Clobazam tab 10mg 11) Quillivant XR 25mg/5ml SRER 12) Valtoco SPR 15 mg (MP) 13) Valtoco 15 mg (LWR) Action plans were on file for both Valtocos for 2025-2026 school year. Medication authorizations were also on file for Briviact, Zonisamide, Valtocos, Clobazam, Quillivant, Creon 36,000 unit and Creon 6,000 unit. Per interview with school nurse, Zonisamide 25 mg caps were prescribed to supplement the quantities of Zonisamide 100 mgs – meaning four (4) 25 mg capsules would be administered to the child instead of one (1) 100 mg capsule. Per interview with classroom staff, Children’s Tylenol and Motrin without names belong to a staff member. No staff knew about Pain Reliever from Family Wellness. No medication authorization form was found for Children’s Motrin (B.B.). Some of the paperwork were maintained in the classroom while others were maintained in the office with a nurse. Other medications: Room 303 – one (1) Valtoco (J. C.) Room 304 – one (1) Ventolin (Z. R.) Room 305 – one (1) Equate Children’s Allergy Relief (T.B.), one (1) Epi-pen (T.B.) Medication authorization forms for four (4) medications and action plans for three (3) emergency medications listed above were on file and valid. In 302, three (3) staff members and nine (9) children were present. Two (2) children and one (1) staff member spent time on the playground outside of the class while other children worked on the assignment with other staff members. In 303, eight (8) children were present with four (4) adults – three (3) staff members and one (1) Registered Behavior Technician (RBT). In 304, eight (8) children with three (3) staff members were present. In 305 – four (4) staff members and eleven (11) children were present. In each classroom, children completed assignments on the tablet or on the paper. Staff members provided one-on-one or small group support for each child. Supervision and interaction were adequate. Snacks were provided during observations – children brought their own snacks. Supervision and interaction were adequate. Room 101 (preschool classroom): A total of seventeen (17) children, four (4) and five (5) years old, were present with three (3) staff members. During observation, children participated in group time and reviewed beginning letter sounds with the lead teacher. After group time, the children lined up and stopped by at the library, returned and borrowed books. After library visit, the children and staff members stopped at the common bathroom, then headed to the cafeteria. Per staff interview, the children will be eating in cafeteria moving forward as transition plan for kindergarten. Children were offered three (3) main dish options, and while individual meal combinations varied, each child received all required components. Some children were served peanut butter and jelly (grape) sandwiches with graham crackers, cheese sticks, and milk. Fruit options included orange slices, mixed fruit, or orange juice. Other children were served baked chicken legs with mashed potatoes and rolls, while some received fried steaks with mashed potatoes and rolls. Playground was monitored. No preschool children played with the areas where fall zones are required. While preschool children were inside, children from 301 were observed on the preschool playground. Staff files: Twelve (12) existing staff files were monitored for criminal background letters and CPR/FA certificates. CBC letter expiration dates: J. Rathbone – 9/7/27 A. Parton – 11/15/29 S. Floyd -2/9/28 P. Thomas – 8/15/27 D. Johnson – 9/23/27 R. Cooper – 4/6/27 A. Leatherwood – 8/7/30 S. Dewees – 7/18/27 M. DeFalco – 12/18/29 W. Underwood K. Webb A. West J. Shelton – 9/18/28 W. Underwood – 9/23/27 K. Webb – 5/12/26 A. West – 7/24/28 CPR/First aid expiration date: J. Rathbone – 3/4/26 A. Parton – 3/4/26 S. Floyd – 3/4/26 R. Cooper – 3/4/26 A. Leatherwood – 3/4/26 D. Johnson – 2/1/25 P. Thomas – 1/2028 S. Dewees – 3/5/27 M. DeFalco – 1/8/27 W. Underwood – 08/2026 K. Webb – 08/2026 A. West – 06/2027 The following new staff members’ files were monitored in full: S. Bass: CPR expiration date – 6/20/26 * first aid not 9included CBC issued on 1/11/24, expires on 1/11/29 TB screening – 2/6/20 EI – 8/2025 Shaken baby policy review – 8/25/25 L. Jones: HQ – 1/15/26 EI – 1/15/26 TB – 1/23/26 C. Cooper: CBC issued on 1/20/26, expires on 1/20/31 HQ – 1/14/26 EI – 1/14/26 Health exam – 10/17/25 TB – 10/17/25 CPR/FA – 5/22/24, expires on 5/22/26 K. Ruff: CBC issued on 7/25/22, expires on 7/25/27 Recognizing and Responding to Suspicions of Child Maltreatment (RRSCM) training: 4/23/24 Health and Safety training – Shaken baby… maltreatment – 1/29/23, medication in child care – 6/24/24 E. Miller: HQ – 10/30/25 EI – 10/30/25 E. Reed: HQ – 11/4/25 EI – 11/4/25 J. Berrincha: HQ – 10/30/25 EI – 10/30/25 Off-site verification form for staff files were available for three (3) staff members in room 101 but not for other staff members. Due to lack of records, the date of employment for the new staff listed above were unknown. Per Mr. Queen, S. Bass and C. Cooper are the substitutes from ESS and not Haywood County Schools employees. Substitute staff file requirements were reviewed during today’s visit. The ABCMS system was reviewed for the following staff members: J. Barrincha – CBC will expire on 6/13/30 E. Reed – CBC will expire on 7/10/30 E. Miller – CBC will expire 1/9/30 L. Jones – CBC will expire 12/11/20 During the post conference, S. Bass and C. Cooper were identified as substitute staff members through EES. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Barbara Jeffreys from Region A Partnership conducted a desk audit on 12/9/25. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Wendy Underwood and teachers, Kaycee Webb and Alexandria West. No children files were monitored for completed health assessments and developmental screenings as they were reviewed during annual compliance visit. The first day of school was 8/26/25. The classroom operates from 7:30 am to 2:30 pm. The developmental day requirements in section .2900 of the child care rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1 - #6. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses/ Special Education and the administrator has a Level III NCECAC equivalency. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. A current license with issue date of February 7, 2025, was not posted. G.S. 110-99(a1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. In addition to the listed items, peanut butter and grape jelly, cheese sticks, graham crackers, sliced oranges, orange juice and mixed fruits were served as options. Those items were not documented on the menu prior to serving children. 10A NCAC 09 .0901(b) 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. The key to the cabinet where two (2) containers of Arm & Hammer Oxy Clean laundry detergent were maintained remained in the key hole in room 101. .2820(b) 847 Parent's medication authorization did not include required information. Medication authorization form was not on file for Children's Motrin in room 301. 10A NCAC 09 .0803(4)(6-9) 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. The TB screening submitted was completed on 2/6/20 for a substitute staff member who was hired in 2025 (exact date of employment unknown). The substitute is an ESS employee. .0701(a) 1043 All staff records, except financial records, were not made available for review. Many documents for staff files or the dates were not available for review for seven (7) new staff members and substitute staff. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training expired on 3/4/26 for five (5) staff members, and expired on 2/1/25 for one (1) staff member. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letters were not printed and maintained in the staff files for four (4) staff members, and no off-site verification form was completed for them. G.S. 110-90.2(b) & (d) & .2703(e) 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. one (1) staff member was listed on the ABCMS roster while Twenty-two (22) staff members were identified during today's visit. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 102: License Current license must be posted. To comply, locate the current permit and post it in the space 101. Additionally, remove the old license. The current license was issued on 2/7/25. In your compliance letter, please verify completion of this task. 528: Food substitution Food substitution must be recoded on the menu prior to serving children. To comply, peanut butter and grape jelly sandwich, cheese sticks, mixed fruits, sliced oranges, graham crackers, orange juice must be listed on the menu. Discuss this requirement with kitchen staff members for accurate listings of menu items. In your compliance letter, please verify that correct items were listed on the menu for 4/29/26 as well as the review of this requirements with kitchen staff members. 840: potentially hazardous products No products that are potentially hazardous to children shall be accessible. To comply, the key to the cabinet where Arm & Hammer Oxy Clean laundry detergent must not be left on the key hole. This is considered the same as not being locked. In your compliance letter, please verify the correction of this item. 847: medication authorization form All medications required parental authorization form. To comply, you must obtain the authorization form for Children’s Tylenol for B.B. or return the medication home immediately. In the compliance letter, please state how you met the compliance. 1033 TB screening: TB screen is required to be completed on or prior to first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. To comply, S. Bass must complete new TB screening and submit the result to the school. In your compliance letter, please verify the date S. Bass submitted the document and filed in the staff file. 1043: records All records requested by the Division must be available for review. To comply, following information must be presented to consultant for S. Bass, L. Jones, C. Cooper, K. Ruff, E. Miller, E. Reed, and J. Berrincha: • Public School Off-Site Records Verification form for Staff Records (including the list of staff names) • Staff and Training Worksheet with all the dates Or • Application forms • Date of employment • Orientation form • Criminal background qualification letter • Medical exam • TB screening • Emergency information form • Health Questionnaire (required for 2nd year and thereafter) • Health and Safety training completion date and training certificates • Annual on-going training (required for 2nd year and thereafter) • Education information (WORKS letter) • Review of Shaken Baby policy (for preschool only) • Recognizing and Responding to Suspicions of Child Maltreatment Training certificate • Documentation of review of EPR plan • Documentation of review of EMC plan • Documentation of review of personnel/operation policies • Annual staff evaluation (required for 2nd year and thereafter) • Staff development plan (required for 2nd year and thereafter) • CPR and First Aid certificates You must submit either choice within twenty-four (24) hours. Based on the information, additional violations may be added. 1048: First Aid 1049: CPR Valid CPR and First Aid certificates must be maintained, and the certificates shall be maintained in the staff files. To comply, six (6) staff members – J. Rathbone, A. Parton, S. Floyd, D. Johnson, R. Cooper and A. Leatherwood shall review their CPR and First Aid certificates immediately. Adult and Pediatric First Aid/CPR/AED skills session – R.25 is available on 5/7/26, 5/8/26 at various time slots. For details, visit https://www.redcross.org/take-a-class/cpr?latitude=35.5334379&longitude=-82.910691&searchtype=class&zip=Clyde%2C%20NC%2028721%2C%20USA&zipcode=28721 In your compliance letter, please verify completion of CPR and First Aid training for each staff member. 1757: A valid qualification letter must be on file for review. To comply, you shall print qualification letter for L. Jones, E. Miller, E. Reed, and J. Berrincha and maintain them in their staff files or maintain them in the personnel files at off-site location and fill out Public School off-site verification form for staff records. In your compliance letter, please state the action you took to meet the compliance. 1805: ABCMS roster As we discussed during correction process in December 2025, all staff members, including substitute staff members, administrator and teaching staff must be listed on the roster. To comply, please list all staff members on the ABCMS roster within the next two (2) weeks. I will be monitoring the roster throughout the process. In your compliance letter, please verify the completion of this task. In case you face technical challenges, please contact ABCMS – Help Desk. Phone: 919.814.6401 Email: ABCMSSupport@Improving.com Hours of Operation: Monday-Friday (8am-6pm) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/13/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: K. Webb’s criminal background check will expire on 5/12/26. Please renew the background check without any lapse. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that al providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 62 Completed Date: 12/8/2025 Age: From 5 To 12 Total Minutes: 80 Time In: 10:55 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Unannounced Visit Follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jacob Shelton, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Kiffin Queen, Assistant Principal. Today, Mr. Shelton, administrator was available during the visit. Limited monitoring of Child Care Rules was conducted, including but not limited to criminal background requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The program operates with five-star center license issued on 2/7/25 with restrictions; daytime care, meets enhanced space, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The program is certified Developmental Day. The visit was conducted to follow up on the uncorrected violation item 1805. The violation was originally cited during annual compliance visit conducted on November 13, 2025. Due to technical difficulties with Automated Background Check Management System (ABCMS), an extension was approved through December 5, 2025. Additional request for extension was submitted via email on December 19, 2025, but was denied. Upon arrival, I announced my presence and the purpose of the visit. I conducted a quick walk through the classrooms. Many children in school-age intervention classrooms created seasonal art and crafts. Some children left for lunch, and some returned from specials. In preschool classroom, eighteen (18) children were present with three (3) staff members. The children attended group time with the lead teacher while other staff prepared lunch at the table. Today, chicken nuggets, macaroni and cheese, steamed cabbage, beans, rolls and milk were served for lunch. Supervision and interaction were adequate. Staff/child ratios were maintained in all classrooms. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. No staff members were added to the facility roster on the Automated Criminal Background Check Management System (ABCMS). G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 1805: Program roster on ABCMS Per my email exchange with Mr. Queen, he has completed the Moodle training and received the code needed for staff members to link their accounts with the program. Due to many NCID accounts being inactive, additional time has been required to meet with each staff member individually, reactivate their accounts, and ensure they are properly linked to the program. Please begin with the administrator first. Once you list one (1) staff member, it will be considered progress toward compliance, and I will be able to mark the violation as corrected. Please note that it is important that you continue to list all staff members on the roster. If the roster is not completed by the next routine visit, an additional repeat violation of item 1805 will be cited. You may also contact the ABCMS Help Desk for additional assistance: Email: ABCMSSupport@Improving.com Phone: 678-387-5466 Once you have listed at least one (1) staff member, please notify me via email. Please also seek additional guidance from the Program Coordinator for the after-school program, as the roster for that program is progressing well. NCID related information: Individual NCID accounts can become inactive if the user does not log in for fifteen (15) months. Follow these steps to reset your MyNCID password: 1. On your desktop or mobile device, visit the MyNCID Account Recovery Options page on the MyNCID Portal. 2. Select the Forgot Password link. 3. Enter your MyNCID username, then select Next. 4. MyNCID will send you a one-time password. Choose whether you want to receive it by email or text message. 5. Enter the one-time password you received. Then select Submit. Please note: the one-time password expires after 10 minutes. 6. You will then be able to set a new password for your MyNCID account. After multiple unsuccessful login attempts, an account may become locked. Please note that all locked MyNCID accounts automatically unlock after 2 hours. To unlock your account sooner, follow these steps to receive a one-time password: 1. On your desktop or mobile device, visit the MyNCID Account Recovery Options page on the MyNCID Portal. 2. Select the Unlock Account link. 3. Enter your MyNCID username, then select Next. 4. MyNCID will send you a one-time password. Choose whether you want to receive it by email or text message. 5. Enter the one-time password you received. Then select Submit. Please note: the one-time password expires after 10 minutes. You can access additional helpful NCID information at: https://it.nc.gov/support/accounts/myncid/faqs Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Information on the Staff and Training Worksheet: All areas on the Staff and Training Worksheet that pertain to your program must be identified. Please work with your HR and identify all missing dates. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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.
NC GS 110-90 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 62 Completed Date: 12/8/2025 Age: From 5 To 12 Total Minutes: 80 Time In: 10:55 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Unannounced Visit Follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jacob Shelton, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Kiffin Queen, Assistant Principal. Today, Mr. Shelton, administrator was available during the visit. Limited monitoring of Child Care Rules was conducted, including but not limited to criminal background requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The program operates with five-star center license issued on 2/7/25 with restrictions; daytime care, meets enhanced space, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The program is certified Developmental Day. The visit was conducted to follow up on the uncorrected violation item 1805. The violation was originally cited during annual compliance visit conducted on November 13, 2025. Due to technical difficulties with Automated Background Check Management System (ABCMS), an extension was approved through December 5, 2025. Additional request for extension was submitted via email on December 19, 2025, but was denied. Upon arrival, I announced my presence and the purpose of the visit. I conducted a quick walk through the classrooms. Many children in school-age intervention classrooms created seasonal art and crafts. Some children left for lunch, and some returned from specials. In preschool classroom, eighteen (18) children were present with three (3) staff members. The children attended group time with the lead teacher while other staff prepared lunch at the table. Today, chicken nuggets, macaroni and cheese, steamed cabbage, beans, rolls and milk were served for lunch. Supervision and interaction were adequate. Staff/child ratios were maintained in all classrooms. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 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. No staff members were added to the facility roster on the Automated Criminal Background Check Management System (ABCMS). G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 1805: Program roster on ABCMS Per my email exchange with Mr. Queen, he has completed the Moodle training and received the code needed for staff members to link their accounts with the program. Due to many NCID accounts being inactive, additional time has been required to meet with each staff member individually, reactivate their accounts, and ensure they are properly linked to the program. Please begin with the administrator first. Once you list one (1) staff member, it will be considered progress toward compliance, and I will be able to mark the violation as corrected. Please note that it is important that you continue to list all staff members on the roster. If the roster is not completed by the next routine visit, an additional repeat violation of item 1805 will be cited. You may also contact the ABCMS Help Desk for additional assistance: Email: ABCMSSupport@Improving.com Phone: 678-387-5466 Once you have listed at least one (1) staff member, please notify me via email. Please also seek additional guidance from the Program Coordinator for the after-school program, as the roster for that program is progressing well. NCID related information: Individual NCID accounts can become inactive if the user does not log in for fifteen (15) months. Follow these steps to reset your MyNCID password: 1. On your desktop or mobile device, visit the MyNCID Account Recovery Options page on the MyNCID Portal. 2. Select the Forgot Password link. 3. Enter your MyNCID username, then select Next. 4. MyNCID will send you a one-time password. Choose whether you want to receive it by email or text message. 5. Enter the one-time password you received. Then select Submit. Please note: the one-time password expires after 10 minutes. 6. You will then be able to set a new password for your MyNCID account. After multiple unsuccessful login attempts, an account may become locked. Please note that all locked MyNCID accounts automatically unlock after 2 hours. To unlock your account sooner, follow these steps to receive a one-time password: 1. On your desktop or mobile device, visit the MyNCID Account Recovery Options page on the MyNCID Portal. 2. Select the Unlock Account link. 3. Enter your MyNCID username, then select Next. 4. MyNCID will send you a one-time password. Choose whether you want to receive it by email or text message. 5. Enter the one-time password you received. Then select Submit. Please note: the one-time password expires after 10 minutes. You can access additional helpful NCID information at: https://it.nc.gov/support/accounts/myncid/faqs Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Information on the Staff and Training Worksheet: All areas on the Staff and Training Worksheet that pertain to your program must be identified. Please work with your HR and identify all missing dates. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0304 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 61 Completed Date: 11/13/2025 Age: From 4 To 12 Total Minutes: 370 Time In: 09:10 AM Time Out: 03:20 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 monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Kiffin Queen, Assistant Principal, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Jacob Shelton, Principal/Administrator. Monica Houck, Lead Child Care Consultant and Bridget Owen, Child Care Consultant accompanied me partially during today’s visit, but the documents were not signed by them. Today, Mr. Kiffin was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, playground does not meet child care playground safety standards for school-age only. Certified Developmental Day. The last annual compliance with Rated License Assessment visit was conducted on 12/5/24. The last fire drill was practiced on 10/29/24. The last shelter-in-place drill was practiced on 10/20/24. The last playground inspection was documented on 12/10/24. The last fire inspection was approved on 11/7/25. The last sanitation inspection was conducted on 5/8/25 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment process was started for lead paint and asbestos testing but has not been completed. The ABCMS roster was reviewed during today’s visit and no staff members were listed. Space 101 was monitored by Ms. Owen. During today’s observation in Space 101, eighteen children were present, including seven (7) five-year-olds and eleven (11) four-year-olds. Lunch consisted of salad, milk, a pear, an Uncrustable sandwich, and a graham cracker. Children were observed eating their lunch appropriately and appeared to enjoy the meal. Supervision was great, and teacher–child interactions were positive and engaging throughout the lunch period. The rest of the space was monitored by K. Eddins. In space 301, a total of six (6) adults and five (5) children were present. The adults included three (3) staff members—a lead teacher and two (2) teacher assistants—one (1) nurse, and two (2) therapists. The nurse and therapists were employed by contract agencies and not by Haywood County Schools. Adults were observed working individually with children. One (1) child was on the swing. A total of nine (9) medications were maintained in space 301. One (1) medication, Valtoco, was stored in a backpack on top of the refrigerator, while the remaining medications were kept in a locked closet. Of the three (3) children’s fever reducer/pain medications, only one (1) was labeled with a child’s name. The permission form for Children’s Motrin was completed by the parent; however, the incorrect form (an over-the-counter topical medication form) was used. According to the lead teacher, the medication was administered sometime last week, but the administration of Children’s Motrin was not documented. Seven (7) of the medications belonged to one child, according to the nurse. One (1) medication, Briviact 75 mg, did not have a pharmacy label, and the child’s name was not written on the bottle. The nurse stated that the child takes six (6) medications daily, which are administered by him/her. Records of medication administration were shared with me via phone; however, other documentation, including the permission form for medication administration, was not available for review. The nurse stated that these records are managed by his/her employer, and he/she does not have direct access to them. I interviewed the lead teacher, a teacher assistant, and the nurse regarding these medications. The nurse stated that the child’s grandmother administers the medications when he/she is not at school; otherwise, the nurse administers them daily. A document titled Home Health Certification and Plan of Care was available for these medications. The plan was signed by a physician but not by the parent/guardian. In space 302, a group of six (6) children and six (6) adults were present. Of the six (6) adults, one (1) was a lead teacher, one (1) a teacher assistant, one (1) a substitute, and three (3) Registered Behavioral Technicians (RBTs). Four (4) of the adults, excluding the lead teacher and teacher assistant, were from contract agencies, including ESS Substitute Services. During my observation, three (3) students were in the playground area with the substitute and two (2) therapists, while the remaining three (3) students were in the classroom with the lead teacher and teacher assistant engaged in small-group activities. The adults on the playground did not have DCDEE criminal background checks per the ABCMS system. In space 303, seven (7) children and eight (8) adults were present. The adults included one (1) lead teacher and three (3) teacher assistants, one (1) of whom was assigned as a one-on-one support for a child. Additionally, one (1) Registered Behavioral Technician (RBT), one (1) Licensed Clinical Social Worker (LCSW), and two (2) adults from another contract agency were present. The two (2) contract agency staff members were engaged in a meeting/discussion; therefore, they were not interviewed. One (1) child was taken to the hallway by an RBT to work on a literacy activity during the visit. No DCDEE criminal background letter was located in the ABCMS system. One (1) medication was maintained in the office/nurse’s office. The child takes the medication daily at lunchtime. The permission form and action plan were valid, and the administration of the medication was logged appropriately. In space 304, seven (7) children and three (3) staff members were present. The children were seated at tables working on their assignments. One (1) emergency medication was maintained in a backpack, and both the permission form and action plan were valid. In space 305, seven (7) children and four (4) adults were present, including one (1) lead teacher, two (2) teacher assistants, and one (1) nurse. The nurse was employed by a contract agency. The children were seated at tables having snacks brought from home while a book was being played on the Smart Board. No medications were maintained in the classroom. Mr. Shelton, Mr. Queen, and I discussed space 306. This space had previously been reviewed during the annual compliance visit for the Rated License Assessment conducted on 12/5/24. At that time, Karly Wells, the previous administrator, verbally requested that space 306 be added to the licensed space. The room was reviewed for required postings; however, it was not formally licensed. During the current visit, Ms. Wells, Brandi Stephenson, Mr. Shelton, and Mr. Queen verified that space 306 is not currently receiving funding under the Developmental Day program. We discussed that additional information is required before adding the space to the licensed program, including statements from maintenance personnel, the Fire Marshal, and the Environmental Health Specialist verifying that room 306 meets all applicable codes. The pre-K playground was monitored during the visit. The children did not use the areas with gravel; instead, they rode tricycles, ran, and engaged in conversations with staff members. Supervision and interactions between students and staff were appropriate and adequate. Staff and Training Worksheet for school-age staff members were submitted by Mr. Queen during the visit. Ms. Houck and Ms. Owen reviewed eight (8) staff members files and seven (7) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program is approved for transportation. However, there are no Bus riders in Pre-K classroom this year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was completed on 9/29/25 and was reviewed today. Two (2) NC Pre-K children’s files were monitored today. The classroom operates from 7:30 a.m. to 2 p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all spaces. The following violations were documented during today’s visit: Violation Number Comment Rule 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. Three (3) cans of shaving cream were maintained in the cabinet in space 301. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child in space 301 takes at least seven (7) medications daily and administered by a nurse from a contract agency. No authorization form signed by the parent/guardian of the child was available for review. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Briviact 75 mg for a child in space #301 did not have the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The following medications in space 301 did not have medication authorization forms: Clobazam Tab 10 mg, Lamotrigine chw 5mg, Creon Dr. 36,000 unit cap, Creon Dr. 6,000 unit cap, Briviact 75 mg, Zonisamide 100 mg cap, Valtoco 15mg, Children's Motrin (2 Children's Motrin were present without names). 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Per interview, Children's Tylenol was administered to a child in space 301, but the documentation was not created. .0803(13)(a-e); .2318(3) 1041 Prior to employment a Criminal Background Check was not completed. Two (2) staff members who were employed by contract agencies were counted in staff/child ratios during the observation and did not complete their criminal background check prior to their employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. The following information was not provided on the Staff and Training Worksheet in timely manner before the end of monitoring visit. The following information was not provided on the Staff and Training Worksheet in timely manner before the end of monitoring visit: Dates of medical statement were not provided for four (4) staff members. Dates of orientation were not provided; One (1) staff hired on 8/12/25, did not have documentation on the staff and training worksheet to verify the date the first six weeks of new staff orientation was completed. Three (3) staff did not have dates on the staff and training worksheet to verify that personnel policies were discussed with each staff. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Two (2) staff members from contract agencies counted in staff/child ratios during observation. Their qualification letters were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. There were no staff at the child care facility that were verified to be assigned as hired at the child care facility in the ABCMS portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff members with employment dates of 8/13/24 and 8/2024 did not complete the Health and Safety training within one (1) year pf employment. .1102(a) Technical assistance was provided as follows: 840: Potentially Hazardous Products To achieve compliance, all products in aerosol cans must be stored in a locked area. A locked storage area must be secured with a combination lock, padlock, magnetic lock, or an equivalent locking mechanism. Baby-proof devices are not sufficient to meet this requirement. 842: administration of medication Medications cannot be administered without parental consent. To comply, authorization form must be completed for each medication. Until all forms are in place, no one rathe than families of the child can administer the medications. In your compliance letter, please state the actions you took to meet compliance. 844: pharmacy labels Prescription mediation must be stored in the original container with pharmacy label(s). This is for the school personnels and staff members to prevent medication mistakes. The labels will help them identify the right medication, right child, right route, right time and right dosage. The parent/guardian of the child who takes Briviact 75mg can request the pharmacy to re-print the label and bring it to the school. 847: Required documentation for medications When medications are maintained at school and administered while children are in care, authorization form is required for each medication and must be signed by the child’s parent or a guardian. Action plans are also required for emergency medications. To comply, authorization forms must be completed by the child’s parent/guardian for each medication. 851: medication log When prescription and over-the-counter medications (not including over-the-counter topicals/creams) are administered, required information must be documented and maintained for minimum of six (6) months. The required information are: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. To comply, please document above information for a child in space 301 who were given Children’s Tylenol last week. 1043: information The date of medical statement was not available during the visit for C. Trull and E. Reed. To comply, please provide the dates of their medical statement. In your compliance letter, please verify that their medical statements are on file. 1041: Criminal Background Check for New Employees 1757: Qualification Letters All staff members who provide care for, or are responsible for, children must complete a criminal background check conducted by the Division prior to the start of employment. Once qualification letters are issued, they must be maintained on file and made available for review during monitoring visits. T. Bright – substitute staff member from ESS counted in staff/child ratios on the playground for space 302 did not have DCDEE criminal background check or the qualification letter. C. Harwell, RBT, pulled a child to the hallway from space 303 to work on the literacy activity. He/she did not have the criminal background check by DCDEE or the qualification letter. To achieve compliance, the following steps must be taken immediately: Any staff member who has not completed a criminal background check through DCDEE must not be responsible for children. Such staff members may not be left alone with children or counted in the staff/child ratio. The application for a criminal background check through DCDEE can be accessed via the ABCMS website at https://ncabcms.nc.gov/DCDEE/ Fingerprinting must be completed at a local government office prior to a qualification letter being issued. Once the qualification letter is issued, each staff member must forward a copy to the program they serve if the program is a licensed child care program. The staff members’ criminal background letters must be submitted to me via email. If the criminal background check is not completed, you must verify that those staff members are not counted in staff/child ratios in writing. 1805: reporting of staff members in the ABCMS system All staff associated with the child care facility must be assigned to Clyde Elementary School Intensive Intervention Classrooms in the ABCMS portal. **New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, you need the program’s business NCID to complete this task. Follow the instructions you learned in the Moodle training video about ABCMS system and list all staff members on the roster. Please note that all substitute members who count in staff/child ratios must also be listed on the roster. In your compliance letter, please state the action you took to meet the compliance. 1898: Health and Safety training The following staff members did not complete the Health and Safety training within one (1) year of employment: M. DeFalco and C. Primo. To comply, all Health and Safety training topic included in CCDF training and "Medication in Child Care" training must be completed within the next two (2) weeks on DCDEE Moodle at https://www.dcdee.moodle.nc.gov/. All training certificates must be printed and maintained in the staff files. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/27/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: No discussion on the Rated License Assessment was completed during today’s visit. The program is not due to renewal of the Rated License Assessment until February 2028. We discussed staff members employed by the Haywood County Schools and the staff member employed by the contract agencies. The same requirements apply to all staff members who count in staff/child ratios. All required documentations must be available for review. The school is working on completing the inspections (fire and sanitation) to license space 306. Current capacity of the program is seventy-five (75). You must submit a written request for adding the space and increasing the overall program capacity. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 61 Completed Date: 11/13/2025 Age: From 4 To 12 Total Minutes: 370 Time In: 09:10 AM Time Out: 03:20 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 monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Kiffin Queen, Assistant Principal, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Jacob Shelton, Principal/Administrator. Monica Houck, Lead Child Care Consultant and Bridget Owen, Child Care Consultant accompanied me partially during today’s visit, but the documents were not signed by them. Today, Mr. Kiffin was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, playground does not meet child care playground safety standards for school-age only. Certified Developmental Day. The last annual compliance with Rated License Assessment visit was conducted on 12/5/24. The last fire drill was practiced on 10/29/24. The last shelter-in-place drill was practiced on 10/20/24. The last playground inspection was documented on 12/10/24. The last fire inspection was approved on 11/7/25. The last sanitation inspection was conducted on 5/8/25 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment process was started for lead paint and asbestos testing but has not been completed. The ABCMS roster was reviewed during today’s visit and no staff members were listed. Space 101 was monitored by Ms. Owen. During today’s observation in Space 101, eighteen children were present, including seven (7) five-year-olds and eleven (11) four-year-olds. Lunch consisted of salad, milk, a pear, an Uncrustable sandwich, and a graham cracker. Children were observed eating their lunch appropriately and appeared to enjoy the meal. Supervision was great, and teacher–child interactions were positive and engaging throughout the lunch period. The rest of the space was monitored by K. Eddins. In space 301, a total of six (6) adults and five (5) children were present. The adults included three (3) staff members—a lead teacher and two (2) teacher assistants—one (1) nurse, and two (2) therapists. The nurse and therapists were employed by contract agencies and not by Haywood County Schools. Adults were observed working individually with children. One (1) child was on the swing. A total of nine (9) medications were maintained in space 301. One (1) medication, Valtoco, was stored in a backpack on top of the refrigerator, while the remaining medications were kept in a locked closet. Of the three (3) children’s fever reducer/pain medications, only one (1) was labeled with a child’s name. The permission form for Children’s Motrin was completed by the parent; however, the incorrect form (an over-the-counter topical medication form) was used. According to the lead teacher, the medication was administered sometime last week, but the administration of Children’s Motrin was not documented. Seven (7) of the medications belonged to one child, according to the nurse. One (1) medication, Briviact 75 mg, did not have a pharmacy label, and the child’s name was not written on the bottle. The nurse stated that the child takes six (6) medications daily, which are administered by him/her. Records of medication administration were shared with me via phone; however, other documentation, including the permission form for medication administration, was not available for review. The nurse stated that these records are managed by his/her employer, and he/she does not have direct access to them. I interviewed the lead teacher, a teacher assistant, and the nurse regarding these medications. The nurse stated that the child’s grandmother administers the medications when he/she is not at school; otherwise, the nurse administers them daily. A document titled Home Health Certification and Plan of Care was available for these medications. The plan was signed by a physician but not by the parent/guardian. In space 302, a group of six (6) children and six (6) adults were present. Of the six (6) adults, one (1) was a lead teacher, one (1) a teacher assistant, one (1) a substitute, and three (3) Registered Behavioral Technicians (RBTs). Four (4) of the adults, excluding the lead teacher and teacher assistant, were from contract agencies, including ESS Substitute Services. During my observation, three (3) students were in the playground area with the substitute and two (2) therapists, while the remaining three (3) students were in the classroom with the lead teacher and teacher assistant engaged in small-group activities. The adults on the playground did not have DCDEE criminal background checks per the ABCMS system. In space 303, seven (7) children and eight (8) adults were present. The adults included one (1) lead teacher and three (3) teacher assistants, one (1) of whom was assigned as a one-on-one support for a child. Additionally, one (1) Registered Behavioral Technician (RBT), one (1) Licensed Clinical Social Worker (LCSW), and two (2) adults from another contract agency were present. The two (2) contract agency staff members were engaged in a meeting/discussion; therefore, they were not interviewed. One (1) child was taken to the hallway by an RBT to work on a literacy activity during the visit. No DCDEE criminal background letter was located in the ABCMS system. One (1) medication was maintained in the office/nurse’s office. The child takes the medication daily at lunchtime. The permission form and action plan were valid, and the administration of the medication was logged appropriately. In space 304, seven (7) children and three (3) staff members were present. The children were seated at tables working on their assignments. One (1) emergency medication was maintained in a backpack, and both the permission form and action plan were valid. In space 305, seven (7) children and four (4) adults were present, including one (1) lead teacher, two (2) teacher assistants, and one (1) nurse. The nurse was employed by a contract agency. The children were seated at tables having snacks brought from home while a book was being played on the Smart Board. No medications were maintained in the classroom. Mr. Shelton, Mr. Queen, and I discussed space 306. This space had previously been reviewed during the annual compliance visit for the Rated License Assessment conducted on 12/5/24. At that time, Karly Wells, the previous administrator, verbally requested that space 306 be added to the licensed space. The room was reviewed for required postings; however, it was not formally licensed. During the current visit, Ms. Wells, Brandi Stephenson, Mr. Shelton, and Mr. Queen verified that space 306 is not currently receiving funding under the Developmental Day program. We discussed that additional information is required before adding the space to the licensed program, including statements from maintenance personnel, the Fire Marshal, and the Environmental Health Specialist verifying that room 306 meets all applicable codes. The pre-K playground was monitored during the visit. The children did not use the areas with gravel; instead, they rode tricycles, ran, and engaged in conversations with staff members. Supervision and interactions between students and staff were appropriate and adequate. Staff and Training Worksheet for school-age staff members were submitted by Mr. Queen during the visit. Ms. Houck and Ms. Owen reviewed eight (8) staff members files and seven (7) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program is approved for transportation. However, there are no Bus riders in Pre-K classroom this year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was completed on 9/29/25 and was reviewed today. Two (2) NC Pre-K children’s files were monitored today. The classroom operates from 7:30 a.m. to 2 p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all spaces. The following violations were documented during today’s visit: Violation Number Comment Rule 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. Three (3) cans of shaving cream were maintained in the cabinet in space 301. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child in space 301 takes at least seven (7) medications daily and administered by a nurse from a contract agency. No authorization form signed by the parent/guardian of the child was available for review. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Briviact 75 mg for a child in space #301 did not have the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The following medications in space 301 did not have medication authorization forms: Clobazam Tab 10 mg, Lamotrigine chw 5mg, Creon Dr. 36,000 unit cap, Creon Dr. 6,000 unit cap, Briviact 75 mg, Zonisamide 100 mg cap, Valtoco 15mg, Children's Motrin (2 Children's Motrin were present without names). 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Per interview, Children's Tylenol was administered to a child in space 301, but the documentation was not created. .0803(13)(a-e); .2318(3) 1041 Prior to employment a Criminal Background Check was not completed. Two (2) staff members who were employed by contract agencies were counted in staff/child ratios during the observation and did not complete their criminal background check prior to their employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. The following information was not provided on the Staff and Training Worksheet in timely manner before the end of monitoring visit. The following information was not provided on the Staff and Training Worksheet in timely manner before the end of monitoring visit: Dates of medical statement were not provided for four (4) staff members. Dates of orientation were not provided; One (1) staff hired on 8/12/25, did not have documentation on the staff and training worksheet to verify the date the first six weeks of new staff orientation was completed. Three (3) staff did not have dates on the staff and training worksheet to verify that personnel policies were discussed with each staff. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Two (2) staff members from contract agencies counted in staff/child ratios during observation. Their qualification letters were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. There were no staff at the child care facility that were verified to be assigned as hired at the child care facility in the ABCMS portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff members with employment dates of 8/13/24 and 8/2024 did not complete the Health and Safety training within one (1) year pf employment. .1102(a) Technical assistance was provided as follows: 840: Potentially Hazardous Products To achieve compliance, all products in aerosol cans must be stored in a locked area. A locked storage area must be secured with a combination lock, padlock, magnetic lock, or an equivalent locking mechanism. Baby-proof devices are not sufficient to meet this requirement. 842: administration of medication Medications cannot be administered without parental consent. To comply, authorization form must be completed for each medication. Until all forms are in place, no one rathe than families of the child can administer the medications. In your compliance letter, please state the actions you took to meet compliance. 844: pharmacy labels Prescription mediation must be stored in the original container with pharmacy label(s). This is for the school personnels and staff members to prevent medication mistakes. The labels will help them identify the right medication, right child, right route, right time and right dosage. The parent/guardian of the child who takes Briviact 75mg can request the pharmacy to re-print the label and bring it to the school. 847: Required documentation for medications When medications are maintained at school and administered while children are in care, authorization form is required for each medication and must be signed by the child’s parent or a guardian. Action plans are also required for emergency medications. To comply, authorization forms must be completed by the child’s parent/guardian for each medication. 851: medication log When prescription and over-the-counter medications (not including over-the-counter topicals/creams) are administered, required information must be documented and maintained for minimum of six (6) months. The required information are: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. To comply, please document above information for a child in space 301 who were given Children’s Tylenol last week. 1043: information The date of medical statement was not available during the visit for C. Trull and E. Reed. To comply, please provide the dates of their medical statement. In your compliance letter, please verify that their medical statements are on file. 1041: Criminal Background Check for New Employees 1757: Qualification Letters All staff members who provide care for, or are responsible for, children must complete a criminal background check conducted by the Division prior to the start of employment. Once qualification letters are issued, they must be maintained on file and made available for review during monitoring visits. T. Bright – substitute staff member from ESS counted in staff/child ratios on the playground for space 302 did not have DCDEE criminal background check or the qualification letter. C. Harwell, RBT, pulled a child to the hallway from space 303 to work on the literacy activity. He/she did not have the criminal background check by DCDEE or the qualification letter. To achieve compliance, the following steps must be taken immediately: Any staff member who has not completed a criminal background check through DCDEE must not be responsible for children. Such staff members may not be left alone with children or counted in the staff/child ratio. The application for a criminal background check through DCDEE can be accessed via the ABCMS website at https://ncabcms.nc.gov/DCDEE/ Fingerprinting must be completed at a local government office prior to a qualification letter being issued. Once the qualification letter is issued, each staff member must forward a copy to the program they serve if the program is a licensed child care program. The staff members’ criminal background letters must be submitted to me via email. If the criminal background check is not completed, you must verify that those staff members are not counted in staff/child ratios in writing. 1805: reporting of staff members in the ABCMS system All staff associated with the child care facility must be assigned to Clyde Elementary School Intensive Intervention Classrooms in the ABCMS portal. **New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, you need the program’s business NCID to complete this task. Follow the instructions you learned in the Moodle training video about ABCMS system and list all staff members on the roster. Please note that all substitute members who count in staff/child ratios must also be listed on the roster. In your compliance letter, please state the action you took to meet the compliance. 1898: Health and Safety training The following staff members did not complete the Health and Safety training within one (1) year of employment: M. DeFalco and C. Primo. To comply, all Health and Safety training topic included in CCDF training and "Medication in Child Care" training must be completed within the next two (2) weeks on DCDEE Moodle at https://www.dcdee.moodle.nc.gov/. All training certificates must be printed and maintained in the staff files. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/27/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: No discussion on the Rated License Assessment was completed during today’s visit. The program is not due to renewal of the Rated License Assessment until February 2028. We discussed staff members employed by the Haywood County Schools and the staff member employed by the contract agencies. The same requirements apply to all staff members who count in staff/child ratios. All required documentations must be available for review. The school is working on completing the inspections (fire and sanitation) to license space 306. Current capacity of the program is seventy-five (75). You must submit a written request for adding the space and increasing the overall program capacity. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1102 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 61 Completed Date: 11/13/2025 Age: From 4 To 12 Total Minutes: 370 Time In: 09:10 AM Time Out: 03:20 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 monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Kiffin Queen, Assistant Principal, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Jacob Shelton, Principal/Administrator. Monica Houck, Lead Child Care Consultant and Bridget Owen, Child Care Consultant accompanied me partially during today’s visit, but the documents were not signed by them. Today, Mr. Kiffin was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, playground does not meet child care playground safety standards for school-age only. Certified Developmental Day. The last annual compliance with Rated License Assessment visit was conducted on 12/5/24. The last fire drill was practiced on 10/29/24. The last shelter-in-place drill was practiced on 10/20/24. The last playground inspection was documented on 12/10/24. The last fire inspection was approved on 11/7/25. The last sanitation inspection was conducted on 5/8/25 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment process was started for lead paint and asbestos testing but has not been completed. The ABCMS roster was reviewed during today’s visit and no staff members were listed. Space 101 was monitored by Ms. Owen. During today’s observation in Space 101, eighteen children were present, including seven (7) five-year-olds and eleven (11) four-year-olds. Lunch consisted of salad, milk, a pear, an Uncrustable sandwich, and a graham cracker. Children were observed eating their lunch appropriately and appeared to enjoy the meal. Supervision was great, and teacher–child interactions were positive and engaging throughout the lunch period. The rest of the space was monitored by K. Eddins. In space 301, a total of six (6) adults and five (5) children were present. The adults included three (3) staff members—a lead teacher and two (2) teacher assistants—one (1) nurse, and two (2) therapists. The nurse and therapists were employed by contract agencies and not by Haywood County Schools. Adults were observed working individually with children. One (1) child was on the swing. A total of nine (9) medications were maintained in space 301. One (1) medication, Valtoco, was stored in a backpack on top of the refrigerator, while the remaining medications were kept in a locked closet. Of the three (3) children’s fever reducer/pain medications, only one (1) was labeled with a child’s name. The permission form for Children’s Motrin was completed by the parent; however, the incorrect form (an over-the-counter topical medication form) was used. According to the lead teacher, the medication was administered sometime last week, but the administration of Children’s Motrin was not documented. Seven (7) of the medications belonged to one child, according to the nurse. One (1) medication, Briviact 75 mg, did not have a pharmacy label, and the child’s name was not written on the bottle. The nurse stated that the child takes six (6) medications daily, which are administered by him/her. Records of medication administration were shared with me via phone; however, other documentation, including the permission form for medication administration, was not available for review. The nurse stated that these records are managed by his/her employer, and he/she does not have direct access to them. I interviewed the lead teacher, a teacher assistant, and the nurse regarding these medications. The nurse stated that the child’s grandmother administers the medications when he/she is not at school; otherwise, the nurse administers them daily. A document titled Home Health Certification and Plan of Care was available for these medications. The plan was signed by a physician but not by the parent/guardian. In space 302, a group of six (6) children and six (6) adults were present. Of the six (6) adults, one (1) was a lead teacher, one (1) a teacher assistant, one (1) a substitute, and three (3) Registered Behavioral Technicians (RBTs). Four (4) of the adults, excluding the lead teacher and teacher assistant, were from contract agencies, including ESS Substitute Services. During my observation, three (3) students were in the playground area with the substitute and two (2) therapists, while the remaining three (3) students were in the classroom with the lead teacher and teacher assistant engaged in small-group activities. The adults on the playground did not have DCDEE criminal background checks per the ABCMS system. In space 303, seven (7) children and eight (8) adults were present. The adults included one (1) lead teacher and three (3) teacher assistants, one (1) of whom was assigned as a one-on-one support for a child. Additionally, one (1) Registered Behavioral Technician (RBT), one (1) Licensed Clinical Social Worker (LCSW), and two (2) adults from another contract agency were present. The two (2) contract agency staff members were engaged in a meeting/discussion; therefore, they were not interviewed. One (1) child was taken to the hallway by an RBT to work on a literacy activity during the visit. No DCDEE criminal background letter was located in the ABCMS system. One (1) medication was maintained in the office/nurse’s office. The child takes the medication daily at lunchtime. The permission form and action plan were valid, and the administration of the medication was logged appropriately. In space 304, seven (7) children and three (3) staff members were present. The children were seated at tables working on their assignments. One (1) emergency medication was maintained in a backpack, and both the permission form and action plan were valid. In space 305, seven (7) children and four (4) adults were present, including one (1) lead teacher, two (2) teacher assistants, and one (1) nurse. The nurse was employed by a contract agency. The children were seated at tables having snacks brought from home while a book was being played on the Smart Board. No medications were maintained in the classroom. Mr. Shelton, Mr. Queen, and I discussed space 306. This space had previously been reviewed during the annual compliance visit for the Rated License Assessment conducted on 12/5/24. At that time, Karly Wells, the previous administrator, verbally requested that space 306 be added to the licensed space. The room was reviewed for required postings; however, it was not formally licensed. During the current visit, Ms. Wells, Brandi Stephenson, Mr. Shelton, and Mr. Queen verified that space 306 is not currently receiving funding under the Developmental Day program. We discussed that additional information is required before adding the space to the licensed program, including statements from maintenance personnel, the Fire Marshal, and the Environmental Health Specialist verifying that room 306 meets all applicable codes. The pre-K playground was monitored during the visit. The children did not use the areas with gravel; instead, they rode tricycles, ran, and engaged in conversations with staff members. Supervision and interactions between students and staff were appropriate and adequate. Staff and Training Worksheet for school-age staff members were submitted by Mr. Queen during the visit. Ms. Houck and Ms. Owen reviewed eight (8) staff members files and seven (7) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program is approved for transportation. However, there are no Bus riders in Pre-K classroom this year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was completed on 9/29/25 and was reviewed today. Two (2) NC Pre-K children’s files were monitored today. The classroom operates from 7:30 a.m. to 2 p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all spaces. The following violations were documented during today’s visit: Violation Number Comment Rule 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. Three (3) cans of shaving cream were maintained in the cabinet in space 301. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child in space 301 takes at least seven (7) medications daily and administered by a nurse from a contract agency. No authorization form signed by the parent/guardian of the child was available for review. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Briviact 75 mg for a child in space #301 did not have the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The following medications in space 301 did not have medication authorization forms: Clobazam Tab 10 mg, Lamotrigine chw 5mg, Creon Dr. 36,000 unit cap, Creon Dr. 6,000 unit cap, Briviact 75 mg, Zonisamide 100 mg cap, Valtoco 15mg, Children's Motrin (2 Children's Motrin were present without names). 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Per interview, Children's Tylenol was administered to a child in space 301, but the documentation was not created. .0803(13)(a-e); .2318(3) 1041 Prior to employment a Criminal Background Check was not completed. Two (2) staff members who were employed by contract agencies were counted in staff/child ratios during the observation and did not complete their criminal background check prior to their employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. The following information was not provided on the Staff and Training Worksheet in timely manner before the end of monitoring visit. The following information was not provided on the Staff and Training Worksheet in timely manner before the end of monitoring visit: Dates of medical statement were not provided for four (4) staff members. Dates of orientation were not provided; One (1) staff hired on 8/12/25, did not have documentation on the staff and training worksheet to verify the date the first six weeks of new staff orientation was completed. Three (3) staff did not have dates on the staff and training worksheet to verify that personnel policies were discussed with each staff. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Two (2) staff members from contract agencies counted in staff/child ratios during observation. Their qualification letters were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. There were no staff at the child care facility that were verified to be assigned as hired at the child care facility in the ABCMS portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff members with employment dates of 8/13/24 and 8/2024 did not complete the Health and Safety training within one (1) year pf employment. .1102(a) Technical assistance was provided as follows: 840: Potentially Hazardous Products To achieve compliance, all products in aerosol cans must be stored in a locked area. A locked storage area must be secured with a combination lock, padlock, magnetic lock, or an equivalent locking mechanism. Baby-proof devices are not sufficient to meet this requirement. 842: administration of medication Medications cannot be administered without parental consent. To comply, authorization form must be completed for each medication. Until all forms are in place, no one rathe than families of the child can administer the medications. In your compliance letter, please state the actions you took to meet compliance. 844: pharmacy labels Prescription mediation must be stored in the original container with pharmacy label(s). This is for the school personnels and staff members to prevent medication mistakes. The labels will help them identify the right medication, right child, right route, right time and right dosage. The parent/guardian of the child who takes Briviact 75mg can request the pharmacy to re-print the label and bring it to the school. 847: Required documentation for medications When medications are maintained at school and administered while children are in care, authorization form is required for each medication and must be signed by the child’s parent or a guardian. Action plans are also required for emergency medications. To comply, authorization forms must be completed by the child’s parent/guardian for each medication. 851: medication log When prescription and over-the-counter medications (not including over-the-counter topicals/creams) are administered, required information must be documented and maintained for minimum of six (6) months. The required information are: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. To comply, please document above information for a child in space 301 who were given Children’s Tylenol last week. 1043: information The date of medical statement was not available during the visit for C. Trull and E. Reed. To comply, please provide the dates of their medical statement. In your compliance letter, please verify that their medical statements are on file. 1041: Criminal Background Check for New Employees 1757: Qualification Letters All staff members who provide care for, or are responsible for, children must complete a criminal background check conducted by the Division prior to the start of employment. Once qualification letters are issued, they must be maintained on file and made available for review during monitoring visits. T. Bright – substitute staff member from ESS counted in staff/child ratios on the playground for space 302 did not have DCDEE criminal background check or the qualification letter. C. Harwell, RBT, pulled a child to the hallway from space 303 to work on the literacy activity. He/she did not have the criminal background check by DCDEE or the qualification letter. To achieve compliance, the following steps must be taken immediately: Any staff member who has not completed a criminal background check through DCDEE must not be responsible for children. Such staff members may not be left alone with children or counted in the staff/child ratio. The application for a criminal background check through DCDEE can be accessed via the ABCMS website at https://ncabcms.nc.gov/DCDEE/ Fingerprinting must be completed at a local government office prior to a qualification letter being issued. Once the qualification letter is issued, each staff member must forward a copy to the program they serve if the program is a licensed child care program. The staff members’ criminal background letters must be submitted to me via email. If the criminal background check is not completed, you must verify that those staff members are not counted in staff/child ratios in writing. 1805: reporting of staff members in the ABCMS system All staff associated with the child care facility must be assigned to Clyde Elementary School Intensive Intervention Classrooms in the ABCMS portal. **New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, you need the program’s business NCID to complete this task. Follow the instructions you learned in the Moodle training video about ABCMS system and list all staff members on the roster. Please note that all substitute members who count in staff/child ratios must also be listed on the roster. In your compliance letter, please state the action you took to meet the compliance. 1898: Health and Safety training The following staff members did not complete the Health and Safety training within one (1) year of employment: M. DeFalco and C. Primo. To comply, all Health and Safety training topic included in CCDF training and "Medication in Child Care" training must be completed within the next two (2) weeks on DCDEE Moodle at https://www.dcdee.moodle.nc.gov/. All training certificates must be printed and maintained in the staff files. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/27/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: No discussion on the Rated License Assessment was completed during today’s visit. The program is not due to renewal of the Rated License Assessment until February 2028. We discussed staff members employed by the Haywood County Schools and the staff member employed by the contract agencies. The same requirements apply to all staff members who count in staff/child ratios. All required documentations must be available for review. The school is working on completing the inspections (fire and sanitation) to license space 306. Current capacity of the program is seventy-five (75). You must submit a written request for adding the space and increasing the overall program capacity. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1703 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 61 Completed Date: 11/13/2025 Age: From 4 To 12 Total Minutes: 370 Time In: 09:10 AM Time Out: 03:20 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 monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Kiffin Queen, Assistant Principal, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Jacob Shelton, Principal/Administrator. Monica Houck, Lead Child Care Consultant and Bridget Owen, Child Care Consultant accompanied me partially during today’s visit, but the documents were not signed by them. Today, Mr. Kiffin was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, playground does not meet child care playground safety standards for school-age only. Certified Developmental Day. The last annual compliance with Rated License Assessment visit was conducted on 12/5/24. The last fire drill was practiced on 10/29/24. The last shelter-in-place drill was practiced on 10/20/24. The last playground inspection was documented on 12/10/24. The last fire inspection was approved on 11/7/25. The last sanitation inspection was conducted on 5/8/25 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment process was started for lead paint and asbestos testing but has not been completed. The ABCMS roster was reviewed during today’s visit and no staff members were listed. Space 101 was monitored by Ms. Owen. During today’s observation in Space 101, eighteen children were present, including seven (7) five-year-olds and eleven (11) four-year-olds. Lunch consisted of salad, milk, a pear, an Uncrustable sandwich, and a graham cracker. Children were observed eating their lunch appropriately and appeared to enjoy the meal. Supervision was great, and teacher–child interactions were positive and engaging throughout the lunch period. The rest of the space was monitored by K. Eddins. In space 301, a total of six (6) adults and five (5) children were present. The adults included three (3) staff members—a lead teacher and two (2) teacher assistants—one (1) nurse, and two (2) therapists. The nurse and therapists were employed by contract agencies and not by Haywood County Schools. Adults were observed working individually with children. One (1) child was on the swing. A total of nine (9) medications were maintained in space 301. One (1) medication, Valtoco, was stored in a backpack on top of the refrigerator, while the remaining medications were kept in a locked closet. Of the three (3) children’s fever reducer/pain medications, only one (1) was labeled with a child’s name. The permission form for Children’s Motrin was completed by the parent; however, the incorrect form (an over-the-counter topical medication form) was used. According to the lead teacher, the medication was administered sometime last week, but the administration of Children’s Motrin was not documented. Seven (7) of the medications belonged to one child, according to the nurse. One (1) medication, Briviact 75 mg, did not have a pharmacy label, and the child’s name was not written on the bottle. The nurse stated that the child takes six (6) medications daily, which are administered by him/her. Records of medication administration were shared with me via phone; however, other documentation, including the permission form for medication administration, was not available for review. The nurse stated that these records are managed by his/her employer, and he/she does not have direct access to them. I interviewed the lead teacher, a teacher assistant, and the nurse regarding these medications. The nurse stated that the child’s grandmother administers the medications when he/she is not at school; otherwise, the nurse administers them daily. A document titled Home Health Certification and Plan of Care was available for these medications. The plan was signed by a physician but not by the parent/guardian. In space 302, a group of six (6) children and six (6) adults were present. Of the six (6) adults, one (1) was a lead teacher, one (1) a teacher assistant, one (1) a substitute, and three (3) Registered Behavioral Technicians (RBTs). Four (4) of the adults, excluding the lead teacher and teacher assistant, were from contract agencies, including ESS Substitute Services. During my observation, three (3) students were in the playground area with the substitute and two (2) therapists, while the remaining three (3) students were in the classroom with the lead teacher and teacher assistant engaged in small-group activities. The adults on the playground did not have DCDEE criminal background checks per the ABCMS system. In space 303, seven (7) children and eight (8) adults were present. The adults included one (1) lead teacher and three (3) teacher assistants, one (1) of whom was assigned as a one-on-one support for a child. Additionally, one (1) Registered Behavioral Technician (RBT), one (1) Licensed Clinical Social Worker (LCSW), and two (2) adults from another contract agency were present. The two (2) contract agency staff members were engaged in a meeting/discussion; therefore, they were not interviewed. One (1) child was taken to the hallway by an RBT to work on a literacy activity during the visit. No DCDEE criminal background letter was located in the ABCMS system. One (1) medication was maintained in the office/nurse’s office. The child takes the medication daily at lunchtime. The permission form and action plan were valid, and the administration of the medication was logged appropriately. In space 304, seven (7) children and three (3) staff members were present. The children were seated at tables working on their assignments. One (1) emergency medication was maintained in a backpack, and both the permission form and action plan were valid. In space 305, seven (7) children and four (4) adults were present, including one (1) lead teacher, two (2) teacher assistants, and one (1) nurse. The nurse was employed by a contract agency. The children were seated at tables having snacks brought from home while a book was being played on the Smart Board. No medications were maintained in the classroom. Mr. Shelton, Mr. Queen, and I discussed space 306. This space had previously been reviewed during the annual compliance visit for the Rated License Assessment conducted on 12/5/24. At that time, Karly Wells, the previous administrator, verbally requested that space 306 be added to the licensed space. The room was reviewed for required postings; however, it was not formally licensed. During the current visit, Ms. Wells, Brandi Stephenson, Mr. Shelton, and Mr. Queen verified that space 306 is not currently receiving funding under the Developmental Day program. We discussed that additional information is required before adding the space to the licensed program, including statements from maintenance personnel, the Fire Marshal, and the Environmental Health Specialist verifying that room 306 meets all applicable codes. The pre-K playground was monitored during the visit. The children did not use the areas with gravel; instead, they rode tricycles, ran, and engaged in conversations with staff members. Supervision and interactions between students and staff were appropriate and adequate. Staff and Training Worksheet for school-age staff members were submitted by Mr. Queen during the visit. Ms. Houck and Ms. Owen reviewed eight (8) staff members files and seven (7) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program is approved for transportation. However, there are no Bus riders in Pre-K classroom this year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was completed on 9/29/25 and was reviewed today. Two (2) NC Pre-K children’s files were monitored today. The classroom operates from 7:30 a.m. to 2 p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all spaces. The following violations were documented during today’s visit: Violation Number Comment Rule 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. Three (3) cans of shaving cream were maintained in the cabinet in space 301. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child in space 301 takes at least seven (7) medications daily and administered by a nurse from a contract agency. No authorization form signed by the parent/guardian of the child was available for review. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Briviact 75 mg for a child in space #301 did not have the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The following medications in space 301 did not have medication authorization forms: Clobazam Tab 10 mg, Lamotrigine chw 5mg, Creon Dr. 36,000 unit cap, Creon Dr. 6,000 unit cap, Briviact 75 mg, Zonisamide 100 mg cap, Valtoco 15mg, Children's Motrin (2 Children's Motrin were present without names). 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Per interview, Children's Tylenol was administered to a child in space 301, but the documentation was not created. .0803(13)(a-e); .2318(3) 1041 Prior to employment a Criminal Background Check was not completed. Two (2) staff members who were employed by contract agencies were counted in staff/child ratios during the observation and did not complete their criminal background check prior to their employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. The following information was not provided on the Staff and Training Worksheet in timely manner before the end of monitoring visit. The following information was not provided on the Staff and Training Worksheet in timely manner before the end of monitoring visit: Dates of medical statement were not provided for four (4) staff members. Dates of orientation were not provided; One (1) staff hired on 8/12/25, did not have documentation on the staff and training worksheet to verify the date the first six weeks of new staff orientation was completed. Three (3) staff did not have dates on the staff and training worksheet to verify that personnel policies were discussed with each staff. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Two (2) staff members from contract agencies counted in staff/child ratios during observation. Their qualification letters were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. There were no staff at the child care facility that were verified to be assigned as hired at the child care facility in the ABCMS portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff members with employment dates of 8/13/24 and 8/2024 did not complete the Health and Safety training within one (1) year pf employment. .1102(a) Technical assistance was provided as follows: 840: Potentially Hazardous Products To achieve compliance, all products in aerosol cans must be stored in a locked area. A locked storage area must be secured with a combination lock, padlock, magnetic lock, or an equivalent locking mechanism. Baby-proof devices are not sufficient to meet this requirement. 842: administration of medication Medications cannot be administered without parental consent. To comply, authorization form must be completed for each medication. Until all forms are in place, no one rathe than families of the child can administer the medications. In your compliance letter, please state the actions you took to meet compliance. 844: pharmacy labels Prescription mediation must be stored in the original container with pharmacy label(s). This is for the school personnels and staff members to prevent medication mistakes. The labels will help them identify the right medication, right child, right route, right time and right dosage. The parent/guardian of the child who takes Briviact 75mg can request the pharmacy to re-print the label and bring it to the school. 847: Required documentation for medications When medications are maintained at school and administered while children are in care, authorization form is required for each medication and must be signed by the child’s parent or a guardian. Action plans are also required for emergency medications. To comply, authorization forms must be completed by the child’s parent/guardian for each medication. 851: medication log When prescription and over-the-counter medications (not including over-the-counter topicals/creams) are administered, required information must be documented and maintained for minimum of six (6) months. The required information are: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. To comply, please document above information for a child in space 301 who were given Children’s Tylenol last week. 1043: information The date of medical statement was not available during the visit for C. Trull and E. Reed. To comply, please provide the dates of their medical statement. In your compliance letter, please verify that their medical statements are on file. 1041: Criminal Background Check for New Employees 1757: Qualification Letters All staff members who provide care for, or are responsible for, children must complete a criminal background check conducted by the Division prior to the start of employment. Once qualification letters are issued, they must be maintained on file and made available for review during monitoring visits. T. Bright – substitute staff member from ESS counted in staff/child ratios on the playground for space 302 did not have DCDEE criminal background check or the qualification letter. C. Harwell, RBT, pulled a child to the hallway from space 303 to work on the literacy activity. He/she did not have the criminal background check by DCDEE or the qualification letter. To achieve compliance, the following steps must be taken immediately: Any staff member who has not completed a criminal background check through DCDEE must not be responsible for children. Such staff members may not be left alone with children or counted in the staff/child ratio. The application for a criminal background check through DCDEE can be accessed via the ABCMS website at https://ncabcms.nc.gov/DCDEE/ Fingerprinting must be completed at a local government office prior to a qualification letter being issued. Once the qualification letter is issued, each staff member must forward a copy to the program they serve if the program is a licensed child care program. The staff members’ criminal background letters must be submitted to me via email. If the criminal background check is not completed, you must verify that those staff members are not counted in staff/child ratios in writing. 1805: reporting of staff members in the ABCMS system All staff associated with the child care facility must be assigned to Clyde Elementary School Intensive Intervention Classrooms in the ABCMS portal. **New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, you need the program’s business NCID to complete this task. Follow the instructions you learned in the Moodle training video about ABCMS system and list all staff members on the roster. Please note that all substitute members who count in staff/child ratios must also be listed on the roster. In your compliance letter, please state the action you took to meet the compliance. 1898: Health and Safety training The following staff members did not complete the Health and Safety training within one (1) year of employment: M. DeFalco and C. Primo. To comply, all Health and Safety training topic included in CCDF training and "Medication in Child Care" training must be completed within the next two (2) weeks on DCDEE Moodle at https://www.dcdee.moodle.nc.gov/. All training certificates must be printed and maintained in the staff files. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/27/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: No discussion on the Rated License Assessment was completed during today’s visit. The program is not due to renewal of the Rated License Assessment until February 2028. We discussed staff members employed by the Haywood County Schools and the staff member employed by the contract agencies. The same requirements apply to all staff members who count in staff/child ratios. All required documentations must be available for review. The school is working on completing the inspections (fire and sanitation) to license space 306. Current capacity of the program is seventy-five (75). You must submit a written request for adding the space and increasing the overall program capacity. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .3222 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 61 Completed Date: 11/13/2025 Age: From 4 To 12 Total Minutes: 370 Time In: 09:10 AM Time Out: 03:20 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 monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Kiffin Queen, Assistant Principal, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Jacob Shelton, Principal/Administrator. Monica Houck, Lead Child Care Consultant and Bridget Owen, Child Care Consultant accompanied me partially during today’s visit, but the documents were not signed by them. Today, Mr. Kiffin was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, playground does not meet child care playground safety standards for school-age only. Certified Developmental Day. The last annual compliance with Rated License Assessment visit was conducted on 12/5/24. The last fire drill was practiced on 10/29/24. The last shelter-in-place drill was practiced on 10/20/24. The last playground inspection was documented on 12/10/24. The last fire inspection was approved on 11/7/25. The last sanitation inspection was conducted on 5/8/25 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment process was started for lead paint and asbestos testing but has not been completed. The ABCMS roster was reviewed during today’s visit and no staff members were listed. Space 101 was monitored by Ms. Owen. During today’s observation in Space 101, eighteen children were present, including seven (7) five-year-olds and eleven (11) four-year-olds. Lunch consisted of salad, milk, a pear, an Uncrustable sandwich, and a graham cracker. Children were observed eating their lunch appropriately and appeared to enjoy the meal. Supervision was great, and teacher–child interactions were positive and engaging throughout the lunch period. The rest of the space was monitored by K. Eddins. In space 301, a total of six (6) adults and five (5) children were present. The adults included three (3) staff members—a lead teacher and two (2) teacher assistants—one (1) nurse, and two (2) therapists. The nurse and therapists were employed by contract agencies and not by Haywood County Schools. Adults were observed working individually with children. One (1) child was on the swing. A total of nine (9) medications were maintained in space 301. One (1) medication, Valtoco, was stored in a backpack on top of the refrigerator, while the remaining medications were kept in a locked closet. Of the three (3) children’s fever reducer/pain medications, only one (1) was labeled with a child’s name. The permission form for Children’s Motrin was completed by the parent; however, the incorrect form (an over-the-counter topical medication form) was used. According to the lead teacher, the medication was administered sometime last week, but the administration of Children’s Motrin was not documented. Seven (7) of the medications belonged to one child, according to the nurse. One (1) medication, Briviact 75 mg, did not have a pharmacy label, and the child’s name was not written on the bottle. The nurse stated that the child takes six (6) medications daily, which are administered by him/her. Records of medication administration were shared with me via phone; however, other documentation, including the permission form for medication administration, was not available for review. The nurse stated that these records are managed by his/her employer, and he/she does not have direct access to them. I interviewed the lead teacher, a teacher assistant, and the nurse regarding these medications. The nurse stated that the child’s grandmother administers the medications when he/she is not at school; otherwise, the nurse administers them daily. A document titled Home Health Certification and Plan of Care was available for these medications. The plan was signed by a physician but not by the parent/guardian. In space 302, a group of six (6) children and six (6) adults were present. Of the six (6) adults, one (1) was a lead teacher, one (1) a teacher assistant, one (1) a substitute, and three (3) Registered Behavioral Technicians (RBTs). Four (4) of the adults, excluding the lead teacher and teacher assistant, were from contract agencies, including ESS Substitute Services. During my observation, three (3) students were in the playground area with the substitute and two (2) therapists, while the remaining three (3) students were in the classroom with the lead teacher and teacher assistant engaged in small-group activities. The adults on the playground did not have DCDEE criminal background checks per the ABCMS system. In space 303, seven (7) children and eight (8) adults were present. The adults included one (1) lead teacher and three (3) teacher assistants, one (1) of whom was assigned as a one-on-one support for a child. Additionally, one (1) Registered Behavioral Technician (RBT), one (1) Licensed Clinical Social Worker (LCSW), and two (2) adults from another contract agency were present. The two (2) contract agency staff members were engaged in a meeting/discussion; therefore, they were not interviewed. One (1) child was taken to the hallway by an RBT to work on a literacy activity during the visit. No DCDEE criminal background letter was located in the ABCMS system. One (1) medication was maintained in the office/nurse’s office. The child takes the medication daily at lunchtime. The permission form and action plan were valid, and the administration of the medication was logged appropriately. In space 304, seven (7) children and three (3) staff members were present. The children were seated at tables working on their assignments. One (1) emergency medication was maintained in a backpack, and both the permission form and action plan were valid. In space 305, seven (7) children and four (4) adults were present, including one (1) lead teacher, two (2) teacher assistants, and one (1) nurse. The nurse was employed by a contract agency. The children were seated at tables having snacks brought from home while a book was being played on the Smart Board. No medications were maintained in the classroom. Mr. Shelton, Mr. Queen, and I discussed space 306. This space had previously been reviewed during the annual compliance visit for the Rated License Assessment conducted on 12/5/24. At that time, Karly Wells, the previous administrator, verbally requested that space 306 be added to the licensed space. The room was reviewed for required postings; however, it was not formally licensed. During the current visit, Ms. Wells, Brandi Stephenson, Mr. Shelton, and Mr. Queen verified that space 306 is not currently receiving funding under the Developmental Day program. We discussed that additional information is required before adding the space to the licensed program, including statements from maintenance personnel, the Fire Marshal, and the Environmental Health Specialist verifying that room 306 meets all applicable codes. The pre-K playground was monitored during the visit. The children did not use the areas with gravel; instead, they rode tricycles, ran, and engaged in conversations with staff members. Supervision and interactions between students and staff were appropriate and adequate. Staff and Training Worksheet for school-age staff members were submitted by Mr. Queen during the visit. Ms. Houck and Ms. Owen reviewed eight (8) staff members files and seven (7) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program is approved for transportation. However, there are no Bus riders in Pre-K classroom this year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was completed on 9/29/25 and was reviewed today. Two (2) NC Pre-K children’s files were monitored today. The classroom operates from 7:30 a.m. to 2 p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all spaces. The following violations were documented during today’s visit: Violation Number Comment Rule 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. Three (3) cans of shaving cream were maintained in the cabinet in space 301. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child in space 301 takes at least seven (7) medications daily and administered by a nurse from a contract agency. No authorization form signed by the parent/guardian of the child was available for review. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Briviact 75 mg for a child in space #301 did not have the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The following medications in space 301 did not have medication authorization forms: Clobazam Tab 10 mg, Lamotrigine chw 5mg, Creon Dr. 36,000 unit cap, Creon Dr. 6,000 unit cap, Briviact 75 mg, Zonisamide 100 mg cap, Valtoco 15mg, Children's Motrin (2 Children's Motrin were present without names). 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Per interview, Children's Tylenol was administered to a child in space 301, but the documentation was not created. .0803(13)(a-e); .2318(3) 1041 Prior to employment a Criminal Background Check was not completed. Two (2) staff members who were employed by contract agencies were counted in staff/child ratios during the observation and did not complete their criminal background check prior to their employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. The following information was not provided on the Staff and Training Worksheet in timely manner before the end of monitoring visit. The following information was not provided on the Staff and Training Worksheet in timely manner before the end of monitoring visit: Dates of medical statement were not provided for four (4) staff members. Dates of orientation were not provided; One (1) staff hired on 8/12/25, did not have documentation on the staff and training worksheet to verify the date the first six weeks of new staff orientation was completed. Three (3) staff did not have dates on the staff and training worksheet to verify that personnel policies were discussed with each staff. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Two (2) staff members from contract agencies counted in staff/child ratios during observation. Their qualification letters were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. There were no staff at the child care facility that were verified to be assigned as hired at the child care facility in the ABCMS portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff members with employment dates of 8/13/24 and 8/2024 did not complete the Health and Safety training within one (1) year pf employment. .1102(a) Technical assistance was provided as follows: 840: Potentially Hazardous Products To achieve compliance, all products in aerosol cans must be stored in a locked area. A locked storage area must be secured with a combination lock, padlock, magnetic lock, or an equivalent locking mechanism. Baby-proof devices are not sufficient to meet this requirement. 842: administration of medication Medications cannot be administered without parental consent. To comply, authorization form must be completed for each medication. Until all forms are in place, no one rathe than families of the child can administer the medications. In your compliance letter, please state the actions you took to meet compliance. 844: pharmacy labels Prescription mediation must be stored in the original container with pharmacy label(s). This is for the school personnels and staff members to prevent medication mistakes. The labels will help them identify the right medication, right child, right route, right time and right dosage. The parent/guardian of the child who takes Briviact 75mg can request the pharmacy to re-print the label and bring it to the school. 847: Required documentation for medications When medications are maintained at school and administered while children are in care, authorization form is required for each medication and must be signed by the child’s parent or a guardian. Action plans are also required for emergency medications. To comply, authorization forms must be completed by the child’s parent/guardian for each medication. 851: medication log When prescription and over-the-counter medications (not including over-the-counter topicals/creams) are administered, required information must be documented and maintained for minimum of six (6) months. The required information are: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. To comply, please document above information for a child in space 301 who were given Children’s Tylenol last week. 1043: information The date of medical statement was not available during the visit for C. Trull and E. Reed. To comply, please provide the dates of their medical statement. In your compliance letter, please verify that their medical statements are on file. 1041: Criminal Background Check for New Employees 1757: Qualification Letters All staff members who provide care for, or are responsible for, children must complete a criminal background check conducted by the Division prior to the start of employment. Once qualification letters are issued, they must be maintained on file and made available for review during monitoring visits. T. Bright – substitute staff member from ESS counted in staff/child ratios on the playground for space 302 did not have DCDEE criminal background check or the qualification letter. C. Harwell, RBT, pulled a child to the hallway from space 303 to work on the literacy activity. He/she did not have the criminal background check by DCDEE or the qualification letter. To achieve compliance, the following steps must be taken immediately: Any staff member who has not completed a criminal background check through DCDEE must not be responsible for children. Such staff members may not be left alone with children or counted in the staff/child ratio. The application for a criminal background check through DCDEE can be accessed via the ABCMS website at https://ncabcms.nc.gov/DCDEE/ Fingerprinting must be completed at a local government office prior to a qualification letter being issued. Once the qualification letter is issued, each staff member must forward a copy to the program they serve if the program is a licensed child care program. The staff members’ criminal background letters must be submitted to me via email. If the criminal background check is not completed, you must verify that those staff members are not counted in staff/child ratios in writing. 1805: reporting of staff members in the ABCMS system All staff associated with the child care facility must be assigned to Clyde Elementary School Intensive Intervention Classrooms in the ABCMS portal. **New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, you need the program’s business NCID to complete this task. Follow the instructions you learned in the Moodle training video about ABCMS system and list all staff members on the roster. Please note that all substitute members who count in staff/child ratios must also be listed on the roster. In your compliance letter, please state the action you took to meet the compliance. 1898: Health and Safety training The following staff members did not complete the Health and Safety training within one (1) year of employment: M. DeFalco and C. Primo. To comply, all Health and Safety training topic included in CCDF training and "Medication in Child Care" training must be completed within the next two (2) weeks on DCDEE Moodle at https://www.dcdee.moodle.nc.gov/. All training certificates must be printed and maintained in the staff files. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/27/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: No discussion on the Rated License Assessment was completed during today’s visit. The program is not due to renewal of the Rated License Assessment until February 2028. We discussed staff members employed by the Haywood County Schools and the staff member employed by the contract agencies. The same requirements apply to all staff members who count in staff/child ratios. All required documentations must be available for review. The school is working on completing the inspections (fire and sanitation) to license space 306. Current capacity of the program is seventy-five (75). You must submit a written request for adding the space and increasing the overall program capacity. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 61 Completed Date: 11/13/2025 Age: From 4 To 12 Total Minutes: 370 Time In: 09:10 AM Time Out: 03:20 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 monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Kiffin Queen, Assistant Principal, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Jacob Shelton, Principal/Administrator. Monica Houck, Lead Child Care Consultant and Bridget Owen, Child Care Consultant accompanied me partially during today’s visit, but the documents were not signed by them. Today, Mr. Kiffin was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, playground does not meet child care playground safety standards for school-age only. Certified Developmental Day. The last annual compliance with Rated License Assessment visit was conducted on 12/5/24. The last fire drill was practiced on 10/29/24. The last shelter-in-place drill was practiced on 10/20/24. The last playground inspection was documented on 12/10/24. The last fire inspection was approved on 11/7/25. The last sanitation inspection was conducted on 5/8/25 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment process was started for lead paint and asbestos testing but has not been completed. The ABCMS roster was reviewed during today’s visit and no staff members were listed. Space 101 was monitored by Ms. Owen. During today’s observation in Space 101, eighteen children were present, including seven (7) five-year-olds and eleven (11) four-year-olds. Lunch consisted of salad, milk, a pear, an Uncrustable sandwich, and a graham cracker. Children were observed eating their lunch appropriately and appeared to enjoy the meal. Supervision was great, and teacher–child interactions were positive and engaging throughout the lunch period. The rest of the space was monitored by K. Eddins. In space 301, a total of six (6) adults and five (5) children were present. The adults included three (3) staff members—a lead teacher and two (2) teacher assistants—one (1) nurse, and two (2) therapists. The nurse and therapists were employed by contract agencies and not by Haywood County Schools. Adults were observed working individually with children. One (1) child was on the swing. A total of nine (9) medications were maintained in space 301. One (1) medication, Valtoco, was stored in a backpack on top of the refrigerator, while the remaining medications were kept in a locked closet. Of the three (3) children’s fever reducer/pain medications, only one (1) was labeled with a child’s name. The permission form for Children’s Motrin was completed by the parent; however, the incorrect form (an over-the-counter topical medication form) was used. According to the lead teacher, the medication was administered sometime last week, but the administration of Children’s Motrin was not documented. Seven (7) of the medications belonged to one child, according to the nurse. One (1) medication, Briviact 75 mg, did not have a pharmacy label, and the child’s name was not written on the bottle. The nurse stated that the child takes six (6) medications daily, which are administered by him/her. Records of medication administration were shared with me via phone; however, other documentation, including the permission form for medication administration, was not available for review. The nurse stated that these records are managed by his/her employer, and he/she does not have direct access to them. I interviewed the lead teacher, a teacher assistant, and the nurse regarding these medications. The nurse stated that the child’s grandmother administers the medications when he/she is not at school; otherwise, the nurse administers them daily. A document titled Home Health Certification and Plan of Care was available for these medications. The plan was signed by a physician but not by the parent/guardian. In space 302, a group of six (6) children and six (6) adults were present. Of the six (6) adults, one (1) was a lead teacher, one (1) a teacher assistant, one (1) a substitute, and three (3) Registered Behavioral Technicians (RBTs). Four (4) of the adults, excluding the lead teacher and teacher assistant, were from contract agencies, including ESS Substitute Services. During my observation, three (3) students were in the playground area with the substitute and two (2) therapists, while the remaining three (3) students were in the classroom with the lead teacher and teacher assistant engaged in small-group activities. The adults on the playground did not have DCDEE criminal background checks per the ABCMS system. In space 303, seven (7) children and eight (8) adults were present. The adults included one (1) lead teacher and three (3) teacher assistants, one (1) of whom was assigned as a one-on-one support for a child. Additionally, one (1) Registered Behavioral Technician (RBT), one (1) Licensed Clinical Social Worker (LCSW), and two (2) adults from another contract agency were present. The two (2) contract agency staff members were engaged in a meeting/discussion; therefore, they were not interviewed. One (1) child was taken to the hallway by an RBT to work on a literacy activity during the visit. No DCDEE criminal background letter was located in the ABCMS system. One (1) medication was maintained in the office/nurse’s office. The child takes the medication daily at lunchtime. The permission form and action plan were valid, and the administration of the medication was logged appropriately. In space 304, seven (7) children and three (3) staff members were present. The children were seated at tables working on their assignments. One (1) emergency medication was maintained in a backpack, and both the permission form and action plan were valid. In space 305, seven (7) children and four (4) adults were present, including one (1) lead teacher, two (2) teacher assistants, and one (1) nurse. The nurse was employed by a contract agency. The children were seated at tables having snacks brought from home while a book was being played on the Smart Board. No medications were maintained in the classroom. Mr. Shelton, Mr. Queen, and I discussed space 306. This space had previously been reviewed during the annual compliance visit for the Rated License Assessment conducted on 12/5/24. At that time, Karly Wells, the previous administrator, verbally requested that space 306 be added to the licensed space. The room was reviewed for required postings; however, it was not formally licensed. During the current visit, Ms. Wells, Brandi Stephenson, Mr. Shelton, and Mr. Queen verified that space 306 is not currently receiving funding under the Developmental Day program. We discussed that additional information is required before adding the space to the licensed program, including statements from maintenance personnel, the Fire Marshal, and the Environmental Health Specialist verifying that room 306 meets all applicable codes. The pre-K playground was monitored during the visit. The children did not use the areas with gravel; instead, they rode tricycles, ran, and engaged in conversations with staff members. Supervision and interactions between students and staff were appropriate and adequate. Staff and Training Worksheet for school-age staff members were submitted by Mr. Queen during the visit. Ms. Houck and Ms. Owen reviewed eight (8) staff members files and seven (7) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program is approved for transportation. However, there are no Bus riders in Pre-K classroom this year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was completed on 9/29/25 and was reviewed today. Two (2) NC Pre-K children’s files were monitored today. The classroom operates from 7:30 a.m. to 2 p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all spaces. The following violations were documented during today’s visit: Violation Number Comment Rule 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. Three (3) cans of shaving cream were maintained in the cabinet in space 301. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child in space 301 takes at least seven (7) medications daily and administered by a nurse from a contract agency. No authorization form signed by the parent/guardian of the child was available for review. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Briviact 75 mg for a child in space #301 did not have the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The following medications in space 301 did not have medication authorization forms: Clobazam Tab 10 mg, Lamotrigine chw 5mg, Creon Dr. 36,000 unit cap, Creon Dr. 6,000 unit cap, Briviact 75 mg, Zonisamide 100 mg cap, Valtoco 15mg, Children's Motrin (2 Children's Motrin were present without names). 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Per interview, Children's Tylenol was administered to a child in space 301, but the documentation was not created. .0803(13)(a-e); .2318(3) 1041 Prior to employment a Criminal Background Check was not completed. Two (2) staff members who were employed by contract agencies were counted in staff/child ratios during the observation and did not complete their criminal background check prior to their employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. The following information was not provided on the Staff and Training Worksheet in timely manner before the end of monitoring visit. The following information was not provided on the Staff and Training Worksheet in timely manner before the end of monitoring visit: Dates of medical statement were not provided for four (4) staff members. Dates of orientation were not provided; One (1) staff hired on 8/12/25, did not have documentation on the staff and training worksheet to verify the date the first six weeks of new staff orientation was completed. Three (3) staff did not have dates on the staff and training worksheet to verify that personnel policies were discussed with each staff. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Two (2) staff members from contract agencies counted in staff/child ratios during observation. Their qualification letters were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. There were no staff at the child care facility that were verified to be assigned as hired at the child care facility in the ABCMS portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff members with employment dates of 8/13/24 and 8/2024 did not complete the Health and Safety training within one (1) year pf employment. .1102(a) Technical assistance was provided as follows: 840: Potentially Hazardous Products To achieve compliance, all products in aerosol cans must be stored in a locked area. A locked storage area must be secured with a combination lock, padlock, magnetic lock, or an equivalent locking mechanism. Baby-proof devices are not sufficient to meet this requirement. 842: administration of medication Medications cannot be administered without parental consent. To comply, authorization form must be completed for each medication. Until all forms are in place, no one rathe than families of the child can administer the medications. In your compliance letter, please state the actions you took to meet compliance. 844: pharmacy labels Prescription mediation must be stored in the original container with pharmacy label(s). This is for the school personnels and staff members to prevent medication mistakes. The labels will help them identify the right medication, right child, right route, right time and right dosage. The parent/guardian of the child who takes Briviact 75mg can request the pharmacy to re-print the label and bring it to the school. 847: Required documentation for medications When medications are maintained at school and administered while children are in care, authorization form is required for each medication and must be signed by the child’s parent or a guardian. Action plans are also required for emergency medications. To comply, authorization forms must be completed by the child’s parent/guardian for each medication. 851: medication log When prescription and over-the-counter medications (not including over-the-counter topicals/creams) are administered, required information must be documented and maintained for minimum of six (6) months. The required information are: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. To comply, please document above information for a child in space 301 who were given Children’s Tylenol last week. 1043: information The date of medical statement was not available during the visit for C. Trull and E. Reed. To comply, please provide the dates of their medical statement. In your compliance letter, please verify that their medical statements are on file. 1041: Criminal Background Check for New Employees 1757: Qualification Letters All staff members who provide care for, or are responsible for, children must complete a criminal background check conducted by the Division prior to the start of employment. Once qualification letters are issued, they must be maintained on file and made available for review during monitoring visits. T. Bright – substitute staff member from ESS counted in staff/child ratios on the playground for space 302 did not have DCDEE criminal background check or the qualification letter. C. Harwell, RBT, pulled a child to the hallway from space 303 to work on the literacy activity. He/she did not have the criminal background check by DCDEE or the qualification letter. To achieve compliance, the following steps must be taken immediately: Any staff member who has not completed a criminal background check through DCDEE must not be responsible for children. Such staff members may not be left alone with children or counted in the staff/child ratio. The application for a criminal background check through DCDEE can be accessed via the ABCMS website at https://ncabcms.nc.gov/DCDEE/ Fingerprinting must be completed at a local government office prior to a qualification letter being issued. Once the qualification letter is issued, each staff member must forward a copy to the program they serve if the program is a licensed child care program. The staff members’ criminal background letters must be submitted to me via email. If the criminal background check is not completed, you must verify that those staff members are not counted in staff/child ratios in writing. 1805: reporting of staff members in the ABCMS system All staff associated with the child care facility must be assigned to Clyde Elementary School Intensive Intervention Classrooms in the ABCMS portal. **New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, you need the program’s business NCID to complete this task. Follow the instructions you learned in the Moodle training video about ABCMS system and list all staff members on the roster. Please note that all substitute members who count in staff/child ratios must also be listed on the roster. In your compliance letter, please state the action you took to meet the compliance. 1898: Health and Safety training The following staff members did not complete the Health and Safety training within one (1) year of employment: M. DeFalco and C. Primo. To comply, all Health and Safety training topic included in CCDF training and "Medication in Child Care" training must be completed within the next two (2) weeks on DCDEE Moodle at https://www.dcdee.moodle.nc.gov/. All training certificates must be printed and maintained in the staff files. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/27/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: No discussion on the Rated License Assessment was completed during today’s visit. The program is not due to renewal of the Rated License Assessment until February 2028. We discussed staff members employed by the Haywood County Schools and the staff member employed by the contract agencies. The same requirements apply to all staff members who count in staff/child ratios. All required documentations must be available for review. The school is working on completing the inspections (fire and sanitation) to license space 306. Current capacity of the program is seventy-five (75). You must submit a written request for adding the space and increasing the overall program capacity. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-91 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 61 Completed Date: 11/13/2025 Age: From 4 To 12 Total Minutes: 370 Time In: 09:10 AM Time Out: 03:20 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 monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Kiffin Queen, Assistant Principal, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Jacob Shelton, Principal/Administrator. Monica Houck, Lead Child Care Consultant and Bridget Owen, Child Care Consultant accompanied me partially during today’s visit, but the documents were not signed by them. Today, Mr. Kiffin was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, playground does not meet child care playground safety standards for school-age only. Certified Developmental Day. The last annual compliance with Rated License Assessment visit was conducted on 12/5/24. The last fire drill was practiced on 10/29/24. The last shelter-in-place drill was practiced on 10/20/24. The last playground inspection was documented on 12/10/24. The last fire inspection was approved on 11/7/25. The last sanitation inspection was conducted on 5/8/25 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment process was started for lead paint and asbestos testing but has not been completed. The ABCMS roster was reviewed during today’s visit and no staff members were listed. Space 101 was monitored by Ms. Owen. During today’s observation in Space 101, eighteen children were present, including seven (7) five-year-olds and eleven (11) four-year-olds. Lunch consisted of salad, milk, a pear, an Uncrustable sandwich, and a graham cracker. Children were observed eating their lunch appropriately and appeared to enjoy the meal. Supervision was great, and teacher–child interactions were positive and engaging throughout the lunch period. The rest of the space was monitored by K. Eddins. In space 301, a total of six (6) adults and five (5) children were present. The adults included three (3) staff members—a lead teacher and two (2) teacher assistants—one (1) nurse, and two (2) therapists. The nurse and therapists were employed by contract agencies and not by Haywood County Schools. Adults were observed working individually with children. One (1) child was on the swing. A total of nine (9) medications were maintained in space 301. One (1) medication, Valtoco, was stored in a backpack on top of the refrigerator, while the remaining medications were kept in a locked closet. Of the three (3) children’s fever reducer/pain medications, only one (1) was labeled with a child’s name. The permission form for Children’s Motrin was completed by the parent; however, the incorrect form (an over-the-counter topical medication form) was used. According to the lead teacher, the medication was administered sometime last week, but the administration of Children’s Motrin was not documented. Seven (7) of the medications belonged to one child, according to the nurse. One (1) medication, Briviact 75 mg, did not have a pharmacy label, and the child’s name was not written on the bottle. The nurse stated that the child takes six (6) medications daily, which are administered by him/her. Records of medication administration were shared with me via phone; however, other documentation, including the permission form for medication administration, was not available for review. The nurse stated that these records are managed by his/her employer, and he/she does not have direct access to them. I interviewed the lead teacher, a teacher assistant, and the nurse regarding these medications. The nurse stated that the child’s grandmother administers the medications when he/she is not at school; otherwise, the nurse administers them daily. A document titled Home Health Certification and Plan of Care was available for these medications. The plan was signed by a physician but not by the parent/guardian. In space 302, a group of six (6) children and six (6) adults were present. Of the six (6) adults, one (1) was a lead teacher, one (1) a teacher assistant, one (1) a substitute, and three (3) Registered Behavioral Technicians (RBTs). Four (4) of the adults, excluding the lead teacher and teacher assistant, were from contract agencies, including ESS Substitute Services. During my observation, three (3) students were in the playground area with the substitute and two (2) therapists, while the remaining three (3) students were in the classroom with the lead teacher and teacher assistant engaged in small-group activities. The adults on the playground did not have DCDEE criminal background checks per the ABCMS system. In space 303, seven (7) children and eight (8) adults were present. The adults included one (1) lead teacher and three (3) teacher assistants, one (1) of whom was assigned as a one-on-one support for a child. Additionally, one (1) Registered Behavioral Technician (RBT), one (1) Licensed Clinical Social Worker (LCSW), and two (2) adults from another contract agency were present. The two (2) contract agency staff members were engaged in a meeting/discussion; therefore, they were not interviewed. One (1) child was taken to the hallway by an RBT to work on a literacy activity during the visit. No DCDEE criminal background letter was located in the ABCMS system. One (1) medication was maintained in the office/nurse’s office. The child takes the medication daily at lunchtime. The permission form and action plan were valid, and the administration of the medication was logged appropriately. In space 304, seven (7) children and three (3) staff members were present. The children were seated at tables working on their assignments. One (1) emergency medication was maintained in a backpack, and both the permission form and action plan were valid. In space 305, seven (7) children and four (4) adults were present, including one (1) lead teacher, two (2) teacher assistants, and one (1) nurse. The nurse was employed by a contract agency. The children were seated at tables having snacks brought from home while a book was being played on the Smart Board. No medications were maintained in the classroom. Mr. Shelton, Mr. Queen, and I discussed space 306. This space had previously been reviewed during the annual compliance visit for the Rated License Assessment conducted on 12/5/24. At that time, Karly Wells, the previous administrator, verbally requested that space 306 be added to the licensed space. The room was reviewed for required postings; however, it was not formally licensed. During the current visit, Ms. Wells, Brandi Stephenson, Mr. Shelton, and Mr. Queen verified that space 306 is not currently receiving funding under the Developmental Day program. We discussed that additional information is required before adding the space to the licensed program, including statements from maintenance personnel, the Fire Marshal, and the Environmental Health Specialist verifying that room 306 meets all applicable codes. The pre-K playground was monitored during the visit. The children did not use the areas with gravel; instead, they rode tricycles, ran, and engaged in conversations with staff members. Supervision and interactions between students and staff were appropriate and adequate. Staff and Training Worksheet for school-age staff members were submitted by Mr. Queen during the visit. Ms. Houck and Ms. Owen reviewed eight (8) staff members files and seven (7) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program is approved for transportation. However, there are no Bus riders in Pre-K classroom this year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was completed on 9/29/25 and was reviewed today. Two (2) NC Pre-K children’s files were monitored today. The classroom operates from 7:30 a.m. to 2 p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all spaces. The following violations were documented during today’s visit: Violation Number Comment Rule 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. Three (3) cans of shaving cream were maintained in the cabinet in space 301. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child in space 301 takes at least seven (7) medications daily and administered by a nurse from a contract agency. No authorization form signed by the parent/guardian of the child was available for review. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Briviact 75 mg for a child in space #301 did not have the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The following medications in space 301 did not have medication authorization forms: Clobazam Tab 10 mg, Lamotrigine chw 5mg, Creon Dr. 36,000 unit cap, Creon Dr. 6,000 unit cap, Briviact 75 mg, Zonisamide 100 mg cap, Valtoco 15mg, Children's Motrin (2 Children's Motrin were present without names). 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Per interview, Children's Tylenol was administered to a child in space 301, but the documentation was not created. .0803(13)(a-e); .2318(3) 1041 Prior to employment a Criminal Background Check was not completed. Two (2) staff members who were employed by contract agencies were counted in staff/child ratios during the observation and did not complete their criminal background check prior to their employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. The following information was not provided on the Staff and Training Worksheet in timely manner before the end of monitoring visit. The following information was not provided on the Staff and Training Worksheet in timely manner before the end of monitoring visit: Dates of medical statement were not provided for four (4) staff members. Dates of orientation were not provided; One (1) staff hired on 8/12/25, did not have documentation on the staff and training worksheet to verify the date the first six weeks of new staff orientation was completed. Three (3) staff did not have dates on the staff and training worksheet to verify that personnel policies were discussed with each staff. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Two (2) staff members from contract agencies counted in staff/child ratios during observation. Their qualification letters were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. There were no staff at the child care facility that were verified to be assigned as hired at the child care facility in the ABCMS portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff members with employment dates of 8/13/24 and 8/2024 did not complete the Health and Safety training within one (1) year pf employment. .1102(a) Technical assistance was provided as follows: 840: Potentially Hazardous Products To achieve compliance, all products in aerosol cans must be stored in a locked area. A locked storage area must be secured with a combination lock, padlock, magnetic lock, or an equivalent locking mechanism. Baby-proof devices are not sufficient to meet this requirement. 842: administration of medication Medications cannot be administered without parental consent. To comply, authorization form must be completed for each medication. Until all forms are in place, no one rathe than families of the child can administer the medications. In your compliance letter, please state the actions you took to meet compliance. 844: pharmacy labels Prescription mediation must be stored in the original container with pharmacy label(s). This is for the school personnels and staff members to prevent medication mistakes. The labels will help them identify the right medication, right child, right route, right time and right dosage. The parent/guardian of the child who takes Briviact 75mg can request the pharmacy to re-print the label and bring it to the school. 847: Required documentation for medications When medications are maintained at school and administered while children are in care, authorization form is required for each medication and must be signed by the child’s parent or a guardian. Action plans are also required for emergency medications. To comply, authorization forms must be completed by the child’s parent/guardian for each medication. 851: medication log When prescription and over-the-counter medications (not including over-the-counter topicals/creams) are administered, required information must be documented and maintained for minimum of six (6) months. The required information are: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. To comply, please document above information for a child in space 301 who were given Children’s Tylenol last week. 1043: information The date of medical statement was not available during the visit for C. Trull and E. Reed. To comply, please provide the dates of their medical statement. In your compliance letter, please verify that their medical statements are on file. 1041: Criminal Background Check for New Employees 1757: Qualification Letters All staff members who provide care for, or are responsible for, children must complete a criminal background check conducted by the Division prior to the start of employment. Once qualification letters are issued, they must be maintained on file and made available for review during monitoring visits. T. Bright – substitute staff member from ESS counted in staff/child ratios on the playground for space 302 did not have DCDEE criminal background check or the qualification letter. C. Harwell, RBT, pulled a child to the hallway from space 303 to work on the literacy activity. He/she did not have the criminal background check by DCDEE or the qualification letter. To achieve compliance, the following steps must be taken immediately: Any staff member who has not completed a criminal background check through DCDEE must not be responsible for children. Such staff members may not be left alone with children or counted in the staff/child ratio. The application for a criminal background check through DCDEE can be accessed via the ABCMS website at https://ncabcms.nc.gov/DCDEE/ Fingerprinting must be completed at a local government office prior to a qualification letter being issued. Once the qualification letter is issued, each staff member must forward a copy to the program they serve if the program is a licensed child care program. The staff members’ criminal background letters must be submitted to me via email. If the criminal background check is not completed, you must verify that those staff members are not counted in staff/child ratios in writing. 1805: reporting of staff members in the ABCMS system All staff associated with the child care facility must be assigned to Clyde Elementary School Intensive Intervention Classrooms in the ABCMS portal. **New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, you need the program’s business NCID to complete this task. Follow the instructions you learned in the Moodle training video about ABCMS system and list all staff members on the roster. Please note that all substitute members who count in staff/child ratios must also be listed on the roster. In your compliance letter, please state the action you took to meet the compliance. 1898: Health and Safety training The following staff members did not complete the Health and Safety training within one (1) year of employment: M. DeFalco and C. Primo. To comply, all Health and Safety training topic included in CCDF training and "Medication in Child Care" training must be completed within the next two (2) weeks on DCDEE Moodle at https://www.dcdee.moodle.nc.gov/. All training certificates must be printed and maintained in the staff files. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/27/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: No discussion on the Rated License Assessment was completed during today’s visit. The program is not due to renewal of the Rated License Assessment until February 2028. We discussed staff members employed by the Haywood County Schools and the staff member employed by the contract agencies. The same requirements apply to all staff members who count in staff/child ratios. All required documentations must be available for review. The school is working on completing the inspections (fire and sanitation) to license space 306. Current capacity of the program is seventy-five (75). You must submit a written request for adding the space and increasing the overall program capacity. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
NC GS 110-90 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 61 Completed Date: 11/13/2025 Age: From 4 To 12 Total Minutes: 370 Time In: 09:10 AM Time Out: 03:20 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 monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Kiffin Queen, Assistant Principal, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Jacob Shelton, Principal/Administrator. Monica Houck, Lead Child Care Consultant and Bridget Owen, Child Care Consultant accompanied me partially during today’s visit, but the documents were not signed by them. Today, Mr. Kiffin was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) as of today prior to this visit. Permit type – five-star center license issued on 2/7/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, playground does not meet child care playground safety standards for school-age only. Certified Developmental Day. The last annual compliance with Rated License Assessment visit was conducted on 12/5/24. The last fire drill was practiced on 10/29/24. The last shelter-in-place drill was practiced on 10/20/24. The last playground inspection was documented on 12/10/24. The last fire inspection was approved on 11/7/25. The last sanitation inspection was conducted on 5/8/25 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/25/25 without hazards. Enrollment process was started for lead paint and asbestos testing but has not been completed. The ABCMS roster was reviewed during today’s visit and no staff members were listed. Space 101 was monitored by Ms. Owen. During today’s observation in Space 101, eighteen children were present, including seven (7) five-year-olds and eleven (11) four-year-olds. Lunch consisted of salad, milk, a pear, an Uncrustable sandwich, and a graham cracker. Children were observed eating their lunch appropriately and appeared to enjoy the meal. Supervision was great, and teacher–child interactions were positive and engaging throughout the lunch period. The rest of the space was monitored by K. Eddins. In space 301, a total of six (6) adults and five (5) children were present. The adults included three (3) staff members—a lead teacher and two (2) teacher assistants—one (1) nurse, and two (2) therapists. The nurse and therapists were employed by contract agencies and not by Haywood County Schools. Adults were observed working individually with children. One (1) child was on the swing. A total of nine (9) medications were maintained in space 301. One (1) medication, Valtoco, was stored in a backpack on top of the refrigerator, while the remaining medications were kept in a locked closet. Of the three (3) children’s fever reducer/pain medications, only one (1) was labeled with a child’s name. The permission form for Children’s Motrin was completed by the parent; however, the incorrect form (an over-the-counter topical medication form) was used. According to the lead teacher, the medication was administered sometime last week, but the administration of Children’s Motrin was not documented. Seven (7) of the medications belonged to one child, according to the nurse. One (1) medication, Briviact 75 mg, did not have a pharmacy label, and the child’s name was not written on the bottle. The nurse stated that the child takes six (6) medications daily, which are administered by him/her. Records of medication administration were shared with me via phone; however, other documentation, including the permission form for medication administration, was not available for review. The nurse stated that these records are managed by his/her employer, and he/she does not have direct access to them. I interviewed the lead teacher, a teacher assistant, and the nurse regarding these medications. The nurse stated that the child’s grandmother administers the medications when he/she is not at school; otherwise, the nurse administers them daily. A document titled Home Health Certification and Plan of Care was available for these medications. The plan was signed by a physician but not by the parent/guardian. In space 302, a group of six (6) children and six (6) adults were present. Of the six (6) adults, one (1) was a lead teacher, one (1) a teacher assistant, one (1) a substitute, and three (3) Registered Behavioral Technicians (RBTs). Four (4) of the adults, excluding the lead teacher and teacher assistant, were from contract agencies, including ESS Substitute Services. During my observation, three (3) students were in the playground area with the substitute and two (2) therapists, while the remaining three (3) students were in the classroom with the lead teacher and teacher assistant engaged in small-group activities. The adults on the playground did not have DCDEE criminal background checks per the ABCMS system. In space 303, seven (7) children and eight (8) adults were present. The adults included one (1) lead teacher and three (3) teacher assistants, one (1) of whom was assigned as a one-on-one support for a child. Additionally, one (1) Registered Behavioral Technician (RBT), one (1) Licensed Clinical Social Worker (LCSW), and two (2) adults from another contract agency were present. The two (2) contract agency staff members were engaged in a meeting/discussion; therefore, they were not interviewed. One (1) child was taken to the hallway by an RBT to work on a literacy activity during the visit. No DCDEE criminal background letter was located in the ABCMS system. One (1) medication was maintained in the office/nurse’s office. The child takes the medication daily at lunchtime. The permission form and action plan were valid, and the administration of the medication was logged appropriately. In space 304, seven (7) children and three (3) staff members were present. The children were seated at tables working on their assignments. One (1) emergency medication was maintained in a backpack, and both the permission form and action plan were valid. In space 305, seven (7) children and four (4) adults were present, including one (1) lead teacher, two (2) teacher assistants, and one (1) nurse. The nurse was employed by a contract agency. The children were seated at tables having snacks brought from home while a book was being played on the Smart Board. No medications were maintained in the classroom. Mr. Shelton, Mr. Queen, and I discussed space 306. This space had previously been reviewed during the annual compliance visit for the Rated License Assessment conducted on 12/5/24. At that time, Karly Wells, the previous administrator, verbally requested that space 306 be added to the licensed space. The room was reviewed for required postings; however, it was not formally licensed. During the current visit, Ms. Wells, Brandi Stephenson, Mr. Shelton, and Mr. Queen verified that space 306 is not currently receiving funding under the Developmental Day program. We discussed that additional information is required before adding the space to the licensed program, including statements from maintenance personnel, the Fire Marshal, and the Environmental Health Specialist verifying that room 306 meets all applicable codes. The pre-K playground was monitored during the visit. The children did not use the areas with gravel; instead, they rode tricycles, ran, and engaged in conversations with staff members. Supervision and interactions between students and staff were appropriate and adequate. Staff and Training Worksheet for school-age staff members were submitted by Mr. Queen during the visit. Ms. Houck and Ms. Owen reviewed eight (8) staff members files and seven (7) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program is approved for transportation. However, there are no Bus riders in Pre-K classroom this year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was completed on 9/29/25 and was reviewed today. Two (2) NC Pre-K children’s files were monitored today. The classroom operates from 7:30 a.m. to 2 p.m. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all spaces. The following violations were documented during today’s visit: Violation Number Comment Rule 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. Three (3) cans of shaving cream were maintained in the cabinet in space 301. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child in space 301 takes at least seven (7) medications daily and administered by a nurse from a contract agency. No authorization form signed by the parent/guardian of the child was available for review. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Briviact 75 mg for a child in space #301 did not have the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The following medications in space 301 did not have medication authorization forms: Clobazam Tab 10 mg, Lamotrigine chw 5mg, Creon Dr. 36,000 unit cap, Creon Dr. 6,000 unit cap, Briviact 75 mg, Zonisamide 100 mg cap, Valtoco 15mg, Children's Motrin (2 Children's Motrin were present without names). 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Per interview, Children's Tylenol was administered to a child in space 301, but the documentation was not created. .0803(13)(a-e); .2318(3) 1041 Prior to employment a Criminal Background Check was not completed. Two (2) staff members who were employed by contract agencies were counted in staff/child ratios during the observation and did not complete their criminal background check prior to their employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. The following information was not provided on the Staff and Training Worksheet in timely manner before the end of monitoring visit. The following information was not provided on the Staff and Training Worksheet in timely manner before the end of monitoring visit: Dates of medical statement were not provided for four (4) staff members. Dates of orientation were not provided; One (1) staff hired on 8/12/25, did not have documentation on the staff and training worksheet to verify the date the first six weeks of new staff orientation was completed. Three (3) staff did not have dates on the staff and training worksheet to verify that personnel policies were discussed with each staff. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Two (2) staff members from contract agencies counted in staff/child ratios during observation. Their qualification letters were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. There were no staff at the child care facility that were verified to be assigned as hired at the child care facility in the ABCMS portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff members with employment dates of 8/13/24 and 8/2024 did not complete the Health and Safety training within one (1) year pf employment. .1102(a) Technical assistance was provided as follows: 840: Potentially Hazardous Products To achieve compliance, all products in aerosol cans must be stored in a locked area. A locked storage area must be secured with a combination lock, padlock, magnetic lock, or an equivalent locking mechanism. Baby-proof devices are not sufficient to meet this requirement. 842: administration of medication Medications cannot be administered without parental consent. To comply, authorization form must be completed for each medication. Until all forms are in place, no one rathe than families of the child can administer the medications. In your compliance letter, please state the actions you took to meet compliance. 844: pharmacy labels Prescription mediation must be stored in the original container with pharmacy label(s). This is for the school personnels and staff members to prevent medication mistakes. The labels will help them identify the right medication, right child, right route, right time and right dosage. The parent/guardian of the child who takes Briviact 75mg can request the pharmacy to re-print the label and bring it to the school. 847: Required documentation for medications When medications are maintained at school and administered while children are in care, authorization form is required for each medication and must be signed by the child’s parent or a guardian. Action plans are also required for emergency medications. To comply, authorization forms must be completed by the child’s parent/guardian for each medication. 851: medication log When prescription and over-the-counter medications (not including over-the-counter topicals/creams) are administered, required information must be documented and maintained for minimum of six (6) months. The required information are: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. To comply, please document above information for a child in space 301 who were given Children’s Tylenol last week. 1043: information The date of medical statement was not available during the visit for C. Trull and E. Reed. To comply, please provide the dates of their medical statement. In your compliance letter, please verify that their medical statements are on file. 1041: Criminal Background Check for New Employees 1757: Qualification Letters All staff members who provide care for, or are responsible for, children must complete a criminal background check conducted by the Division prior to the start of employment. Once qualification letters are issued, they must be maintained on file and made available for review during monitoring visits. T. Bright – substitute staff member from ESS counted in staff/child ratios on the playground for space 302 did not have DCDEE criminal background check or the qualification letter. C. Harwell, RBT, pulled a child to the hallway from space 303 to work on the literacy activity. He/she did not have the criminal background check by DCDEE or the qualification letter. To achieve compliance, the following steps must be taken immediately: Any staff member who has not completed a criminal background check through DCDEE must not be responsible for children. Such staff members may not be left alone with children or counted in the staff/child ratio. The application for a criminal background check through DCDEE can be accessed via the ABCMS website at https://ncabcms.nc.gov/DCDEE/ Fingerprinting must be completed at a local government office prior to a qualification letter being issued. Once the qualification letter is issued, each staff member must forward a copy to the program they serve if the program is a licensed child care program. The staff members’ criminal background letters must be submitted to me via email. If the criminal background check is not completed, you must verify that those staff members are not counted in staff/child ratios in writing. 1805: reporting of staff members in the ABCMS system All staff associated with the child care facility must be assigned to Clyde Elementary School Intensive Intervention Classrooms in the ABCMS portal. **New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, you need the program’s business NCID to complete this task. Follow the instructions you learned in the Moodle training video about ABCMS system and list all staff members on the roster. Please note that all substitute members who count in staff/child ratios must also be listed on the roster. In your compliance letter, please state the action you took to meet the compliance. 1898: Health and Safety training The following staff members did not complete the Health and Safety training within one (1) year of employment: M. DeFalco and C. Primo. To comply, all Health and Safety training topic included in CCDF training and "Medication in Child Care" training must be completed within the next two (2) weeks on DCDEE Moodle at https://www.dcdee.moodle.nc.gov/. All training certificates must be printed and maintained in the staff files. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/27/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: No discussion on the Rated License Assessment was completed during today’s visit. The program is not due to renewal of the Rated License Assessment until February 2028. We discussed staff members employed by the Haywood County Schools and the staff member employed by the contract agencies. The same requirements apply to all staff members who count in staff/child ratios. All required documentations must be available for review. The school is working on completing the inspections (fire and sanitation) to license space 306. Current capacity of the program is seventy-five (75). You must submit a written request for adding the space and increasing the overall program capacity. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0304 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 59 Completed Date: 12/5/2024 Age: From 4 To 11 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 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 monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Karley Wells, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Wells are available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy eight (78) percent as of today prior to this visit. Permit type – five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental day. Playground does not meet child care playground safety standard for school-age only. Metts reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. The last fire drill was practiced on 11/2/24. The last lockdown drill was practiced on 9/25/24. The last playground inspection was documented on 11/8/24. The last fire inspection was conducted for entire school on 5/26/24. The inspection form for licensed space has not been submitted. It is your responsibility to obtain the correct forms and submit it to the child care consultant. Please obtain fire inspection for child care programs and submit it to me at your earliest convenience possible. The last sanitation inspection was conducted on 5/15/24 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. The children in pre-K engaged in free play during observation. The children created seasonal art by cutting trees and glueing the pieces on the paper. Other children played with sensory table, manipulatives, and other materials. School-age children engaged in various activities. Some children worked with the teachers for small group activities, while others played with manipulatives, indoor swings and other materials. Playground was inspected. Various medications were maintained in space 301 and 303. Two (2) emergency medications were not able to be monitored. Two (2) students from space 303 participated in the field trip, and their medications were not available for review during the visit. In 301, a total of seven (7) medications were monitored. All medication authorization forms were expired and no Action plans for the medications were in file. Three (3) staff files were monitored in full. Three (3) existing files were monitored partially. Seven (7) substitute files were monitored. The substitute staff were not listed on the Staff and Training Worksheet. Two (2) substitute staff members were preset in space 301 and 305. S. Woody’s file was not available for review. Per ABCMS, S. Woody has a valid qualification letter in the system. M. DeFalco has not obtained criminal background letter. Off-site verification forms were filled out for all staff permanent staff members. Six (6) children’s files were monitored and were in compliance. Off-site verification form was present for all children. Today’s lunch was choice between spaghetti and popcorn chicken, Caesar salad, bread stick and peaches. Some children brought lunch from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces . All classrooms are Developmental-Day classrooms. Staff/child ratios were met in all classrooms. NC Pre-K monitoring tool has not been completed for this school year. The classroom operates from 7:30 am to 2:30 pm. During the review of the visit, Ms. Wells requested to add space 306 to the licensed space. Due to the time of the request, the children, staff files and the space 306 was not monitored during the visit. However, the room was measured. The room is exactly the same set up as space 301 - 305. Therefore, the capacity of the classroom will be thirty-two (32) children. Staff/child Ratio poster, Child Care Law, EMC, schedule and activity plan were posted. Currently, sixty-two (62) children are enrolled in the program. The maximum capacity of the program is seventy-five, per sanitation inspection conducted on 5/15/24. Therefore, no more than thirteen (13) children can be enrolled in space 306 if licensed. I have reviewed WORKS accounts for the two (2) staff members for space 306. C. Primo needs official transcripts to be sent to the WORKS account, apply for positions and the WORKS letter needs to be issued. R. Gibby needs to submit official transcript to be sent to the WORKS and receive an updated letter. Both staff member's education shall meet the requirement set by 10A NCAC 09 .2903 STAFF QUALIFICATIONS (f)For centers operating for 10 months as specified by Rule .2902(a) of this Section, during the 10-month school year, as defined by the State Board of Education, each group of school-age children shall have at least one teacher who holds State certification as a Special Education Teacher. For centers operating for 12 months as specified by Rule .2902(a) of this Section, during the two additional months of operation each group of school-age children shall have at least one teacher who has completed at least two semester hours of school-age care related coursework and has completed or is enrolled in at least two additional semester hours of school-age related coursework. The following violations were documented during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Per record, Briviact 10 mg was administered on 8/19/24 and 8/21/24. No authorization form to administer medication was in file for Briviact. Creon DR 36,000 unit was administered on 8/19/24, 8/20/24 an 8/21/24 while the medication authorization form expired on 2/18/24. Zonisamide 100 mg was administered on 8/19/24 and 8/21/24 wile the permission form expired on 2/21/24. Clobazam 2.5 mg was administered on 8/19/24 and 8/21/24 while the permission form expired on 2/21/24. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. No parent authorization form was in file for Pancrelipase Creon (Pharmacy sample)and Briviact 10mg in space 301. The authorization form for Creon DR 36,000 unit expired on 2/18/24. The authorization form for Zonisamide 100mg expired on 2/21/24. The authorization form for Clobazam 2.5 mg expired on 2/21/24. The authorization form for Diazapan expired on 2/21/24. All above medications were maintained in space 301. 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. Creon DR 6,000 unit expired on 8/18/24 in space 301. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. M. DeFalco was hired in August 2024, but criminal background letter was not in file. Per ABCMS, the letter has not been issued as of today. Ms. DeFalco was present during the visit. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. S. Woody's staff file was not available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letter was not in file for review for M. DeFalco, D. Little (substitute) and C. Kelly (Substitute). G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no action plans in file for Diazepam, Clobazam, Zonisamide, Briviact, Creon DR 6,000 unit, Pancrelipase Creon, and Creon 36,000 unit. Clobazam, Zonisamide, Briviact and Diazapan are for seizure disorder, per staff member in the classroom. All medication listed above were maintained in space 301. .0801(b) Technical assistance was provided as follows: 842: Administration of medication No medications, prescription or over-the-counter, shall be administered to the children without authorization by the parents. Current medication authorization form shall be maintained. Refer to 10A NCAC 09 .0803(1)(a)(b). 847: Medication authorization form Per 10 A NCAC 09 .0803 (4)(6-9), an authorization form shall be filled out and signed by the parent or guardian for each medication. Authorization form is valid for up to six (6) months for prescription medications. Please renew the medication authorization form for Creon DR 6,000 unit, Creon DR 36,000 unit, Zonisamide 100 mg, Clobazam 2.5 mg and Diazepam. Obtain new medication authorization form Pancrelipase Creon and Briviact 10 mg. 849: expired medication All expired medication shall be returned home or discarded without seventy (72) hours of expiration date. Creon Dr 6,000 unit expired on 8/18/24. Please send the medication home today. 1041: Criminal Background Check Criminal Background Check for DCDEE shall be completed prior to employment. M. DeFalco shall not return to work until the criminal background qualifying letter is issued. Please print the letter and maintain it in the file. 1757: Criminal Background Qualifying letter Qualifying letter issued upon completion of Criminal background check shall be maintained in the staff files. Please print the letter for two (2) substitute staff members, D. Little and C. Kelly and maintain them in the file. 1834: Action plan Per 10A NCAC 09 .0801(b), for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The action plans can be filled out either by a physician or the parent of the child. Please obtain AP for all medication in space 301. Additional technical assistance was provided for the following items: Due to the effects of Tropical Storm Helene, additional time was permitted to complete the following. 1035: Emergency information form All staff members, including substitute staff members shall have current emergency information form in the file. Please have A. West fill out her emergency information form. 1898: Health and Safety training Health and Safety training shall be completed within a year of employment. Per Staff and Training worksheet, K. Jones has not completed the Health and Safety Training. The training can be accessed on https://www.dcdee.moodle.nc.gov/. K. Jones shall complete the training as soon as possible. Once training is completed, the training certificate shall be printed and maintained in the staff file. We discussed K. Jones to complete the training in December 2024. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Gravel/loose surfacing: During the visit, I measured gravels on the preschool playground. The gravels under monkey bar were measured for 1 ½ inches. The gravels near the swings were measured for 3 ½ inches. Based on the border, the gravel should be measured for seven (7) inches. Due to low temperatures this week, the accurate depth of the gravel may not have been measured. The gravel will be measured during the next routine visit to determine the accurate depth. The ground cover gets packed down over time and create hard surfacing. The rule specifically states the depth of loose surfacing. Therefore, depth is based on the loose gravel. Please plan to install additional gravels on the playground. Until gravels are installed, the equipment that requires fall zones should not be accessible to the children. Please place a safety plan how to keep the equipment inaccessible to the children. Shelter-in-place/lockdown drill: A shelter-in-place or a lockdown drill is due this month. Rated License Assessment: Program Points: Program points will be determined based on program restrictions and ECERS-R score. Education points: Education points will be determined based on each staff member’s education on their WORKS letter. ECERS-R: Gross motor activities: The equipment and activities shall stimulate a variety (7-9 different skills) of gross motor skills. For example, balancing, climbing, throwing, pedaling, steering, pulling, pushing, jumping, catching, throwing, kicking, etc.) Books/Pictures ECERS: Variety of books shall be available to children including fantasy, information, stories about people, animals, nature/science, books that reflect different cultures, different abilities. For score five (5), at least twenty (20) books for a group of up to fifteen (15) children and at least one extra book for each additional child. 3-4 books of each topic are needed. Art: ECERS: Art work shall be child-directed and individual expressions are encouraged. 3-5 different art materials from at least four of the categories shall be accessible to children for substantial portion of the day, and a drawing material must be one of the four categories. Categories of art materials are drawing materials, paints, three-dimensional materials, collage materials, and tools. Examples of drawing materials include paper, crayon, nontoxic felt pens, thick pencils. Examples of three-dimensional materials are play dough, clay, and wood pieces and glue. Tools are such as safe scissors, staples, hole punches, tape dispensers, etc. Fine Motor: ECERS: The types of fine motor materials are small interlocking building toys, art materials, manipulatives, and puzzles. Examples of manipulative toys are stringing, pegs and peg boards, sewing cards and puzzles. There shall be at least three (3) examples of each type of materials to be accessible. Music/Movement: ECERS: There should be enough musical instruments for at least half of the children at once plus some music to listen to, such as CD player with different CDs. Various types of music should be available to children. For example: classical music, popular music, cultural music, songs in different languages, etc. Blocks: ECERS: Space in the block areas shall be enough for three (3) children to build sizable structures independently. No interlocking blocks shall be in block area. The block area shall be out of traffic. Types of blocks to build sizable structures are unit blocks, large hollow blocks, cardboard blocks, homemade blocks using food boxes and plastic containers wrapped in papers. Sand/water: ECERS: Both Sand/water play shall be available to children with variety of accessories, including containers, spoons, funnels, scoops, shovels, pots and pans, molds, toy people, animals, and trucks. Either outdoor or indoors for five (5) points and both indoor and outdoor for seven (7) points. Dramatic Play: ECERS: At least two different dramatic play props (housekeeping, different kinds of work, fantasy, leisure) must be accessible to children. There shall be enough materials for three (3) or more children to use materials at on time. Nature/Science: ECERS: The category of nature/science materials are collection of natural objects, living things, nature/science books, games or toys, and nature/science activities. 3-5 examples of three (3) categories of nature/science materials shall be accessible to children. Examples of games and toys are nature matching cards, nature sequence cards, etc. Teachers shall talk to children about events, such as weather, observation of insects, births, seasons, etc. Math/Number: ECERS: Five (5) of each type (counting, measuring, comparing quantities, recognizing shapes, written numbers) of materials shall be accessible to children. Teachers shall incorporate math/number learning into daily routines. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0801 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 59 Completed Date: 12/5/2024 Age: From 4 To 11 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 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 monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Karley Wells, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Wells are available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy eight (78) percent as of today prior to this visit. Permit type – five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental day. Playground does not meet child care playground safety standard for school-age only. Metts reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. The last fire drill was practiced on 11/2/24. The last lockdown drill was practiced on 9/25/24. The last playground inspection was documented on 11/8/24. The last fire inspection was conducted for entire school on 5/26/24. The inspection form for licensed space has not been submitted. It is your responsibility to obtain the correct forms and submit it to the child care consultant. Please obtain fire inspection for child care programs and submit it to me at your earliest convenience possible. The last sanitation inspection was conducted on 5/15/24 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. The children in pre-K engaged in free play during observation. The children created seasonal art by cutting trees and glueing the pieces on the paper. Other children played with sensory table, manipulatives, and other materials. School-age children engaged in various activities. Some children worked with the teachers for small group activities, while others played with manipulatives, indoor swings and other materials. Playground was inspected. Various medications were maintained in space 301 and 303. Two (2) emergency medications were not able to be monitored. Two (2) students from space 303 participated in the field trip, and their medications were not available for review during the visit. In 301, a total of seven (7) medications were monitored. All medication authorization forms were expired and no Action plans for the medications were in file. Three (3) staff files were monitored in full. Three (3) existing files were monitored partially. Seven (7) substitute files were monitored. The substitute staff were not listed on the Staff and Training Worksheet. Two (2) substitute staff members were preset in space 301 and 305. S. Woody’s file was not available for review. Per ABCMS, S. Woody has a valid qualification letter in the system. M. DeFalco has not obtained criminal background letter. Off-site verification forms were filled out for all staff permanent staff members. Six (6) children’s files were monitored and were in compliance. Off-site verification form was present for all children. Today’s lunch was choice between spaghetti and popcorn chicken, Caesar salad, bread stick and peaches. Some children brought lunch from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces . All classrooms are Developmental-Day classrooms. Staff/child ratios were met in all classrooms. NC Pre-K monitoring tool has not been completed for this school year. The classroom operates from 7:30 am to 2:30 pm. During the review of the visit, Ms. Wells requested to add space 306 to the licensed space. Due to the time of the request, the children, staff files and the space 306 was not monitored during the visit. However, the room was measured. The room is exactly the same set up as space 301 - 305. Therefore, the capacity of the classroom will be thirty-two (32) children. Staff/child Ratio poster, Child Care Law, EMC, schedule and activity plan were posted. Currently, sixty-two (62) children are enrolled in the program. The maximum capacity of the program is seventy-five, per sanitation inspection conducted on 5/15/24. Therefore, no more than thirteen (13) children can be enrolled in space 306 if licensed. I have reviewed WORKS accounts for the two (2) staff members for space 306. C. Primo needs official transcripts to be sent to the WORKS account, apply for positions and the WORKS letter needs to be issued. R. Gibby needs to submit official transcript to be sent to the WORKS and receive an updated letter. Both staff member's education shall meet the requirement set by 10A NCAC 09 .2903 STAFF QUALIFICATIONS (f)For centers operating for 10 months as specified by Rule .2902(a) of this Section, during the 10-month school year, as defined by the State Board of Education, each group of school-age children shall have at least one teacher who holds State certification as a Special Education Teacher. For centers operating for 12 months as specified by Rule .2902(a) of this Section, during the two additional months of operation each group of school-age children shall have at least one teacher who has completed at least two semester hours of school-age care related coursework and has completed or is enrolled in at least two additional semester hours of school-age related coursework. The following violations were documented during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Per record, Briviact 10 mg was administered on 8/19/24 and 8/21/24. No authorization form to administer medication was in file for Briviact. Creon DR 36,000 unit was administered on 8/19/24, 8/20/24 an 8/21/24 while the medication authorization form expired on 2/18/24. Zonisamide 100 mg was administered on 8/19/24 and 8/21/24 wile the permission form expired on 2/21/24. Clobazam 2.5 mg was administered on 8/19/24 and 8/21/24 while the permission form expired on 2/21/24. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. No parent authorization form was in file for Pancrelipase Creon (Pharmacy sample)and Briviact 10mg in space 301. The authorization form for Creon DR 36,000 unit expired on 2/18/24. The authorization form for Zonisamide 100mg expired on 2/21/24. The authorization form for Clobazam 2.5 mg expired on 2/21/24. The authorization form for Diazapan expired on 2/21/24. All above medications were maintained in space 301. 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. Creon DR 6,000 unit expired on 8/18/24 in space 301. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. M. DeFalco was hired in August 2024, but criminal background letter was not in file. Per ABCMS, the letter has not been issued as of today. Ms. DeFalco was present during the visit. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. S. Woody's staff file was not available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letter was not in file for review for M. DeFalco, D. Little (substitute) and C. Kelly (Substitute). G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no action plans in file for Diazepam, Clobazam, Zonisamide, Briviact, Creon DR 6,000 unit, Pancrelipase Creon, and Creon 36,000 unit. Clobazam, Zonisamide, Briviact and Diazapan are for seizure disorder, per staff member in the classroom. All medication listed above were maintained in space 301. .0801(b) Technical assistance was provided as follows: 842: Administration of medication No medications, prescription or over-the-counter, shall be administered to the children without authorization by the parents. Current medication authorization form shall be maintained. Refer to 10A NCAC 09 .0803(1)(a)(b). 847: Medication authorization form Per 10 A NCAC 09 .0803 (4)(6-9), an authorization form shall be filled out and signed by the parent or guardian for each medication. Authorization form is valid for up to six (6) months for prescription medications. Please renew the medication authorization form for Creon DR 6,000 unit, Creon DR 36,000 unit, Zonisamide 100 mg, Clobazam 2.5 mg and Diazepam. Obtain new medication authorization form Pancrelipase Creon and Briviact 10 mg. 849: expired medication All expired medication shall be returned home or discarded without seventy (72) hours of expiration date. Creon Dr 6,000 unit expired on 8/18/24. Please send the medication home today. 1041: Criminal Background Check Criminal Background Check for DCDEE shall be completed prior to employment. M. DeFalco shall not return to work until the criminal background qualifying letter is issued. Please print the letter and maintain it in the file. 1757: Criminal Background Qualifying letter Qualifying letter issued upon completion of Criminal background check shall be maintained in the staff files. Please print the letter for two (2) substitute staff members, D. Little and C. Kelly and maintain them in the file. 1834: Action plan Per 10A NCAC 09 .0801(b), for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The action plans can be filled out either by a physician or the parent of the child. Please obtain AP for all medication in space 301. Additional technical assistance was provided for the following items: Due to the effects of Tropical Storm Helene, additional time was permitted to complete the following. 1035: Emergency information form All staff members, including substitute staff members shall have current emergency information form in the file. Please have A. West fill out her emergency information form. 1898: Health and Safety training Health and Safety training shall be completed within a year of employment. Per Staff and Training worksheet, K. Jones has not completed the Health and Safety Training. The training can be accessed on https://www.dcdee.moodle.nc.gov/. K. Jones shall complete the training as soon as possible. Once training is completed, the training certificate shall be printed and maintained in the staff file. We discussed K. Jones to complete the training in December 2024. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Gravel/loose surfacing: During the visit, I measured gravels on the preschool playground. The gravels under monkey bar were measured for 1 ½ inches. The gravels near the swings were measured for 3 ½ inches. Based on the border, the gravel should be measured for seven (7) inches. Due to low temperatures this week, the accurate depth of the gravel may not have been measured. The gravel will be measured during the next routine visit to determine the accurate depth. The ground cover gets packed down over time and create hard surfacing. The rule specifically states the depth of loose surfacing. Therefore, depth is based on the loose gravel. Please plan to install additional gravels on the playground. Until gravels are installed, the equipment that requires fall zones should not be accessible to the children. Please place a safety plan how to keep the equipment inaccessible to the children. Shelter-in-place/lockdown drill: A shelter-in-place or a lockdown drill is due this month. Rated License Assessment: Program Points: Program points will be determined based on program restrictions and ECERS-R score. Education points: Education points will be determined based on each staff member’s education on their WORKS letter. ECERS-R: Gross motor activities: The equipment and activities shall stimulate a variety (7-9 different skills) of gross motor skills. For example, balancing, climbing, throwing, pedaling, steering, pulling, pushing, jumping, catching, throwing, kicking, etc.) Books/Pictures ECERS: Variety of books shall be available to children including fantasy, information, stories about people, animals, nature/science, books that reflect different cultures, different abilities. For score five (5), at least twenty (20) books for a group of up to fifteen (15) children and at least one extra book for each additional child. 3-4 books of each topic are needed. Art: ECERS: Art work shall be child-directed and individual expressions are encouraged. 3-5 different art materials from at least four of the categories shall be accessible to children for substantial portion of the day, and a drawing material must be one of the four categories. Categories of art materials are drawing materials, paints, three-dimensional materials, collage materials, and tools. Examples of drawing materials include paper, crayon, nontoxic felt pens, thick pencils. Examples of three-dimensional materials are play dough, clay, and wood pieces and glue. Tools are such as safe scissors, staples, hole punches, tape dispensers, etc. Fine Motor: ECERS: The types of fine motor materials are small interlocking building toys, art materials, manipulatives, and puzzles. Examples of manipulative toys are stringing, pegs and peg boards, sewing cards and puzzles. There shall be at least three (3) examples of each type of materials to be accessible. Music/Movement: ECERS: There should be enough musical instruments for at least half of the children at once plus some music to listen to, such as CD player with different CDs. Various types of music should be available to children. For example: classical music, popular music, cultural music, songs in different languages, etc. Blocks: ECERS: Space in the block areas shall be enough for three (3) children to build sizable structures independently. No interlocking blocks shall be in block area. The block area shall be out of traffic. Types of blocks to build sizable structures are unit blocks, large hollow blocks, cardboard blocks, homemade blocks using food boxes and plastic containers wrapped in papers. Sand/water: ECERS: Both Sand/water play shall be available to children with variety of accessories, including containers, spoons, funnels, scoops, shovels, pots and pans, molds, toy people, animals, and trucks. Either outdoor or indoors for five (5) points and both indoor and outdoor for seven (7) points. Dramatic Play: ECERS: At least two different dramatic play props (housekeeping, different kinds of work, fantasy, leisure) must be accessible to children. There shall be enough materials for three (3) or more children to use materials at on time. Nature/Science: ECERS: The category of nature/science materials are collection of natural objects, living things, nature/science books, games or toys, and nature/science activities. 3-5 examples of three (3) categories of nature/science materials shall be accessible to children. Examples of games and toys are nature matching cards, nature sequence cards, etc. Teachers shall talk to children about events, such as weather, observation of insects, births, seasons, etc. Math/Number: ECERS: Five (5) of each type (counting, measuring, comparing quantities, recognizing shapes, written numbers) of materials shall be accessible to children. Teachers shall incorporate math/number learning into daily routines. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0803 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 59 Completed Date: 12/5/2024 Age: From 4 To 11 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 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 monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Karley Wells, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Wells are available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy eight (78) percent as of today prior to this visit. Permit type – five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental day. Playground does not meet child care playground safety standard for school-age only. Metts reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. The last fire drill was practiced on 11/2/24. The last lockdown drill was practiced on 9/25/24. The last playground inspection was documented on 11/8/24. The last fire inspection was conducted for entire school on 5/26/24. The inspection form for licensed space has not been submitted. It is your responsibility to obtain the correct forms and submit it to the child care consultant. Please obtain fire inspection for child care programs and submit it to me at your earliest convenience possible. The last sanitation inspection was conducted on 5/15/24 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. The children in pre-K engaged in free play during observation. The children created seasonal art by cutting trees and glueing the pieces on the paper. Other children played with sensory table, manipulatives, and other materials. School-age children engaged in various activities. Some children worked with the teachers for small group activities, while others played with manipulatives, indoor swings and other materials. Playground was inspected. Various medications were maintained in space 301 and 303. Two (2) emergency medications were not able to be monitored. Two (2) students from space 303 participated in the field trip, and their medications were not available for review during the visit. In 301, a total of seven (7) medications were monitored. All medication authorization forms were expired and no Action plans for the medications were in file. Three (3) staff files were monitored in full. Three (3) existing files were monitored partially. Seven (7) substitute files were monitored. The substitute staff were not listed on the Staff and Training Worksheet. Two (2) substitute staff members were preset in space 301 and 305. S. Woody’s file was not available for review. Per ABCMS, S. Woody has a valid qualification letter in the system. M. DeFalco has not obtained criminal background letter. Off-site verification forms were filled out for all staff permanent staff members. Six (6) children’s files were monitored and were in compliance. Off-site verification form was present for all children. Today’s lunch was choice between spaghetti and popcorn chicken, Caesar salad, bread stick and peaches. Some children brought lunch from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces . All classrooms are Developmental-Day classrooms. Staff/child ratios were met in all classrooms. NC Pre-K monitoring tool has not been completed for this school year. The classroom operates from 7:30 am to 2:30 pm. During the review of the visit, Ms. Wells requested to add space 306 to the licensed space. Due to the time of the request, the children, staff files and the space 306 was not monitored during the visit. However, the room was measured. The room is exactly the same set up as space 301 - 305. Therefore, the capacity of the classroom will be thirty-two (32) children. Staff/child Ratio poster, Child Care Law, EMC, schedule and activity plan were posted. Currently, sixty-two (62) children are enrolled in the program. The maximum capacity of the program is seventy-five, per sanitation inspection conducted on 5/15/24. Therefore, no more than thirteen (13) children can be enrolled in space 306 if licensed. I have reviewed WORKS accounts for the two (2) staff members for space 306. C. Primo needs official transcripts to be sent to the WORKS account, apply for positions and the WORKS letter needs to be issued. R. Gibby needs to submit official transcript to be sent to the WORKS and receive an updated letter. Both staff member's education shall meet the requirement set by 10A NCAC 09 .2903 STAFF QUALIFICATIONS (f)For centers operating for 10 months as specified by Rule .2902(a) of this Section, during the 10-month school year, as defined by the State Board of Education, each group of school-age children shall have at least one teacher who holds State certification as a Special Education Teacher. For centers operating for 12 months as specified by Rule .2902(a) of this Section, during the two additional months of operation each group of school-age children shall have at least one teacher who has completed at least two semester hours of school-age care related coursework and has completed or is enrolled in at least two additional semester hours of school-age related coursework. The following violations were documented during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Per record, Briviact 10 mg was administered on 8/19/24 and 8/21/24. No authorization form to administer medication was in file for Briviact. Creon DR 36,000 unit was administered on 8/19/24, 8/20/24 an 8/21/24 while the medication authorization form expired on 2/18/24. Zonisamide 100 mg was administered on 8/19/24 and 8/21/24 wile the permission form expired on 2/21/24. Clobazam 2.5 mg was administered on 8/19/24 and 8/21/24 while the permission form expired on 2/21/24. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. No parent authorization form was in file for Pancrelipase Creon (Pharmacy sample)and Briviact 10mg in space 301. The authorization form for Creon DR 36,000 unit expired on 2/18/24. The authorization form for Zonisamide 100mg expired on 2/21/24. The authorization form for Clobazam 2.5 mg expired on 2/21/24. The authorization form for Diazapan expired on 2/21/24. All above medications were maintained in space 301. 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. Creon DR 6,000 unit expired on 8/18/24 in space 301. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. M. DeFalco was hired in August 2024, but criminal background letter was not in file. Per ABCMS, the letter has not been issued as of today. Ms. DeFalco was present during the visit. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. S. Woody's staff file was not available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letter was not in file for review for M. DeFalco, D. Little (substitute) and C. Kelly (Substitute). G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no action plans in file for Diazepam, Clobazam, Zonisamide, Briviact, Creon DR 6,000 unit, Pancrelipase Creon, and Creon 36,000 unit. Clobazam, Zonisamide, Briviact and Diazapan are for seizure disorder, per staff member in the classroom. All medication listed above were maintained in space 301. .0801(b) Technical assistance was provided as follows: 842: Administration of medication No medications, prescription or over-the-counter, shall be administered to the children without authorization by the parents. Current medication authorization form shall be maintained. Refer to 10A NCAC 09 .0803(1)(a)(b). 847: Medication authorization form Per 10 A NCAC 09 .0803 (4)(6-9), an authorization form shall be filled out and signed by the parent or guardian for each medication. Authorization form is valid for up to six (6) months for prescription medications. Please renew the medication authorization form for Creon DR 6,000 unit, Creon DR 36,000 unit, Zonisamide 100 mg, Clobazam 2.5 mg and Diazepam. Obtain new medication authorization form Pancrelipase Creon and Briviact 10 mg. 849: expired medication All expired medication shall be returned home or discarded without seventy (72) hours of expiration date. Creon Dr 6,000 unit expired on 8/18/24. Please send the medication home today. 1041: Criminal Background Check Criminal Background Check for DCDEE shall be completed prior to employment. M. DeFalco shall not return to work until the criminal background qualifying letter is issued. Please print the letter and maintain it in the file. 1757: Criminal Background Qualifying letter Qualifying letter issued upon completion of Criminal background check shall be maintained in the staff files. Please print the letter for two (2) substitute staff members, D. Little and C. Kelly and maintain them in the file. 1834: Action plan Per 10A NCAC 09 .0801(b), for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The action plans can be filled out either by a physician or the parent of the child. Please obtain AP for all medication in space 301. Additional technical assistance was provided for the following items: Due to the effects of Tropical Storm Helene, additional time was permitted to complete the following. 1035: Emergency information form All staff members, including substitute staff members shall have current emergency information form in the file. Please have A. West fill out her emergency information form. 1898: Health and Safety training Health and Safety training shall be completed within a year of employment. Per Staff and Training worksheet, K. Jones has not completed the Health and Safety Training. The training can be accessed on https://www.dcdee.moodle.nc.gov/. K. Jones shall complete the training as soon as possible. Once training is completed, the training certificate shall be printed and maintained in the staff file. We discussed K. Jones to complete the training in December 2024. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Gravel/loose surfacing: During the visit, I measured gravels on the preschool playground. The gravels under monkey bar were measured for 1 ½ inches. The gravels near the swings were measured for 3 ½ inches. Based on the border, the gravel should be measured for seven (7) inches. Due to low temperatures this week, the accurate depth of the gravel may not have been measured. The gravel will be measured during the next routine visit to determine the accurate depth. The ground cover gets packed down over time and create hard surfacing. The rule specifically states the depth of loose surfacing. Therefore, depth is based on the loose gravel. Please plan to install additional gravels on the playground. Until gravels are installed, the equipment that requires fall zones should not be accessible to the children. Please place a safety plan how to keep the equipment inaccessible to the children. Shelter-in-place/lockdown drill: A shelter-in-place or a lockdown drill is due this month. Rated License Assessment: Program Points: Program points will be determined based on program restrictions and ECERS-R score. Education points: Education points will be determined based on each staff member’s education on their WORKS letter. ECERS-R: Gross motor activities: The equipment and activities shall stimulate a variety (7-9 different skills) of gross motor skills. For example, balancing, climbing, throwing, pedaling, steering, pulling, pushing, jumping, catching, throwing, kicking, etc.) Books/Pictures ECERS: Variety of books shall be available to children including fantasy, information, stories about people, animals, nature/science, books that reflect different cultures, different abilities. For score five (5), at least twenty (20) books for a group of up to fifteen (15) children and at least one extra book for each additional child. 3-4 books of each topic are needed. Art: ECERS: Art work shall be child-directed and individual expressions are encouraged. 3-5 different art materials from at least four of the categories shall be accessible to children for substantial portion of the day, and a drawing material must be one of the four categories. Categories of art materials are drawing materials, paints, three-dimensional materials, collage materials, and tools. Examples of drawing materials include paper, crayon, nontoxic felt pens, thick pencils. Examples of three-dimensional materials are play dough, clay, and wood pieces and glue. Tools are such as safe scissors, staples, hole punches, tape dispensers, etc. Fine Motor: ECERS: The types of fine motor materials are small interlocking building toys, art materials, manipulatives, and puzzles. Examples of manipulative toys are stringing, pegs and peg boards, sewing cards and puzzles. There shall be at least three (3) examples of each type of materials to be accessible. Music/Movement: ECERS: There should be enough musical instruments for at least half of the children at once plus some music to listen to, such as CD player with different CDs. Various types of music should be available to children. For example: classical music, popular music, cultural music, songs in different languages, etc. Blocks: ECERS: Space in the block areas shall be enough for three (3) children to build sizable structures independently. No interlocking blocks shall be in block area. The block area shall be out of traffic. Types of blocks to build sizable structures are unit blocks, large hollow blocks, cardboard blocks, homemade blocks using food boxes and plastic containers wrapped in papers. Sand/water: ECERS: Both Sand/water play shall be available to children with variety of accessories, including containers, spoons, funnels, scoops, shovels, pots and pans, molds, toy people, animals, and trucks. Either outdoor or indoors for five (5) points and both indoor and outdoor for seven (7) points. Dramatic Play: ECERS: At least two different dramatic play props (housekeeping, different kinds of work, fantasy, leisure) must be accessible to children. There shall be enough materials for three (3) or more children to use materials at on time. Nature/Science: ECERS: The category of nature/science materials are collection of natural objects, living things, nature/science books, games or toys, and nature/science activities. 3-5 examples of three (3) categories of nature/science materials shall be accessible to children. Examples of games and toys are nature matching cards, nature sequence cards, etc. Teachers shall talk to children about events, such as weather, observation of insects, births, seasons, etc. Math/Number: ECERS: Five (5) of each type (counting, measuring, comparing quantities, recognizing shapes, written numbers) of materials shall be accessible to children. Teachers shall incorporate math/number learning into daily routines. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1102 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 59 Completed Date: 12/5/2024 Age: From 4 To 11 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 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 monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Karley Wells, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Wells are available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy eight (78) percent as of today prior to this visit. Permit type – five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental day. Playground does not meet child care playground safety standard for school-age only. Metts reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. The last fire drill was practiced on 11/2/24. The last lockdown drill was practiced on 9/25/24. The last playground inspection was documented on 11/8/24. The last fire inspection was conducted for entire school on 5/26/24. The inspection form for licensed space has not been submitted. It is your responsibility to obtain the correct forms and submit it to the child care consultant. Please obtain fire inspection for child care programs and submit it to me at your earliest convenience possible. The last sanitation inspection was conducted on 5/15/24 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. The children in pre-K engaged in free play during observation. The children created seasonal art by cutting trees and glueing the pieces on the paper. Other children played with sensory table, manipulatives, and other materials. School-age children engaged in various activities. Some children worked with the teachers for small group activities, while others played with manipulatives, indoor swings and other materials. Playground was inspected. Various medications were maintained in space 301 and 303. Two (2) emergency medications were not able to be monitored. Two (2) students from space 303 participated in the field trip, and their medications were not available for review during the visit. In 301, a total of seven (7) medications were monitored. All medication authorization forms were expired and no Action plans for the medications were in file. Three (3) staff files were monitored in full. Three (3) existing files were monitored partially. Seven (7) substitute files were monitored. The substitute staff were not listed on the Staff and Training Worksheet. Two (2) substitute staff members were preset in space 301 and 305. S. Woody’s file was not available for review. Per ABCMS, S. Woody has a valid qualification letter in the system. M. DeFalco has not obtained criminal background letter. Off-site verification forms were filled out for all staff permanent staff members. Six (6) children’s files were monitored and were in compliance. Off-site verification form was present for all children. Today’s lunch was choice between spaghetti and popcorn chicken, Caesar salad, bread stick and peaches. Some children brought lunch from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces . All classrooms are Developmental-Day classrooms. Staff/child ratios were met in all classrooms. NC Pre-K monitoring tool has not been completed for this school year. The classroom operates from 7:30 am to 2:30 pm. During the review of the visit, Ms. Wells requested to add space 306 to the licensed space. Due to the time of the request, the children, staff files and the space 306 was not monitored during the visit. However, the room was measured. The room is exactly the same set up as space 301 - 305. Therefore, the capacity of the classroom will be thirty-two (32) children. Staff/child Ratio poster, Child Care Law, EMC, schedule and activity plan were posted. Currently, sixty-two (62) children are enrolled in the program. The maximum capacity of the program is seventy-five, per sanitation inspection conducted on 5/15/24. Therefore, no more than thirteen (13) children can be enrolled in space 306 if licensed. I have reviewed WORKS accounts for the two (2) staff members for space 306. C. Primo needs official transcripts to be sent to the WORKS account, apply for positions and the WORKS letter needs to be issued. R. Gibby needs to submit official transcript to be sent to the WORKS and receive an updated letter. Both staff member's education shall meet the requirement set by 10A NCAC 09 .2903 STAFF QUALIFICATIONS (f)For centers operating for 10 months as specified by Rule .2902(a) of this Section, during the 10-month school year, as defined by the State Board of Education, each group of school-age children shall have at least one teacher who holds State certification as a Special Education Teacher. For centers operating for 12 months as specified by Rule .2902(a) of this Section, during the two additional months of operation each group of school-age children shall have at least one teacher who has completed at least two semester hours of school-age care related coursework and has completed or is enrolled in at least two additional semester hours of school-age related coursework. The following violations were documented during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Per record, Briviact 10 mg was administered on 8/19/24 and 8/21/24. No authorization form to administer medication was in file for Briviact. Creon DR 36,000 unit was administered on 8/19/24, 8/20/24 an 8/21/24 while the medication authorization form expired on 2/18/24. Zonisamide 100 mg was administered on 8/19/24 and 8/21/24 wile the permission form expired on 2/21/24. Clobazam 2.5 mg was administered on 8/19/24 and 8/21/24 while the permission form expired on 2/21/24. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. No parent authorization form was in file for Pancrelipase Creon (Pharmacy sample)and Briviact 10mg in space 301. The authorization form for Creon DR 36,000 unit expired on 2/18/24. The authorization form for Zonisamide 100mg expired on 2/21/24. The authorization form for Clobazam 2.5 mg expired on 2/21/24. The authorization form for Diazapan expired on 2/21/24. All above medications were maintained in space 301. 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. Creon DR 6,000 unit expired on 8/18/24 in space 301. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. M. DeFalco was hired in August 2024, but criminal background letter was not in file. Per ABCMS, the letter has not been issued as of today. Ms. DeFalco was present during the visit. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. S. Woody's staff file was not available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letter was not in file for review for M. DeFalco, D. Little (substitute) and C. Kelly (Substitute). G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no action plans in file for Diazepam, Clobazam, Zonisamide, Briviact, Creon DR 6,000 unit, Pancrelipase Creon, and Creon 36,000 unit. Clobazam, Zonisamide, Briviact and Diazapan are for seizure disorder, per staff member in the classroom. All medication listed above were maintained in space 301. .0801(b) Technical assistance was provided as follows: 842: Administration of medication No medications, prescription or over-the-counter, shall be administered to the children without authorization by the parents. Current medication authorization form shall be maintained. Refer to 10A NCAC 09 .0803(1)(a)(b). 847: Medication authorization form Per 10 A NCAC 09 .0803 (4)(6-9), an authorization form shall be filled out and signed by the parent or guardian for each medication. Authorization form is valid for up to six (6) months for prescription medications. Please renew the medication authorization form for Creon DR 6,000 unit, Creon DR 36,000 unit, Zonisamide 100 mg, Clobazam 2.5 mg and Diazepam. Obtain new medication authorization form Pancrelipase Creon and Briviact 10 mg. 849: expired medication All expired medication shall be returned home or discarded without seventy (72) hours of expiration date. Creon Dr 6,000 unit expired on 8/18/24. Please send the medication home today. 1041: Criminal Background Check Criminal Background Check for DCDEE shall be completed prior to employment. M. DeFalco shall not return to work until the criminal background qualifying letter is issued. Please print the letter and maintain it in the file. 1757: Criminal Background Qualifying letter Qualifying letter issued upon completion of Criminal background check shall be maintained in the staff files. Please print the letter for two (2) substitute staff members, D. Little and C. Kelly and maintain them in the file. 1834: Action plan Per 10A NCAC 09 .0801(b), for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The action plans can be filled out either by a physician or the parent of the child. Please obtain AP for all medication in space 301. Additional technical assistance was provided for the following items: Due to the effects of Tropical Storm Helene, additional time was permitted to complete the following. 1035: Emergency information form All staff members, including substitute staff members shall have current emergency information form in the file. Please have A. West fill out her emergency information form. 1898: Health and Safety training Health and Safety training shall be completed within a year of employment. Per Staff and Training worksheet, K. Jones has not completed the Health and Safety Training. The training can be accessed on https://www.dcdee.moodle.nc.gov/. K. Jones shall complete the training as soon as possible. Once training is completed, the training certificate shall be printed and maintained in the staff file. We discussed K. Jones to complete the training in December 2024. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Gravel/loose surfacing: During the visit, I measured gravels on the preschool playground. The gravels under monkey bar were measured for 1 ½ inches. The gravels near the swings were measured for 3 ½ inches. Based on the border, the gravel should be measured for seven (7) inches. Due to low temperatures this week, the accurate depth of the gravel may not have been measured. The gravel will be measured during the next routine visit to determine the accurate depth. The ground cover gets packed down over time and create hard surfacing. The rule specifically states the depth of loose surfacing. Therefore, depth is based on the loose gravel. Please plan to install additional gravels on the playground. Until gravels are installed, the equipment that requires fall zones should not be accessible to the children. Please place a safety plan how to keep the equipment inaccessible to the children. Shelter-in-place/lockdown drill: A shelter-in-place or a lockdown drill is due this month. Rated License Assessment: Program Points: Program points will be determined based on program restrictions and ECERS-R score. Education points: Education points will be determined based on each staff member’s education on their WORKS letter. ECERS-R: Gross motor activities: The equipment and activities shall stimulate a variety (7-9 different skills) of gross motor skills. For example, balancing, climbing, throwing, pedaling, steering, pulling, pushing, jumping, catching, throwing, kicking, etc.) Books/Pictures ECERS: Variety of books shall be available to children including fantasy, information, stories about people, animals, nature/science, books that reflect different cultures, different abilities. For score five (5), at least twenty (20) books for a group of up to fifteen (15) children and at least one extra book for each additional child. 3-4 books of each topic are needed. Art: ECERS: Art work shall be child-directed and individual expressions are encouraged. 3-5 different art materials from at least four of the categories shall be accessible to children for substantial portion of the day, and a drawing material must be one of the four categories. Categories of art materials are drawing materials, paints, three-dimensional materials, collage materials, and tools. Examples of drawing materials include paper, crayon, nontoxic felt pens, thick pencils. Examples of three-dimensional materials are play dough, clay, and wood pieces and glue. Tools are such as safe scissors, staples, hole punches, tape dispensers, etc. Fine Motor: ECERS: The types of fine motor materials are small interlocking building toys, art materials, manipulatives, and puzzles. Examples of manipulative toys are stringing, pegs and peg boards, sewing cards and puzzles. There shall be at least three (3) examples of each type of materials to be accessible. Music/Movement: ECERS: There should be enough musical instruments for at least half of the children at once plus some music to listen to, such as CD player with different CDs. Various types of music should be available to children. For example: classical music, popular music, cultural music, songs in different languages, etc. Blocks: ECERS: Space in the block areas shall be enough for three (3) children to build sizable structures independently. No interlocking blocks shall be in block area. The block area shall be out of traffic. Types of blocks to build sizable structures are unit blocks, large hollow blocks, cardboard blocks, homemade blocks using food boxes and plastic containers wrapped in papers. Sand/water: ECERS: Both Sand/water play shall be available to children with variety of accessories, including containers, spoons, funnels, scoops, shovels, pots and pans, molds, toy people, animals, and trucks. Either outdoor or indoors for five (5) points and both indoor and outdoor for seven (7) points. Dramatic Play: ECERS: At least two different dramatic play props (housekeeping, different kinds of work, fantasy, leisure) must be accessible to children. There shall be enough materials for three (3) or more children to use materials at on time. Nature/Science: ECERS: The category of nature/science materials are collection of natural objects, living things, nature/science books, games or toys, and nature/science activities. 3-5 examples of three (3) categories of nature/science materials shall be accessible to children. Examples of games and toys are nature matching cards, nature sequence cards, etc. Teachers shall talk to children about events, such as weather, observation of insects, births, seasons, etc. Math/Number: ECERS: Five (5) of each type (counting, measuring, comparing quantities, recognizing shapes, written numbers) of materials shall be accessible to children. Teachers shall incorporate math/number learning into daily routines. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1703 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 59 Completed Date: 12/5/2024 Age: From 4 To 11 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 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 monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Karley Wells, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Wells are available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy eight (78) percent as of today prior to this visit. Permit type – five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental day. Playground does not meet child care playground safety standard for school-age only. Metts reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. The last fire drill was practiced on 11/2/24. The last lockdown drill was practiced on 9/25/24. The last playground inspection was documented on 11/8/24. The last fire inspection was conducted for entire school on 5/26/24. The inspection form for licensed space has not been submitted. It is your responsibility to obtain the correct forms and submit it to the child care consultant. Please obtain fire inspection for child care programs and submit it to me at your earliest convenience possible. The last sanitation inspection was conducted on 5/15/24 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. The children in pre-K engaged in free play during observation. The children created seasonal art by cutting trees and glueing the pieces on the paper. Other children played with sensory table, manipulatives, and other materials. School-age children engaged in various activities. Some children worked with the teachers for small group activities, while others played with manipulatives, indoor swings and other materials. Playground was inspected. Various medications were maintained in space 301 and 303. Two (2) emergency medications were not able to be monitored. Two (2) students from space 303 participated in the field trip, and their medications were not available for review during the visit. In 301, a total of seven (7) medications were monitored. All medication authorization forms were expired and no Action plans for the medications were in file. Three (3) staff files were monitored in full. Three (3) existing files were monitored partially. Seven (7) substitute files were monitored. The substitute staff were not listed on the Staff and Training Worksheet. Two (2) substitute staff members were preset in space 301 and 305. S. Woody’s file was not available for review. Per ABCMS, S. Woody has a valid qualification letter in the system. M. DeFalco has not obtained criminal background letter. Off-site verification forms were filled out for all staff permanent staff members. Six (6) children’s files were monitored and were in compliance. Off-site verification form was present for all children. Today’s lunch was choice between spaghetti and popcorn chicken, Caesar salad, bread stick and peaches. Some children brought lunch from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces . All classrooms are Developmental-Day classrooms. Staff/child ratios were met in all classrooms. NC Pre-K monitoring tool has not been completed for this school year. The classroom operates from 7:30 am to 2:30 pm. During the review of the visit, Ms. Wells requested to add space 306 to the licensed space. Due to the time of the request, the children, staff files and the space 306 was not monitored during the visit. However, the room was measured. The room is exactly the same set up as space 301 - 305. Therefore, the capacity of the classroom will be thirty-two (32) children. Staff/child Ratio poster, Child Care Law, EMC, schedule and activity plan were posted. Currently, sixty-two (62) children are enrolled in the program. The maximum capacity of the program is seventy-five, per sanitation inspection conducted on 5/15/24. Therefore, no more than thirteen (13) children can be enrolled in space 306 if licensed. I have reviewed WORKS accounts for the two (2) staff members for space 306. C. Primo needs official transcripts to be sent to the WORKS account, apply for positions and the WORKS letter needs to be issued. R. Gibby needs to submit official transcript to be sent to the WORKS and receive an updated letter. Both staff member's education shall meet the requirement set by 10A NCAC 09 .2903 STAFF QUALIFICATIONS (f)For centers operating for 10 months as specified by Rule .2902(a) of this Section, during the 10-month school year, as defined by the State Board of Education, each group of school-age children shall have at least one teacher who holds State certification as a Special Education Teacher. For centers operating for 12 months as specified by Rule .2902(a) of this Section, during the two additional months of operation each group of school-age children shall have at least one teacher who has completed at least two semester hours of school-age care related coursework and has completed or is enrolled in at least two additional semester hours of school-age related coursework. The following violations were documented during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Per record, Briviact 10 mg was administered on 8/19/24 and 8/21/24. No authorization form to administer medication was in file for Briviact. Creon DR 36,000 unit was administered on 8/19/24, 8/20/24 an 8/21/24 while the medication authorization form expired on 2/18/24. Zonisamide 100 mg was administered on 8/19/24 and 8/21/24 wile the permission form expired on 2/21/24. Clobazam 2.5 mg was administered on 8/19/24 and 8/21/24 while the permission form expired on 2/21/24. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. No parent authorization form was in file for Pancrelipase Creon (Pharmacy sample)and Briviact 10mg in space 301. The authorization form for Creon DR 36,000 unit expired on 2/18/24. The authorization form for Zonisamide 100mg expired on 2/21/24. The authorization form for Clobazam 2.5 mg expired on 2/21/24. The authorization form for Diazapan expired on 2/21/24. All above medications were maintained in space 301. 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. Creon DR 6,000 unit expired on 8/18/24 in space 301. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. M. DeFalco was hired in August 2024, but criminal background letter was not in file. Per ABCMS, the letter has not been issued as of today. Ms. DeFalco was present during the visit. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. S. Woody's staff file was not available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letter was not in file for review for M. DeFalco, D. Little (substitute) and C. Kelly (Substitute). G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no action plans in file for Diazepam, Clobazam, Zonisamide, Briviact, Creon DR 6,000 unit, Pancrelipase Creon, and Creon 36,000 unit. Clobazam, Zonisamide, Briviact and Diazapan are for seizure disorder, per staff member in the classroom. All medication listed above were maintained in space 301. .0801(b) Technical assistance was provided as follows: 842: Administration of medication No medications, prescription or over-the-counter, shall be administered to the children without authorization by the parents. Current medication authorization form shall be maintained. Refer to 10A NCAC 09 .0803(1)(a)(b). 847: Medication authorization form Per 10 A NCAC 09 .0803 (4)(6-9), an authorization form shall be filled out and signed by the parent or guardian for each medication. Authorization form is valid for up to six (6) months for prescription medications. Please renew the medication authorization form for Creon DR 6,000 unit, Creon DR 36,000 unit, Zonisamide 100 mg, Clobazam 2.5 mg and Diazepam. Obtain new medication authorization form Pancrelipase Creon and Briviact 10 mg. 849: expired medication All expired medication shall be returned home or discarded without seventy (72) hours of expiration date. Creon Dr 6,000 unit expired on 8/18/24. Please send the medication home today. 1041: Criminal Background Check Criminal Background Check for DCDEE shall be completed prior to employment. M. DeFalco shall not return to work until the criminal background qualifying letter is issued. Please print the letter and maintain it in the file. 1757: Criminal Background Qualifying letter Qualifying letter issued upon completion of Criminal background check shall be maintained in the staff files. Please print the letter for two (2) substitute staff members, D. Little and C. Kelly and maintain them in the file. 1834: Action plan Per 10A NCAC 09 .0801(b), for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The action plans can be filled out either by a physician or the parent of the child. Please obtain AP for all medication in space 301. Additional technical assistance was provided for the following items: Due to the effects of Tropical Storm Helene, additional time was permitted to complete the following. 1035: Emergency information form All staff members, including substitute staff members shall have current emergency information form in the file. Please have A. West fill out her emergency information form. 1898: Health and Safety training Health and Safety training shall be completed within a year of employment. Per Staff and Training worksheet, K. Jones has not completed the Health and Safety Training. The training can be accessed on https://www.dcdee.moodle.nc.gov/. K. Jones shall complete the training as soon as possible. Once training is completed, the training certificate shall be printed and maintained in the staff file. We discussed K. Jones to complete the training in December 2024. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Gravel/loose surfacing: During the visit, I measured gravels on the preschool playground. The gravels under monkey bar were measured for 1 ½ inches. The gravels near the swings were measured for 3 ½ inches. Based on the border, the gravel should be measured for seven (7) inches. Due to low temperatures this week, the accurate depth of the gravel may not have been measured. The gravel will be measured during the next routine visit to determine the accurate depth. The ground cover gets packed down over time and create hard surfacing. The rule specifically states the depth of loose surfacing. Therefore, depth is based on the loose gravel. Please plan to install additional gravels on the playground. Until gravels are installed, the equipment that requires fall zones should not be accessible to the children. Please place a safety plan how to keep the equipment inaccessible to the children. Shelter-in-place/lockdown drill: A shelter-in-place or a lockdown drill is due this month. Rated License Assessment: Program Points: Program points will be determined based on program restrictions and ECERS-R score. Education points: Education points will be determined based on each staff member’s education on their WORKS letter. ECERS-R: Gross motor activities: The equipment and activities shall stimulate a variety (7-9 different skills) of gross motor skills. For example, balancing, climbing, throwing, pedaling, steering, pulling, pushing, jumping, catching, throwing, kicking, etc.) Books/Pictures ECERS: Variety of books shall be available to children including fantasy, information, stories about people, animals, nature/science, books that reflect different cultures, different abilities. For score five (5), at least twenty (20) books for a group of up to fifteen (15) children and at least one extra book for each additional child. 3-4 books of each topic are needed. Art: ECERS: Art work shall be child-directed and individual expressions are encouraged. 3-5 different art materials from at least four of the categories shall be accessible to children for substantial portion of the day, and a drawing material must be one of the four categories. Categories of art materials are drawing materials, paints, three-dimensional materials, collage materials, and tools. Examples of drawing materials include paper, crayon, nontoxic felt pens, thick pencils. Examples of three-dimensional materials are play dough, clay, and wood pieces and glue. Tools are such as safe scissors, staples, hole punches, tape dispensers, etc. Fine Motor: ECERS: The types of fine motor materials are small interlocking building toys, art materials, manipulatives, and puzzles. Examples of manipulative toys are stringing, pegs and peg boards, sewing cards and puzzles. There shall be at least three (3) examples of each type of materials to be accessible. Music/Movement: ECERS: There should be enough musical instruments for at least half of the children at once plus some music to listen to, such as CD player with different CDs. Various types of music should be available to children. For example: classical music, popular music, cultural music, songs in different languages, etc. Blocks: ECERS: Space in the block areas shall be enough for three (3) children to build sizable structures independently. No interlocking blocks shall be in block area. The block area shall be out of traffic. Types of blocks to build sizable structures are unit blocks, large hollow blocks, cardboard blocks, homemade blocks using food boxes and plastic containers wrapped in papers. Sand/water: ECERS: Both Sand/water play shall be available to children with variety of accessories, including containers, spoons, funnels, scoops, shovels, pots and pans, molds, toy people, animals, and trucks. Either outdoor or indoors for five (5) points and both indoor and outdoor for seven (7) points. Dramatic Play: ECERS: At least two different dramatic play props (housekeeping, different kinds of work, fantasy, leisure) must be accessible to children. There shall be enough materials for three (3) or more children to use materials at on time. Nature/Science: ECERS: The category of nature/science materials are collection of natural objects, living things, nature/science books, games or toys, and nature/science activities. 3-5 examples of three (3) categories of nature/science materials shall be accessible to children. Examples of games and toys are nature matching cards, nature sequence cards, etc. Teachers shall talk to children about events, such as weather, observation of insects, births, seasons, etc. Math/Number: ECERS: Five (5) of each type (counting, measuring, comparing quantities, recognizing shapes, written numbers) of materials shall be accessible to children. Teachers shall incorporate math/number learning into daily routines. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2830 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 59 Completed Date: 12/5/2024 Age: From 4 To 11 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 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 monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Karley Wells, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Wells are available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy eight (78) percent as of today prior to this visit. Permit type – five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental day. Playground does not meet child care playground safety standard for school-age only. Metts reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. The last fire drill was practiced on 11/2/24. The last lockdown drill was practiced on 9/25/24. The last playground inspection was documented on 11/8/24. The last fire inspection was conducted for entire school on 5/26/24. The inspection form for licensed space has not been submitted. It is your responsibility to obtain the correct forms and submit it to the child care consultant. Please obtain fire inspection for child care programs and submit it to me at your earliest convenience possible. The last sanitation inspection was conducted on 5/15/24 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. The children in pre-K engaged in free play during observation. The children created seasonal art by cutting trees and glueing the pieces on the paper. Other children played with sensory table, manipulatives, and other materials. School-age children engaged in various activities. Some children worked with the teachers for small group activities, while others played with manipulatives, indoor swings and other materials. Playground was inspected. Various medications were maintained in space 301 and 303. Two (2) emergency medications were not able to be monitored. Two (2) students from space 303 participated in the field trip, and their medications were not available for review during the visit. In 301, a total of seven (7) medications were monitored. All medication authorization forms were expired and no Action plans for the medications were in file. Three (3) staff files were monitored in full. Three (3) existing files were monitored partially. Seven (7) substitute files were monitored. The substitute staff were not listed on the Staff and Training Worksheet. Two (2) substitute staff members were preset in space 301 and 305. S. Woody’s file was not available for review. Per ABCMS, S. Woody has a valid qualification letter in the system. M. DeFalco has not obtained criminal background letter. Off-site verification forms were filled out for all staff permanent staff members. Six (6) children’s files were monitored and were in compliance. Off-site verification form was present for all children. Today’s lunch was choice between spaghetti and popcorn chicken, Caesar salad, bread stick and peaches. Some children brought lunch from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces . All classrooms are Developmental-Day classrooms. Staff/child ratios were met in all classrooms. NC Pre-K monitoring tool has not been completed for this school year. The classroom operates from 7:30 am to 2:30 pm. During the review of the visit, Ms. Wells requested to add space 306 to the licensed space. Due to the time of the request, the children, staff files and the space 306 was not monitored during the visit. However, the room was measured. The room is exactly the same set up as space 301 - 305. Therefore, the capacity of the classroom will be thirty-two (32) children. Staff/child Ratio poster, Child Care Law, EMC, schedule and activity plan were posted. Currently, sixty-two (62) children are enrolled in the program. The maximum capacity of the program is seventy-five, per sanitation inspection conducted on 5/15/24. Therefore, no more than thirteen (13) children can be enrolled in space 306 if licensed. I have reviewed WORKS accounts for the two (2) staff members for space 306. C. Primo needs official transcripts to be sent to the WORKS account, apply for positions and the WORKS letter needs to be issued. R. Gibby needs to submit official transcript to be sent to the WORKS and receive an updated letter. Both staff member's education shall meet the requirement set by 10A NCAC 09 .2903 STAFF QUALIFICATIONS (f)For centers operating for 10 months as specified by Rule .2902(a) of this Section, during the 10-month school year, as defined by the State Board of Education, each group of school-age children shall have at least one teacher who holds State certification as a Special Education Teacher. For centers operating for 12 months as specified by Rule .2902(a) of this Section, during the two additional months of operation each group of school-age children shall have at least one teacher who has completed at least two semester hours of school-age care related coursework and has completed or is enrolled in at least two additional semester hours of school-age related coursework. The following violations were documented during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Per record, Briviact 10 mg was administered on 8/19/24 and 8/21/24. No authorization form to administer medication was in file for Briviact. Creon DR 36,000 unit was administered on 8/19/24, 8/20/24 an 8/21/24 while the medication authorization form expired on 2/18/24. Zonisamide 100 mg was administered on 8/19/24 and 8/21/24 wile the permission form expired on 2/21/24. Clobazam 2.5 mg was administered on 8/19/24 and 8/21/24 while the permission form expired on 2/21/24. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. No parent authorization form was in file for Pancrelipase Creon (Pharmacy sample)and Briviact 10mg in space 301. The authorization form for Creon DR 36,000 unit expired on 2/18/24. The authorization form for Zonisamide 100mg expired on 2/21/24. The authorization form for Clobazam 2.5 mg expired on 2/21/24. The authorization form for Diazapan expired on 2/21/24. All above medications were maintained in space 301. 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. Creon DR 6,000 unit expired on 8/18/24 in space 301. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. M. DeFalco was hired in August 2024, but criminal background letter was not in file. Per ABCMS, the letter has not been issued as of today. Ms. DeFalco was present during the visit. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. S. Woody's staff file was not available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letter was not in file for review for M. DeFalco, D. Little (substitute) and C. Kelly (Substitute). G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no action plans in file for Diazepam, Clobazam, Zonisamide, Briviact, Creon DR 6,000 unit, Pancrelipase Creon, and Creon 36,000 unit. Clobazam, Zonisamide, Briviact and Diazapan are for seizure disorder, per staff member in the classroom. All medication listed above were maintained in space 301. .0801(b) Technical assistance was provided as follows: 842: Administration of medication No medications, prescription or over-the-counter, shall be administered to the children without authorization by the parents. Current medication authorization form shall be maintained. Refer to 10A NCAC 09 .0803(1)(a)(b). 847: Medication authorization form Per 10 A NCAC 09 .0803 (4)(6-9), an authorization form shall be filled out and signed by the parent or guardian for each medication. Authorization form is valid for up to six (6) months for prescription medications. Please renew the medication authorization form for Creon DR 6,000 unit, Creon DR 36,000 unit, Zonisamide 100 mg, Clobazam 2.5 mg and Diazepam. Obtain new medication authorization form Pancrelipase Creon and Briviact 10 mg. 849: expired medication All expired medication shall be returned home or discarded without seventy (72) hours of expiration date. Creon Dr 6,000 unit expired on 8/18/24. Please send the medication home today. 1041: Criminal Background Check Criminal Background Check for DCDEE shall be completed prior to employment. M. DeFalco shall not return to work until the criminal background qualifying letter is issued. Please print the letter and maintain it in the file. 1757: Criminal Background Qualifying letter Qualifying letter issued upon completion of Criminal background check shall be maintained in the staff files. Please print the letter for two (2) substitute staff members, D. Little and C. Kelly and maintain them in the file. 1834: Action plan Per 10A NCAC 09 .0801(b), for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The action plans can be filled out either by a physician or the parent of the child. Please obtain AP for all medication in space 301. Additional technical assistance was provided for the following items: Due to the effects of Tropical Storm Helene, additional time was permitted to complete the following. 1035: Emergency information form All staff members, including substitute staff members shall have current emergency information form in the file. Please have A. West fill out her emergency information form. 1898: Health and Safety training Health and Safety training shall be completed within a year of employment. Per Staff and Training worksheet, K. Jones has not completed the Health and Safety Training. The training can be accessed on https://www.dcdee.moodle.nc.gov/. K. Jones shall complete the training as soon as possible. Once training is completed, the training certificate shall be printed and maintained in the staff file. We discussed K. Jones to complete the training in December 2024. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Gravel/loose surfacing: During the visit, I measured gravels on the preschool playground. The gravels under monkey bar were measured for 1 ½ inches. The gravels near the swings were measured for 3 ½ inches. Based on the border, the gravel should be measured for seven (7) inches. Due to low temperatures this week, the accurate depth of the gravel may not have been measured. The gravel will be measured during the next routine visit to determine the accurate depth. The ground cover gets packed down over time and create hard surfacing. The rule specifically states the depth of loose surfacing. Therefore, depth is based on the loose gravel. Please plan to install additional gravels on the playground. Until gravels are installed, the equipment that requires fall zones should not be accessible to the children. Please place a safety plan how to keep the equipment inaccessible to the children. Shelter-in-place/lockdown drill: A shelter-in-place or a lockdown drill is due this month. Rated License Assessment: Program Points: Program points will be determined based on program restrictions and ECERS-R score. Education points: Education points will be determined based on each staff member’s education on their WORKS letter. ECERS-R: Gross motor activities: The equipment and activities shall stimulate a variety (7-9 different skills) of gross motor skills. For example, balancing, climbing, throwing, pedaling, steering, pulling, pushing, jumping, catching, throwing, kicking, etc.) Books/Pictures ECERS: Variety of books shall be available to children including fantasy, information, stories about people, animals, nature/science, books that reflect different cultures, different abilities. For score five (5), at least twenty (20) books for a group of up to fifteen (15) children and at least one extra book for each additional child. 3-4 books of each topic are needed. Art: ECERS: Art work shall be child-directed and individual expressions are encouraged. 3-5 different art materials from at least four of the categories shall be accessible to children for substantial portion of the day, and a drawing material must be one of the four categories. Categories of art materials are drawing materials, paints, three-dimensional materials, collage materials, and tools. Examples of drawing materials include paper, crayon, nontoxic felt pens, thick pencils. Examples of three-dimensional materials are play dough, clay, and wood pieces and glue. Tools are such as safe scissors, staples, hole punches, tape dispensers, etc. Fine Motor: ECERS: The types of fine motor materials are small interlocking building toys, art materials, manipulatives, and puzzles. Examples of manipulative toys are stringing, pegs and peg boards, sewing cards and puzzles. There shall be at least three (3) examples of each type of materials to be accessible. Music/Movement: ECERS: There should be enough musical instruments for at least half of the children at once plus some music to listen to, such as CD player with different CDs. Various types of music should be available to children. For example: classical music, popular music, cultural music, songs in different languages, etc. Blocks: ECERS: Space in the block areas shall be enough for three (3) children to build sizable structures independently. No interlocking blocks shall be in block area. The block area shall be out of traffic. Types of blocks to build sizable structures are unit blocks, large hollow blocks, cardboard blocks, homemade blocks using food boxes and plastic containers wrapped in papers. Sand/water: ECERS: Both Sand/water play shall be available to children with variety of accessories, including containers, spoons, funnels, scoops, shovels, pots and pans, molds, toy people, animals, and trucks. Either outdoor or indoors for five (5) points and both indoor and outdoor for seven (7) points. Dramatic Play: ECERS: At least two different dramatic play props (housekeeping, different kinds of work, fantasy, leisure) must be accessible to children. There shall be enough materials for three (3) or more children to use materials at on time. Nature/Science: ECERS: The category of nature/science materials are collection of natural objects, living things, nature/science books, games or toys, and nature/science activities. 3-5 examples of three (3) categories of nature/science materials shall be accessible to children. Examples of games and toys are nature matching cards, nature sequence cards, etc. Teachers shall talk to children about events, such as weather, observation of insects, births, seasons, etc. Math/Number: ECERS: Five (5) of each type (counting, measuring, comparing quantities, recognizing shapes, written numbers) of materials shall be accessible to children. Teachers shall incorporate math/number learning into daily routines. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2903 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 59 Completed Date: 12/5/2024 Age: From 4 To 11 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 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 monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Karley Wells, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Wells are available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy eight (78) percent as of today prior to this visit. Permit type – five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental day. Playground does not meet child care playground safety standard for school-age only. Metts reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. The last fire drill was practiced on 11/2/24. The last lockdown drill was practiced on 9/25/24. The last playground inspection was documented on 11/8/24. The last fire inspection was conducted for entire school on 5/26/24. The inspection form for licensed space has not been submitted. It is your responsibility to obtain the correct forms and submit it to the child care consultant. Please obtain fire inspection for child care programs and submit it to me at your earliest convenience possible. The last sanitation inspection was conducted on 5/15/24 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. The children in pre-K engaged in free play during observation. The children created seasonal art by cutting trees and glueing the pieces on the paper. Other children played with sensory table, manipulatives, and other materials. School-age children engaged in various activities. Some children worked with the teachers for small group activities, while others played with manipulatives, indoor swings and other materials. Playground was inspected. Various medications were maintained in space 301 and 303. Two (2) emergency medications were not able to be monitored. Two (2) students from space 303 participated in the field trip, and their medications were not available for review during the visit. In 301, a total of seven (7) medications were monitored. All medication authorization forms were expired and no Action plans for the medications were in file. Three (3) staff files were monitored in full. Three (3) existing files were monitored partially. Seven (7) substitute files were monitored. The substitute staff were not listed on the Staff and Training Worksheet. Two (2) substitute staff members were preset in space 301 and 305. S. Woody’s file was not available for review. Per ABCMS, S. Woody has a valid qualification letter in the system. M. DeFalco has not obtained criminal background letter. Off-site verification forms were filled out for all staff permanent staff members. Six (6) children’s files were monitored and were in compliance. Off-site verification form was present for all children. Today’s lunch was choice between spaghetti and popcorn chicken, Caesar salad, bread stick and peaches. Some children brought lunch from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces . All classrooms are Developmental-Day classrooms. Staff/child ratios were met in all classrooms. NC Pre-K monitoring tool has not been completed for this school year. The classroom operates from 7:30 am to 2:30 pm. During the review of the visit, Ms. Wells requested to add space 306 to the licensed space. Due to the time of the request, the children, staff files and the space 306 was not monitored during the visit. However, the room was measured. The room is exactly the same set up as space 301 - 305. Therefore, the capacity of the classroom will be thirty-two (32) children. Staff/child Ratio poster, Child Care Law, EMC, schedule and activity plan were posted. Currently, sixty-two (62) children are enrolled in the program. The maximum capacity of the program is seventy-five, per sanitation inspection conducted on 5/15/24. Therefore, no more than thirteen (13) children can be enrolled in space 306 if licensed. I have reviewed WORKS accounts for the two (2) staff members for space 306. C. Primo needs official transcripts to be sent to the WORKS account, apply for positions and the WORKS letter needs to be issued. R. Gibby needs to submit official transcript to be sent to the WORKS and receive an updated letter. Both staff member's education shall meet the requirement set by 10A NCAC 09 .2903 STAFF QUALIFICATIONS (f)For centers operating for 10 months as specified by Rule .2902(a) of this Section, during the 10-month school year, as defined by the State Board of Education, each group of school-age children shall have at least one teacher who holds State certification as a Special Education Teacher. For centers operating for 12 months as specified by Rule .2902(a) of this Section, during the two additional months of operation each group of school-age children shall have at least one teacher who has completed at least two semester hours of school-age care related coursework and has completed or is enrolled in at least two additional semester hours of school-age related coursework. The following violations were documented during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Per record, Briviact 10 mg was administered on 8/19/24 and 8/21/24. No authorization form to administer medication was in file for Briviact. Creon DR 36,000 unit was administered on 8/19/24, 8/20/24 an 8/21/24 while the medication authorization form expired on 2/18/24. Zonisamide 100 mg was administered on 8/19/24 and 8/21/24 wile the permission form expired on 2/21/24. Clobazam 2.5 mg was administered on 8/19/24 and 8/21/24 while the permission form expired on 2/21/24. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. No parent authorization form was in file for Pancrelipase Creon (Pharmacy sample)and Briviact 10mg in space 301. The authorization form for Creon DR 36,000 unit expired on 2/18/24. The authorization form for Zonisamide 100mg expired on 2/21/24. The authorization form for Clobazam 2.5 mg expired on 2/21/24. The authorization form for Diazapan expired on 2/21/24. All above medications were maintained in space 301. 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. Creon DR 6,000 unit expired on 8/18/24 in space 301. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. M. DeFalco was hired in August 2024, but criminal background letter was not in file. Per ABCMS, the letter has not been issued as of today. Ms. DeFalco was present during the visit. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. S. Woody's staff file was not available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letter was not in file for review for M. DeFalco, D. Little (substitute) and C. Kelly (Substitute). G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no action plans in file for Diazepam, Clobazam, Zonisamide, Briviact, Creon DR 6,000 unit, Pancrelipase Creon, and Creon 36,000 unit. Clobazam, Zonisamide, Briviact and Diazapan are for seizure disorder, per staff member in the classroom. All medication listed above were maintained in space 301. .0801(b) Technical assistance was provided as follows: 842: Administration of medication No medications, prescription or over-the-counter, shall be administered to the children without authorization by the parents. Current medication authorization form shall be maintained. Refer to 10A NCAC 09 .0803(1)(a)(b). 847: Medication authorization form Per 10 A NCAC 09 .0803 (4)(6-9), an authorization form shall be filled out and signed by the parent or guardian for each medication. Authorization form is valid for up to six (6) months for prescription medications. Please renew the medication authorization form for Creon DR 6,000 unit, Creon DR 36,000 unit, Zonisamide 100 mg, Clobazam 2.5 mg and Diazepam. Obtain new medication authorization form Pancrelipase Creon and Briviact 10 mg. 849: expired medication All expired medication shall be returned home or discarded without seventy (72) hours of expiration date. Creon Dr 6,000 unit expired on 8/18/24. Please send the medication home today. 1041: Criminal Background Check Criminal Background Check for DCDEE shall be completed prior to employment. M. DeFalco shall not return to work until the criminal background qualifying letter is issued. Please print the letter and maintain it in the file. 1757: Criminal Background Qualifying letter Qualifying letter issued upon completion of Criminal background check shall be maintained in the staff files. Please print the letter for two (2) substitute staff members, D. Little and C. Kelly and maintain them in the file. 1834: Action plan Per 10A NCAC 09 .0801(b), for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The action plans can be filled out either by a physician or the parent of the child. Please obtain AP for all medication in space 301. Additional technical assistance was provided for the following items: Due to the effects of Tropical Storm Helene, additional time was permitted to complete the following. 1035: Emergency information form All staff members, including substitute staff members shall have current emergency information form in the file. Please have A. West fill out her emergency information form. 1898: Health and Safety training Health and Safety training shall be completed within a year of employment. Per Staff and Training worksheet, K. Jones has not completed the Health and Safety Training. The training can be accessed on https://www.dcdee.moodle.nc.gov/. K. Jones shall complete the training as soon as possible. Once training is completed, the training certificate shall be printed and maintained in the staff file. We discussed K. Jones to complete the training in December 2024. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Gravel/loose surfacing: During the visit, I measured gravels on the preschool playground. The gravels under monkey bar were measured for 1 ½ inches. The gravels near the swings were measured for 3 ½ inches. Based on the border, the gravel should be measured for seven (7) inches. Due to low temperatures this week, the accurate depth of the gravel may not have been measured. The gravel will be measured during the next routine visit to determine the accurate depth. The ground cover gets packed down over time and create hard surfacing. The rule specifically states the depth of loose surfacing. Therefore, depth is based on the loose gravel. Please plan to install additional gravels on the playground. Until gravels are installed, the equipment that requires fall zones should not be accessible to the children. Please place a safety plan how to keep the equipment inaccessible to the children. Shelter-in-place/lockdown drill: A shelter-in-place or a lockdown drill is due this month. Rated License Assessment: Program Points: Program points will be determined based on program restrictions and ECERS-R score. Education points: Education points will be determined based on each staff member’s education on their WORKS letter. ECERS-R: Gross motor activities: The equipment and activities shall stimulate a variety (7-9 different skills) of gross motor skills. For example, balancing, climbing, throwing, pedaling, steering, pulling, pushing, jumping, catching, throwing, kicking, etc.) Books/Pictures ECERS: Variety of books shall be available to children including fantasy, information, stories about people, animals, nature/science, books that reflect different cultures, different abilities. For score five (5), at least twenty (20) books for a group of up to fifteen (15) children and at least one extra book for each additional child. 3-4 books of each topic are needed. Art: ECERS: Art work shall be child-directed and individual expressions are encouraged. 3-5 different art materials from at least four of the categories shall be accessible to children for substantial portion of the day, and a drawing material must be one of the four categories. Categories of art materials are drawing materials, paints, three-dimensional materials, collage materials, and tools. Examples of drawing materials include paper, crayon, nontoxic felt pens, thick pencils. Examples of three-dimensional materials are play dough, clay, and wood pieces and glue. Tools are such as safe scissors, staples, hole punches, tape dispensers, etc. Fine Motor: ECERS: The types of fine motor materials are small interlocking building toys, art materials, manipulatives, and puzzles. Examples of manipulative toys are stringing, pegs and peg boards, sewing cards and puzzles. There shall be at least three (3) examples of each type of materials to be accessible. Music/Movement: ECERS: There should be enough musical instruments for at least half of the children at once plus some music to listen to, such as CD player with different CDs. Various types of music should be available to children. For example: classical music, popular music, cultural music, songs in different languages, etc. Blocks: ECERS: Space in the block areas shall be enough for three (3) children to build sizable structures independently. No interlocking blocks shall be in block area. The block area shall be out of traffic. Types of blocks to build sizable structures are unit blocks, large hollow blocks, cardboard blocks, homemade blocks using food boxes and plastic containers wrapped in papers. Sand/water: ECERS: Both Sand/water play shall be available to children with variety of accessories, including containers, spoons, funnels, scoops, shovels, pots and pans, molds, toy people, animals, and trucks. Either outdoor or indoors for five (5) points and both indoor and outdoor for seven (7) points. Dramatic Play: ECERS: At least two different dramatic play props (housekeeping, different kinds of work, fantasy, leisure) must be accessible to children. There shall be enough materials for three (3) or more children to use materials at on time. Nature/Science: ECERS: The category of nature/science materials are collection of natural objects, living things, nature/science books, games or toys, and nature/science activities. 3-5 examples of three (3) categories of nature/science materials shall be accessible to children. Examples of games and toys are nature matching cards, nature sequence cards, etc. Teachers shall talk to children about events, such as weather, observation of insects, births, seasons, etc. Math/Number: ECERS: Five (5) of each type (counting, measuring, comparing quantities, recognizing shapes, written numbers) of materials shall be accessible to children. Teachers shall incorporate math/number learning into daily routines. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 59 Completed Date: 12/5/2024 Age: From 4 To 11 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 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 monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Karley Wells, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Wells are available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy eight (78) percent as of today prior to this visit. Permit type – five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental day. Playground does not meet child care playground safety standard for school-age only. Metts reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. The last fire drill was practiced on 11/2/24. The last lockdown drill was practiced on 9/25/24. The last playground inspection was documented on 11/8/24. The last fire inspection was conducted for entire school on 5/26/24. The inspection form for licensed space has not been submitted. It is your responsibility to obtain the correct forms and submit it to the child care consultant. Please obtain fire inspection for child care programs and submit it to me at your earliest convenience possible. The last sanitation inspection was conducted on 5/15/24 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. The children in pre-K engaged in free play during observation. The children created seasonal art by cutting trees and glueing the pieces on the paper. Other children played with sensory table, manipulatives, and other materials. School-age children engaged in various activities. Some children worked with the teachers for small group activities, while others played with manipulatives, indoor swings and other materials. Playground was inspected. Various medications were maintained in space 301 and 303. Two (2) emergency medications were not able to be monitored. Two (2) students from space 303 participated in the field trip, and their medications were not available for review during the visit. In 301, a total of seven (7) medications were monitored. All medication authorization forms were expired and no Action plans for the medications were in file. Three (3) staff files were monitored in full. Three (3) existing files were monitored partially. Seven (7) substitute files were monitored. The substitute staff were not listed on the Staff and Training Worksheet. Two (2) substitute staff members were preset in space 301 and 305. S. Woody’s file was not available for review. Per ABCMS, S. Woody has a valid qualification letter in the system. M. DeFalco has not obtained criminal background letter. Off-site verification forms were filled out for all staff permanent staff members. Six (6) children’s files were monitored and were in compliance. Off-site verification form was present for all children. Today’s lunch was choice between spaghetti and popcorn chicken, Caesar salad, bread stick and peaches. Some children brought lunch from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces . All classrooms are Developmental-Day classrooms. Staff/child ratios were met in all classrooms. NC Pre-K monitoring tool has not been completed for this school year. The classroom operates from 7:30 am to 2:30 pm. During the review of the visit, Ms. Wells requested to add space 306 to the licensed space. Due to the time of the request, the children, staff files and the space 306 was not monitored during the visit. However, the room was measured. The room is exactly the same set up as space 301 - 305. Therefore, the capacity of the classroom will be thirty-two (32) children. Staff/child Ratio poster, Child Care Law, EMC, schedule and activity plan were posted. Currently, sixty-two (62) children are enrolled in the program. The maximum capacity of the program is seventy-five, per sanitation inspection conducted on 5/15/24. Therefore, no more than thirteen (13) children can be enrolled in space 306 if licensed. I have reviewed WORKS accounts for the two (2) staff members for space 306. C. Primo needs official transcripts to be sent to the WORKS account, apply for positions and the WORKS letter needs to be issued. R. Gibby needs to submit official transcript to be sent to the WORKS and receive an updated letter. Both staff member's education shall meet the requirement set by 10A NCAC 09 .2903 STAFF QUALIFICATIONS (f)For centers operating for 10 months as specified by Rule .2902(a) of this Section, during the 10-month school year, as defined by the State Board of Education, each group of school-age children shall have at least one teacher who holds State certification as a Special Education Teacher. For centers operating for 12 months as specified by Rule .2902(a) of this Section, during the two additional months of operation each group of school-age children shall have at least one teacher who has completed at least two semester hours of school-age care related coursework and has completed or is enrolled in at least two additional semester hours of school-age related coursework. The following violations were documented during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Per record, Briviact 10 mg was administered on 8/19/24 and 8/21/24. No authorization form to administer medication was in file for Briviact. Creon DR 36,000 unit was administered on 8/19/24, 8/20/24 an 8/21/24 while the medication authorization form expired on 2/18/24. Zonisamide 100 mg was administered on 8/19/24 and 8/21/24 wile the permission form expired on 2/21/24. Clobazam 2.5 mg was administered on 8/19/24 and 8/21/24 while the permission form expired on 2/21/24. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. No parent authorization form was in file for Pancrelipase Creon (Pharmacy sample)and Briviact 10mg in space 301. The authorization form for Creon DR 36,000 unit expired on 2/18/24. The authorization form for Zonisamide 100mg expired on 2/21/24. The authorization form for Clobazam 2.5 mg expired on 2/21/24. The authorization form for Diazapan expired on 2/21/24. All above medications were maintained in space 301. 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. Creon DR 6,000 unit expired on 8/18/24 in space 301. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. M. DeFalco was hired in August 2024, but criminal background letter was not in file. Per ABCMS, the letter has not been issued as of today. Ms. DeFalco was present during the visit. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. S. Woody's staff file was not available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letter was not in file for review for M. DeFalco, D. Little (substitute) and C. Kelly (Substitute). G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no action plans in file for Diazepam, Clobazam, Zonisamide, Briviact, Creon DR 6,000 unit, Pancrelipase Creon, and Creon 36,000 unit. Clobazam, Zonisamide, Briviact and Diazapan are for seizure disorder, per staff member in the classroom. All medication listed above were maintained in space 301. .0801(b) Technical assistance was provided as follows: 842: Administration of medication No medications, prescription or over-the-counter, shall be administered to the children without authorization by the parents. Current medication authorization form shall be maintained. Refer to 10A NCAC 09 .0803(1)(a)(b). 847: Medication authorization form Per 10 A NCAC 09 .0803 (4)(6-9), an authorization form shall be filled out and signed by the parent or guardian for each medication. Authorization form is valid for up to six (6) months for prescription medications. Please renew the medication authorization form for Creon DR 6,000 unit, Creon DR 36,000 unit, Zonisamide 100 mg, Clobazam 2.5 mg and Diazepam. Obtain new medication authorization form Pancrelipase Creon and Briviact 10 mg. 849: expired medication All expired medication shall be returned home or discarded without seventy (72) hours of expiration date. Creon Dr 6,000 unit expired on 8/18/24. Please send the medication home today. 1041: Criminal Background Check Criminal Background Check for DCDEE shall be completed prior to employment. M. DeFalco shall not return to work until the criminal background qualifying letter is issued. Please print the letter and maintain it in the file. 1757: Criminal Background Qualifying letter Qualifying letter issued upon completion of Criminal background check shall be maintained in the staff files. Please print the letter for two (2) substitute staff members, D. Little and C. Kelly and maintain them in the file. 1834: Action plan Per 10A NCAC 09 .0801(b), for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The action plans can be filled out either by a physician or the parent of the child. Please obtain AP for all medication in space 301. Additional technical assistance was provided for the following items: Due to the effects of Tropical Storm Helene, additional time was permitted to complete the following. 1035: Emergency information form All staff members, including substitute staff members shall have current emergency information form in the file. Please have A. West fill out her emergency information form. 1898: Health and Safety training Health and Safety training shall be completed within a year of employment. Per Staff and Training worksheet, K. Jones has not completed the Health and Safety Training. The training can be accessed on https://www.dcdee.moodle.nc.gov/. K. Jones shall complete the training as soon as possible. Once training is completed, the training certificate shall be printed and maintained in the staff file. We discussed K. Jones to complete the training in December 2024. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Gravel/loose surfacing: During the visit, I measured gravels on the preschool playground. The gravels under monkey bar were measured for 1 ½ inches. The gravels near the swings were measured for 3 ½ inches. Based on the border, the gravel should be measured for seven (7) inches. Due to low temperatures this week, the accurate depth of the gravel may not have been measured. The gravel will be measured during the next routine visit to determine the accurate depth. The ground cover gets packed down over time and create hard surfacing. The rule specifically states the depth of loose surfacing. Therefore, depth is based on the loose gravel. Please plan to install additional gravels on the playground. Until gravels are installed, the equipment that requires fall zones should not be accessible to the children. Please place a safety plan how to keep the equipment inaccessible to the children. Shelter-in-place/lockdown drill: A shelter-in-place or a lockdown drill is due this month. Rated License Assessment: Program Points: Program points will be determined based on program restrictions and ECERS-R score. Education points: Education points will be determined based on each staff member’s education on their WORKS letter. ECERS-R: Gross motor activities: The equipment and activities shall stimulate a variety (7-9 different skills) of gross motor skills. For example, balancing, climbing, throwing, pedaling, steering, pulling, pushing, jumping, catching, throwing, kicking, etc.) Books/Pictures ECERS: Variety of books shall be available to children including fantasy, information, stories about people, animals, nature/science, books that reflect different cultures, different abilities. For score five (5), at least twenty (20) books for a group of up to fifteen (15) children and at least one extra book for each additional child. 3-4 books of each topic are needed. Art: ECERS: Art work shall be child-directed and individual expressions are encouraged. 3-5 different art materials from at least four of the categories shall be accessible to children for substantial portion of the day, and a drawing material must be one of the four categories. Categories of art materials are drawing materials, paints, three-dimensional materials, collage materials, and tools. Examples of drawing materials include paper, crayon, nontoxic felt pens, thick pencils. Examples of three-dimensional materials are play dough, clay, and wood pieces and glue. Tools are such as safe scissors, staples, hole punches, tape dispensers, etc. Fine Motor: ECERS: The types of fine motor materials are small interlocking building toys, art materials, manipulatives, and puzzles. Examples of manipulative toys are stringing, pegs and peg boards, sewing cards and puzzles. There shall be at least three (3) examples of each type of materials to be accessible. Music/Movement: ECERS: There should be enough musical instruments for at least half of the children at once plus some music to listen to, such as CD player with different CDs. Various types of music should be available to children. For example: classical music, popular music, cultural music, songs in different languages, etc. Blocks: ECERS: Space in the block areas shall be enough for three (3) children to build sizable structures independently. No interlocking blocks shall be in block area. The block area shall be out of traffic. Types of blocks to build sizable structures are unit blocks, large hollow blocks, cardboard blocks, homemade blocks using food boxes and plastic containers wrapped in papers. Sand/water: ECERS: Both Sand/water play shall be available to children with variety of accessories, including containers, spoons, funnels, scoops, shovels, pots and pans, molds, toy people, animals, and trucks. Either outdoor or indoors for five (5) points and both indoor and outdoor for seven (7) points. Dramatic Play: ECERS: At least two different dramatic play props (housekeeping, different kinds of work, fantasy, leisure) must be accessible to children. There shall be enough materials for three (3) or more children to use materials at on time. Nature/Science: ECERS: The category of nature/science materials are collection of natural objects, living things, nature/science books, games or toys, and nature/science activities. 3-5 examples of three (3) categories of nature/science materials shall be accessible to children. Examples of games and toys are nature matching cards, nature sequence cards, etc. Teachers shall talk to children about events, such as weather, observation of insects, births, seasons, etc. Math/Number: ECERS: Five (5) of each type (counting, measuring, comparing quantities, recognizing shapes, written numbers) of materials shall be accessible to children. Teachers shall incorporate math/number learning into daily routines. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-91 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 59 Completed Date: 12/5/2024 Age: From 4 To 11 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 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 monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Karley Wells, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Wells are available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy eight (78) percent as of today prior to this visit. Permit type – five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental day. Playground does not meet child care playground safety standard for school-age only. Metts reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. The last fire drill was practiced on 11/2/24. The last lockdown drill was practiced on 9/25/24. The last playground inspection was documented on 11/8/24. The last fire inspection was conducted for entire school on 5/26/24. The inspection form for licensed space has not been submitted. It is your responsibility to obtain the correct forms and submit it to the child care consultant. Please obtain fire inspection for child care programs and submit it to me at your earliest convenience possible. The last sanitation inspection was conducted on 5/15/24 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. The children in pre-K engaged in free play during observation. The children created seasonal art by cutting trees and glueing the pieces on the paper. Other children played with sensory table, manipulatives, and other materials. School-age children engaged in various activities. Some children worked with the teachers for small group activities, while others played with manipulatives, indoor swings and other materials. Playground was inspected. Various medications were maintained in space 301 and 303. Two (2) emergency medications were not able to be monitored. Two (2) students from space 303 participated in the field trip, and their medications were not available for review during the visit. In 301, a total of seven (7) medications were monitored. All medication authorization forms were expired and no Action plans for the medications were in file. Three (3) staff files were monitored in full. Three (3) existing files were monitored partially. Seven (7) substitute files were monitored. The substitute staff were not listed on the Staff and Training Worksheet. Two (2) substitute staff members were preset in space 301 and 305. S. Woody’s file was not available for review. Per ABCMS, S. Woody has a valid qualification letter in the system. M. DeFalco has not obtained criminal background letter. Off-site verification forms were filled out for all staff permanent staff members. Six (6) children’s files were monitored and were in compliance. Off-site verification form was present for all children. Today’s lunch was choice between spaghetti and popcorn chicken, Caesar salad, bread stick and peaches. Some children brought lunch from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces . All classrooms are Developmental-Day classrooms. Staff/child ratios were met in all classrooms. NC Pre-K monitoring tool has not been completed for this school year. The classroom operates from 7:30 am to 2:30 pm. During the review of the visit, Ms. Wells requested to add space 306 to the licensed space. Due to the time of the request, the children, staff files and the space 306 was not monitored during the visit. However, the room was measured. The room is exactly the same set up as space 301 - 305. Therefore, the capacity of the classroom will be thirty-two (32) children. Staff/child Ratio poster, Child Care Law, EMC, schedule and activity plan were posted. Currently, sixty-two (62) children are enrolled in the program. The maximum capacity of the program is seventy-five, per sanitation inspection conducted on 5/15/24. Therefore, no more than thirteen (13) children can be enrolled in space 306 if licensed. I have reviewed WORKS accounts for the two (2) staff members for space 306. C. Primo needs official transcripts to be sent to the WORKS account, apply for positions and the WORKS letter needs to be issued. R. Gibby needs to submit official transcript to be sent to the WORKS and receive an updated letter. Both staff member's education shall meet the requirement set by 10A NCAC 09 .2903 STAFF QUALIFICATIONS (f)For centers operating for 10 months as specified by Rule .2902(a) of this Section, during the 10-month school year, as defined by the State Board of Education, each group of school-age children shall have at least one teacher who holds State certification as a Special Education Teacher. For centers operating for 12 months as specified by Rule .2902(a) of this Section, during the two additional months of operation each group of school-age children shall have at least one teacher who has completed at least two semester hours of school-age care related coursework and has completed or is enrolled in at least two additional semester hours of school-age related coursework. The following violations were documented during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Per record, Briviact 10 mg was administered on 8/19/24 and 8/21/24. No authorization form to administer medication was in file for Briviact. Creon DR 36,000 unit was administered on 8/19/24, 8/20/24 an 8/21/24 while the medication authorization form expired on 2/18/24. Zonisamide 100 mg was administered on 8/19/24 and 8/21/24 wile the permission form expired on 2/21/24. Clobazam 2.5 mg was administered on 8/19/24 and 8/21/24 while the permission form expired on 2/21/24. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. No parent authorization form was in file for Pancrelipase Creon (Pharmacy sample)and Briviact 10mg in space 301. The authorization form for Creon DR 36,000 unit expired on 2/18/24. The authorization form for Zonisamide 100mg expired on 2/21/24. The authorization form for Clobazam 2.5 mg expired on 2/21/24. The authorization form for Diazapan expired on 2/21/24. All above medications were maintained in space 301. 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. Creon DR 6,000 unit expired on 8/18/24 in space 301. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. M. DeFalco was hired in August 2024, but criminal background letter was not in file. Per ABCMS, the letter has not been issued as of today. Ms. DeFalco was present during the visit. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. S. Woody's staff file was not available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letter was not in file for review for M. DeFalco, D. Little (substitute) and C. Kelly (Substitute). G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no action plans in file for Diazepam, Clobazam, Zonisamide, Briviact, Creon DR 6,000 unit, Pancrelipase Creon, and Creon 36,000 unit. Clobazam, Zonisamide, Briviact and Diazapan are for seizure disorder, per staff member in the classroom. All medication listed above were maintained in space 301. .0801(b) Technical assistance was provided as follows: 842: Administration of medication No medications, prescription or over-the-counter, shall be administered to the children without authorization by the parents. Current medication authorization form shall be maintained. Refer to 10A NCAC 09 .0803(1)(a)(b). 847: Medication authorization form Per 10 A NCAC 09 .0803 (4)(6-9), an authorization form shall be filled out and signed by the parent or guardian for each medication. Authorization form is valid for up to six (6) months for prescription medications. Please renew the medication authorization form for Creon DR 6,000 unit, Creon DR 36,000 unit, Zonisamide 100 mg, Clobazam 2.5 mg and Diazepam. Obtain new medication authorization form Pancrelipase Creon and Briviact 10 mg. 849: expired medication All expired medication shall be returned home or discarded without seventy (72) hours of expiration date. Creon Dr 6,000 unit expired on 8/18/24. Please send the medication home today. 1041: Criminal Background Check Criminal Background Check for DCDEE shall be completed prior to employment. M. DeFalco shall not return to work until the criminal background qualifying letter is issued. Please print the letter and maintain it in the file. 1757: Criminal Background Qualifying letter Qualifying letter issued upon completion of Criminal background check shall be maintained in the staff files. Please print the letter for two (2) substitute staff members, D. Little and C. Kelly and maintain them in the file. 1834: Action plan Per 10A NCAC 09 .0801(b), for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The action plans can be filled out either by a physician or the parent of the child. Please obtain AP for all medication in space 301. Additional technical assistance was provided for the following items: Due to the effects of Tropical Storm Helene, additional time was permitted to complete the following. 1035: Emergency information form All staff members, including substitute staff members shall have current emergency information form in the file. Please have A. West fill out her emergency information form. 1898: Health and Safety training Health and Safety training shall be completed within a year of employment. Per Staff and Training worksheet, K. Jones has not completed the Health and Safety Training. The training can be accessed on https://www.dcdee.moodle.nc.gov/. K. Jones shall complete the training as soon as possible. Once training is completed, the training certificate shall be printed and maintained in the staff file. We discussed K. Jones to complete the training in December 2024. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Gravel/loose surfacing: During the visit, I measured gravels on the preschool playground. The gravels under monkey bar were measured for 1 ½ inches. The gravels near the swings were measured for 3 ½ inches. Based on the border, the gravel should be measured for seven (7) inches. Due to low temperatures this week, the accurate depth of the gravel may not have been measured. The gravel will be measured during the next routine visit to determine the accurate depth. The ground cover gets packed down over time and create hard surfacing. The rule specifically states the depth of loose surfacing. Therefore, depth is based on the loose gravel. Please plan to install additional gravels on the playground. Until gravels are installed, the equipment that requires fall zones should not be accessible to the children. Please place a safety plan how to keep the equipment inaccessible to the children. Shelter-in-place/lockdown drill: A shelter-in-place or a lockdown drill is due this month. Rated License Assessment: Program Points: Program points will be determined based on program restrictions and ECERS-R score. Education points: Education points will be determined based on each staff member’s education on their WORKS letter. ECERS-R: Gross motor activities: The equipment and activities shall stimulate a variety (7-9 different skills) of gross motor skills. For example, balancing, climbing, throwing, pedaling, steering, pulling, pushing, jumping, catching, throwing, kicking, etc.) Books/Pictures ECERS: Variety of books shall be available to children including fantasy, information, stories about people, animals, nature/science, books that reflect different cultures, different abilities. For score five (5), at least twenty (20) books for a group of up to fifteen (15) children and at least one extra book for each additional child. 3-4 books of each topic are needed. Art: ECERS: Art work shall be child-directed and individual expressions are encouraged. 3-5 different art materials from at least four of the categories shall be accessible to children for substantial portion of the day, and a drawing material must be one of the four categories. Categories of art materials are drawing materials, paints, three-dimensional materials, collage materials, and tools. Examples of drawing materials include paper, crayon, nontoxic felt pens, thick pencils. Examples of three-dimensional materials are play dough, clay, and wood pieces and glue. Tools are such as safe scissors, staples, hole punches, tape dispensers, etc. Fine Motor: ECERS: The types of fine motor materials are small interlocking building toys, art materials, manipulatives, and puzzles. Examples of manipulative toys are stringing, pegs and peg boards, sewing cards and puzzles. There shall be at least three (3) examples of each type of materials to be accessible. Music/Movement: ECERS: There should be enough musical instruments for at least half of the children at once plus some music to listen to, such as CD player with different CDs. Various types of music should be available to children. For example: classical music, popular music, cultural music, songs in different languages, etc. Blocks: ECERS: Space in the block areas shall be enough for three (3) children to build sizable structures independently. No interlocking blocks shall be in block area. The block area shall be out of traffic. Types of blocks to build sizable structures are unit blocks, large hollow blocks, cardboard blocks, homemade blocks using food boxes and plastic containers wrapped in papers. Sand/water: ECERS: Both Sand/water play shall be available to children with variety of accessories, including containers, spoons, funnels, scoops, shovels, pots and pans, molds, toy people, animals, and trucks. Either outdoor or indoors for five (5) points and both indoor and outdoor for seven (7) points. Dramatic Play: ECERS: At least two different dramatic play props (housekeeping, different kinds of work, fantasy, leisure) must be accessible to children. There shall be enough materials for three (3) or more children to use materials at on time. Nature/Science: ECERS: The category of nature/science materials are collection of natural objects, living things, nature/science books, games or toys, and nature/science activities. 3-5 examples of three (3) categories of nature/science materials shall be accessible to children. Examples of games and toys are nature matching cards, nature sequence cards, etc. Teachers shall talk to children about events, such as weather, observation of insects, births, seasons, etc. Math/Number: ECERS: Five (5) of each type (counting, measuring, comparing quantities, recognizing shapes, written numbers) of materials shall be accessible to children. Teachers shall incorporate math/number learning into daily routines. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
NC GS 110-90 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 59 Completed Date: 12/5/2024 Age: From 4 To 11 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 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 monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Karley Wells, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Wells are available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy eight (78) percent as of today prior to this visit. Permit type – five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental day. Playground does not meet child care playground safety standard for school-age only. Metts reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. The last fire drill was practiced on 11/2/24. The last lockdown drill was practiced on 9/25/24. The last playground inspection was documented on 11/8/24. The last fire inspection was conducted for entire school on 5/26/24. The inspection form for licensed space has not been submitted. It is your responsibility to obtain the correct forms and submit it to the child care consultant. Please obtain fire inspection for child care programs and submit it to me at your earliest convenience possible. The last sanitation inspection was conducted on 5/15/24 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. The children in pre-K engaged in free play during observation. The children created seasonal art by cutting trees and glueing the pieces on the paper. Other children played with sensory table, manipulatives, and other materials. School-age children engaged in various activities. Some children worked with the teachers for small group activities, while others played with manipulatives, indoor swings and other materials. Playground was inspected. Various medications were maintained in space 301 and 303. Two (2) emergency medications were not able to be monitored. Two (2) students from space 303 participated in the field trip, and their medications were not available for review during the visit. In 301, a total of seven (7) medications were monitored. All medication authorization forms were expired and no Action plans for the medications were in file. Three (3) staff files were monitored in full. Three (3) existing files were monitored partially. Seven (7) substitute files were monitored. The substitute staff were not listed on the Staff and Training Worksheet. Two (2) substitute staff members were preset in space 301 and 305. S. Woody’s file was not available for review. Per ABCMS, S. Woody has a valid qualification letter in the system. M. DeFalco has not obtained criminal background letter. Off-site verification forms were filled out for all staff permanent staff members. Six (6) children’s files were monitored and were in compliance. Off-site verification form was present for all children. Today’s lunch was choice between spaghetti and popcorn chicken, Caesar salad, bread stick and peaches. Some children brought lunch from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces . All classrooms are Developmental-Day classrooms. Staff/child ratios were met in all classrooms. NC Pre-K monitoring tool has not been completed for this school year. The classroom operates from 7:30 am to 2:30 pm. During the review of the visit, Ms. Wells requested to add space 306 to the licensed space. Due to the time of the request, the children, staff files and the space 306 was not monitored during the visit. However, the room was measured. The room is exactly the same set up as space 301 - 305. Therefore, the capacity of the classroom will be thirty-two (32) children. Staff/child Ratio poster, Child Care Law, EMC, schedule and activity plan were posted. Currently, sixty-two (62) children are enrolled in the program. The maximum capacity of the program is seventy-five, per sanitation inspection conducted on 5/15/24. Therefore, no more than thirteen (13) children can be enrolled in space 306 if licensed. I have reviewed WORKS accounts for the two (2) staff members for space 306. C. Primo needs official transcripts to be sent to the WORKS account, apply for positions and the WORKS letter needs to be issued. R. Gibby needs to submit official transcript to be sent to the WORKS and receive an updated letter. Both staff member's education shall meet the requirement set by 10A NCAC 09 .2903 STAFF QUALIFICATIONS (f)For centers operating for 10 months as specified by Rule .2902(a) of this Section, during the 10-month school year, as defined by the State Board of Education, each group of school-age children shall have at least one teacher who holds State certification as a Special Education Teacher. For centers operating for 12 months as specified by Rule .2902(a) of this Section, during the two additional months of operation each group of school-age children shall have at least one teacher who has completed at least two semester hours of school-age care related coursework and has completed or is enrolled in at least two additional semester hours of school-age related coursework. The following violations were documented during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Per record, Briviact 10 mg was administered on 8/19/24 and 8/21/24. No authorization form to administer medication was in file for Briviact. Creon DR 36,000 unit was administered on 8/19/24, 8/20/24 an 8/21/24 while the medication authorization form expired on 2/18/24. Zonisamide 100 mg was administered on 8/19/24 and 8/21/24 wile the permission form expired on 2/21/24. Clobazam 2.5 mg was administered on 8/19/24 and 8/21/24 while the permission form expired on 2/21/24. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. No parent authorization form was in file for Pancrelipase Creon (Pharmacy sample)and Briviact 10mg in space 301. The authorization form for Creon DR 36,000 unit expired on 2/18/24. The authorization form for Zonisamide 100mg expired on 2/21/24. The authorization form for Clobazam 2.5 mg expired on 2/21/24. The authorization form for Diazapan expired on 2/21/24. All above medications were maintained in space 301. 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. Creon DR 6,000 unit expired on 8/18/24 in space 301. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. M. DeFalco was hired in August 2024, but criminal background letter was not in file. Per ABCMS, the letter has not been issued as of today. Ms. DeFalco was present during the visit. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. S. Woody's staff file was not available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Criminal background qualification letter was not in file for review for M. DeFalco, D. Little (substitute) and C. Kelly (Substitute). G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no action plans in file for Diazepam, Clobazam, Zonisamide, Briviact, Creon DR 6,000 unit, Pancrelipase Creon, and Creon 36,000 unit. Clobazam, Zonisamide, Briviact and Diazapan are for seizure disorder, per staff member in the classroom. All medication listed above were maintained in space 301. .0801(b) Technical assistance was provided as follows: 842: Administration of medication No medications, prescription or over-the-counter, shall be administered to the children without authorization by the parents. Current medication authorization form shall be maintained. Refer to 10A NCAC 09 .0803(1)(a)(b). 847: Medication authorization form Per 10 A NCAC 09 .0803 (4)(6-9), an authorization form shall be filled out and signed by the parent or guardian for each medication. Authorization form is valid for up to six (6) months for prescription medications. Please renew the medication authorization form for Creon DR 6,000 unit, Creon DR 36,000 unit, Zonisamide 100 mg, Clobazam 2.5 mg and Diazepam. Obtain new medication authorization form Pancrelipase Creon and Briviact 10 mg. 849: expired medication All expired medication shall be returned home or discarded without seventy (72) hours of expiration date. Creon Dr 6,000 unit expired on 8/18/24. Please send the medication home today. 1041: Criminal Background Check Criminal Background Check for DCDEE shall be completed prior to employment. M. DeFalco shall not return to work until the criminal background qualifying letter is issued. Please print the letter and maintain it in the file. 1757: Criminal Background Qualifying letter Qualifying letter issued upon completion of Criminal background check shall be maintained in the staff files. Please print the letter for two (2) substitute staff members, D. Little and C. Kelly and maintain them in the file. 1834: Action plan Per 10A NCAC 09 .0801(b), for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The action plans can be filled out either by a physician or the parent of the child. Please obtain AP for all medication in space 301. Additional technical assistance was provided for the following items: Due to the effects of Tropical Storm Helene, additional time was permitted to complete the following. 1035: Emergency information form All staff members, including substitute staff members shall have current emergency information form in the file. Please have A. West fill out her emergency information form. 1898: Health and Safety training Health and Safety training shall be completed within a year of employment. Per Staff and Training worksheet, K. Jones has not completed the Health and Safety Training. The training can be accessed on https://www.dcdee.moodle.nc.gov/. K. Jones shall complete the training as soon as possible. Once training is completed, the training certificate shall be printed and maintained in the staff file. We discussed K. Jones to complete the training in December 2024. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Gravel/loose surfacing: During the visit, I measured gravels on the preschool playground. The gravels under monkey bar were measured for 1 ½ inches. The gravels near the swings were measured for 3 ½ inches. Based on the border, the gravel should be measured for seven (7) inches. Due to low temperatures this week, the accurate depth of the gravel may not have been measured. The gravel will be measured during the next routine visit to determine the accurate depth. The ground cover gets packed down over time and create hard surfacing. The rule specifically states the depth of loose surfacing. Therefore, depth is based on the loose gravel. Please plan to install additional gravels on the playground. Until gravels are installed, the equipment that requires fall zones should not be accessible to the children. Please place a safety plan how to keep the equipment inaccessible to the children. Shelter-in-place/lockdown drill: A shelter-in-place or a lockdown drill is due this month. Rated License Assessment: Program Points: Program points will be determined based on program restrictions and ECERS-R score. Education points: Education points will be determined based on each staff member’s education on their WORKS letter. ECERS-R: Gross motor activities: The equipment and activities shall stimulate a variety (7-9 different skills) of gross motor skills. For example, balancing, climbing, throwing, pedaling, steering, pulling, pushing, jumping, catching, throwing, kicking, etc.) Books/Pictures ECERS: Variety of books shall be available to children including fantasy, information, stories about people, animals, nature/science, books that reflect different cultures, different abilities. For score five (5), at least twenty (20) books for a group of up to fifteen (15) children and at least one extra book for each additional child. 3-4 books of each topic are needed. Art: ECERS: Art work shall be child-directed and individual expressions are encouraged. 3-5 different art materials from at least four of the categories shall be accessible to children for substantial portion of the day, and a drawing material must be one of the four categories. Categories of art materials are drawing materials, paints, three-dimensional materials, collage materials, and tools. Examples of drawing materials include paper, crayon, nontoxic felt pens, thick pencils. Examples of three-dimensional materials are play dough, clay, and wood pieces and glue. Tools are such as safe scissors, staples, hole punches, tape dispensers, etc. Fine Motor: ECERS: The types of fine motor materials are small interlocking building toys, art materials, manipulatives, and puzzles. Examples of manipulative toys are stringing, pegs and peg boards, sewing cards and puzzles. There shall be at least three (3) examples of each type of materials to be accessible. Music/Movement: ECERS: There should be enough musical instruments for at least half of the children at once plus some music to listen to, such as CD player with different CDs. Various types of music should be available to children. For example: classical music, popular music, cultural music, songs in different languages, etc. Blocks: ECERS: Space in the block areas shall be enough for three (3) children to build sizable structures independently. No interlocking blocks shall be in block area. The block area shall be out of traffic. Types of blocks to build sizable structures are unit blocks, large hollow blocks, cardboard blocks, homemade blocks using food boxes and plastic containers wrapped in papers. Sand/water: ECERS: Both Sand/water play shall be available to children with variety of accessories, including containers, spoons, funnels, scoops, shovels, pots and pans, molds, toy people, animals, and trucks. Either outdoor or indoors for five (5) points and both indoor and outdoor for seven (7) points. Dramatic Play: ECERS: At least two different dramatic play props (housekeeping, different kinds of work, fantasy, leisure) must be accessible to children. There shall be enough materials for three (3) or more children to use materials at on time. Nature/Science: ECERS: The category of nature/science materials are collection of natural objects, living things, nature/science books, games or toys, and nature/science activities. 3-5 examples of three (3) categories of nature/science materials shall be accessible to children. Examples of games and toys are nature matching cards, nature sequence cards, etc. Teachers shall talk to children about events, such as weather, observation of insects, births, seasons, etc. Math/Number: ECERS: Five (5) of each type (counting, measuring, comparing quantities, recognizing shapes, written numbers) of materials shall be accessible to children. Teachers shall incorporate math/number learning into daily routines. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0304 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/28/2024 Number Present: 46 Completed Date: 3/28/2024 Age: From 3 To 11 Total Minutes: 190 Time In: 09:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during Unannounced Visit Follow-up. A computerized generated report of today's visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Amy Tiller, Assistant Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Karley Wells, Administrator and Brandi Stephenson, Director of Special Education for the Haywood County Schools. Ms. tiller was available during the visit. Limited Monitoring of Child Care Rules were conducted, including but not limited to restrictions on the permit, First Aid/CPR and criminal background letters. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center's compliance history was reviewed with the operator. The program's compliance history was eighty-two (82) percent as of 3/27/24. Permit type – Five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental Day, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. Upon arrival, I announced my presence and the purpose of the visit. In room 301, 302, 303, 304 and 305, a group of school-age children engaged in various activities, such as free play, reading activities, math activities and other small group activities. Five (5) children from room 305 were out for a field trip at the time of the visit. In room 101, a group of three-to-five-year-old children engaged in free play using brush paint, playdough, sensory rice, and other materials. After cleaning, the group transitioned to the playground. The children played with swings, slide structures, and riding toys. After conversing with the teacher regarding the limitations on the playground discussed with Dr. Burnette, the previous administrator, the teacher asked the children to be off the swings and slide structures. The limitation was that the children were not allowed to use the gross motor equipment that required a fall zone, including swings, slide structures, monkey bars, and spinning structures, due to insufficient loose surfacing. The fall zone is graveled, but the additional gravel cannot be delivered due to the location of the playground and the ground condition. Due to wet and soft ground conditions, the heavy truck cannot deliver the gravel. We discussed the other playgrounds used by the school-age children. Due to some records being maintained off-site, the criminal background letter was checked on the ABCMS system on 3/27/24. Eighteen (18) staff members listed on the Staff and Training Worksheet for the annual compliance visit conducted on 1/23/24 have valid criminal background letters. Ms. Wells' criminal background letter was also valid. The files for one (1) new staff member in room 302, one (1) substitute member in room 101, and a volunteer staff member in room 101 were also monitored. The new staff member in room 302 and the substitute staff member have their criminal background qualification letter. However, the substitute and volunteer staff members did not have their files on site. CPR and First Aid certificates were monitored for all staff members. Sixteen (16) staff members, including the new staff members, have valid CPR/First Aid certificates. One (1) of the substitute staff members for room 101 has a valid CPR/First Aid certificate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today's visit: Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The files for the volunteer staff member (PN) and the substitute staff member (SB) in room 101 were not available for review. G.S. 110-91( 9) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The gravel on the playground for preschool-age children was less than an inch. The temporary solution was discussed on 1/23/24 and accepted, which was the equipment that requires fall zones were not to be used by the children until the solution is made. During today's visit, I observed preschool children use swings, slide structures with monkey bars and spinning structure. .0605(k)(1-4) Technical assistance was provided as follows: 1043: staff records All staff records, including substitute staff members and volunteers, shall be available for review. I advise all temporary staff members to travel with their files. Please obtain the record from the substitute agency and submit a copy to me. The required documents for each position are listed under consultation. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. 1867: Depth of loose surfacing This violation was cited and discussed during the visit on 1/23/24. Due to the lack of sufficient loose surfacing around the playground equipment used by preschool-age children, equipment with a critical height of over eighteen (18) inches shall not be used by the children. We discussed installing an Astroturf to reduce maintenance. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. The gravel for the fall zone on the playgrounds were measured for three (3) inches. Minimum of six (6) inches of gravel is required for the fall zone if the playgrounds were approved for the preschool children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 4/11/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Consecutive repeat violation of item 1048 for First Aid and item 1049 for CPR warrants consideration for Administrative Action. Due to the violations cited on 1/23/24 and 2/16/24, you may receive an Administrative Action. An administrative action is typically issued within forty-five days of a follow-up visit. In your case, the second visit was conducted on 2/16/24. Therefore, you may receive the notice before 4/1/24. The timeline may change depending on the number of actions considered in the State. I will conduct unannounced visit follow-ups every four-to-six weeks until the determination for the action is finalized. Criminal background letter: The criminal background qualification letter for the substitute staff member (SB) was located in room 101 under a different social security number. Please report the error to the Child Care Criminal Background Check Unit at (919) 814-6401, fax (919) 715-0987, or email DHHS.CBC.Unit@dhhs.nc.gov. Staff definition and required document: Volunteers: Rule .0102(51) "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. The required documents are: verification of age TB screening form Emergency Information form Health Questionnaire Documentation of being informed of the EPR plan and its location Substitutes: "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. The following documents are required for the substitute providers: Documentation of being informed of the EPR plan and its location Medical statement TB screening form Emergency information form Health Questionnaire (after the first year) Criminal qualification letter Proof of age Orientation If the substitute staff member works more than ten (10) days out of the school year, the same requirements as other permanent staff members apply including application, policy review, review of shaken baby syndrome and abusive head trauma, staff development plan, evaluation, annual training, Health and Safety training and CPR/First Aid. Playground equipment: On the playground located by the Developmental Day hallway, there are four sections of five (5) sections of play areas: Rope climbing structure green climbing structure green tube slide structure blacktop with basketball court and Special equipment playground The special equipment is large, and they are not appropriate for preschool-age children. The rope structure does not have contact information. If you can locate the equipment's manufacturer's guide or who made it, please find its age range. If the equipment is meant for preschool-age children, the children in room 101 can use it. Bliss Products is the manufacturer/distributor of the green climbing structure. Please contact the representative to find out the age range for the equipment. Their customer service can be contacted at 6831 S. Sweetwater Road, Lithia Springs, GA 30122, Telephone: 1.800.248.2547, Fax: 866.920.1915, Office Hours: 9:00 a.m. – 5:30 p.m. EST, Email: info@blissproducts.com. Playworld Systems is the manufacturer/distributor for the green tube slide structure. Please contact the company to find out the equipment's age range. The product number of BPL303500499 is engraved on the slide. Their customer service number is 1000 Buffalo Road, Lewisburg, PA 17837-9795 USA, +1.570.522.9800, 800.233.8404, info@playworld.com. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states "Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division." As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator's responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0605 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/28/2024 Number Present: 46 Completed Date: 3/28/2024 Age: From 3 To 11 Total Minutes: 190 Time In: 09:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during Unannounced Visit Follow-up. A computerized generated report of today's visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Amy Tiller, Assistant Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Karley Wells, Administrator and Brandi Stephenson, Director of Special Education for the Haywood County Schools. Ms. tiller was available during the visit. Limited Monitoring of Child Care Rules were conducted, including but not limited to restrictions on the permit, First Aid/CPR and criminal background letters. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center's compliance history was reviewed with the operator. The program's compliance history was eighty-two (82) percent as of 3/27/24. Permit type – Five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental Day, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. Upon arrival, I announced my presence and the purpose of the visit. In room 301, 302, 303, 304 and 305, a group of school-age children engaged in various activities, such as free play, reading activities, math activities and other small group activities. Five (5) children from room 305 were out for a field trip at the time of the visit. In room 101, a group of three-to-five-year-old children engaged in free play using brush paint, playdough, sensory rice, and other materials. After cleaning, the group transitioned to the playground. The children played with swings, slide structures, and riding toys. After conversing with the teacher regarding the limitations on the playground discussed with Dr. Burnette, the previous administrator, the teacher asked the children to be off the swings and slide structures. The limitation was that the children were not allowed to use the gross motor equipment that required a fall zone, including swings, slide structures, monkey bars, and spinning structures, due to insufficient loose surfacing. The fall zone is graveled, but the additional gravel cannot be delivered due to the location of the playground and the ground condition. Due to wet and soft ground conditions, the heavy truck cannot deliver the gravel. We discussed the other playgrounds used by the school-age children. Due to some records being maintained off-site, the criminal background letter was checked on the ABCMS system on 3/27/24. Eighteen (18) staff members listed on the Staff and Training Worksheet for the annual compliance visit conducted on 1/23/24 have valid criminal background letters. Ms. Wells' criminal background letter was also valid. The files for one (1) new staff member in room 302, one (1) substitute member in room 101, and a volunteer staff member in room 101 were also monitored. The new staff member in room 302 and the substitute staff member have their criminal background qualification letter. However, the substitute and volunteer staff members did not have their files on site. CPR and First Aid certificates were monitored for all staff members. Sixteen (16) staff members, including the new staff members, have valid CPR/First Aid certificates. One (1) of the substitute staff members for room 101 has a valid CPR/First Aid certificate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today's visit: Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The files for the volunteer staff member (PN) and the substitute staff member (SB) in room 101 were not available for review. G.S. 110-91( 9) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The gravel on the playground for preschool-age children was less than an inch. The temporary solution was discussed on 1/23/24 and accepted, which was the equipment that requires fall zones were not to be used by the children until the solution is made. During today's visit, I observed preschool children use swings, slide structures with monkey bars and spinning structure. .0605(k)(1-4) Technical assistance was provided as follows: 1043: staff records All staff records, including substitute staff members and volunteers, shall be available for review. I advise all temporary staff members to travel with their files. Please obtain the record from the substitute agency and submit a copy to me. The required documents for each position are listed under consultation. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. 1867: Depth of loose surfacing This violation was cited and discussed during the visit on 1/23/24. Due to the lack of sufficient loose surfacing around the playground equipment used by preschool-age children, equipment with a critical height of over eighteen (18) inches shall not be used by the children. We discussed installing an Astroturf to reduce maintenance. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. The gravel for the fall zone on the playgrounds were measured for three (3) inches. Minimum of six (6) inches of gravel is required for the fall zone if the playgrounds were approved for the preschool children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 4/11/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Consecutive repeat violation of item 1048 for First Aid and item 1049 for CPR warrants consideration for Administrative Action. Due to the violations cited on 1/23/24 and 2/16/24, you may receive an Administrative Action. An administrative action is typically issued within forty-five days of a follow-up visit. In your case, the second visit was conducted on 2/16/24. Therefore, you may receive the notice before 4/1/24. The timeline may change depending on the number of actions considered in the State. I will conduct unannounced visit follow-ups every four-to-six weeks until the determination for the action is finalized. Criminal background letter: The criminal background qualification letter for the substitute staff member (SB) was located in room 101 under a different social security number. Please report the error to the Child Care Criminal Background Check Unit at (919) 814-6401, fax (919) 715-0987, or email DHHS.CBC.Unit@dhhs.nc.gov. Staff definition and required document: Volunteers: Rule .0102(51) "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. The required documents are: verification of age TB screening form Emergency Information form Health Questionnaire Documentation of being informed of the EPR plan and its location Substitutes: "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. The following documents are required for the substitute providers: Documentation of being informed of the EPR plan and its location Medical statement TB screening form Emergency information form Health Questionnaire (after the first year) Criminal qualification letter Proof of age Orientation If the substitute staff member works more than ten (10) days out of the school year, the same requirements as other permanent staff members apply including application, policy review, review of shaken baby syndrome and abusive head trauma, staff development plan, evaluation, annual training, Health and Safety training and CPR/First Aid. Playground equipment: On the playground located by the Developmental Day hallway, there are four sections of five (5) sections of play areas: Rope climbing structure green climbing structure green tube slide structure blacktop with basketball court and Special equipment playground The special equipment is large, and they are not appropriate for preschool-age children. The rope structure does not have contact information. If you can locate the equipment's manufacturer's guide or who made it, please find its age range. If the equipment is meant for preschool-age children, the children in room 101 can use it. Bliss Products is the manufacturer/distributor of the green climbing structure. Please contact the representative to find out the age range for the equipment. Their customer service can be contacted at 6831 S. Sweetwater Road, Lithia Springs, GA 30122, Telephone: 1.800.248.2547, Fax: 866.920.1915, Office Hours: 9:00 a.m. – 5:30 p.m. EST, Email: info@blissproducts.com. Playworld Systems is the manufacturer/distributor for the green tube slide structure. Please contact the company to find out the equipment's age range. The product number of BPL303500499 is engraved on the slide. Their customer service number is 1000 Buffalo Road, Lewisburg, PA 17837-9795 USA, +1.570.522.9800, 800.233.8404, info@playworld.com. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states "Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division." As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator's responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1102 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/28/2024 Number Present: 46 Completed Date: 3/28/2024 Age: From 3 To 11 Total Minutes: 190 Time In: 09:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during Unannounced Visit Follow-up. A computerized generated report of today's visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Amy Tiller, Assistant Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Karley Wells, Administrator and Brandi Stephenson, Director of Special Education for the Haywood County Schools. Ms. tiller was available during the visit. Limited Monitoring of Child Care Rules were conducted, including but not limited to restrictions on the permit, First Aid/CPR and criminal background letters. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center's compliance history was reviewed with the operator. The program's compliance history was eighty-two (82) percent as of 3/27/24. Permit type – Five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental Day, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. Upon arrival, I announced my presence and the purpose of the visit. In room 301, 302, 303, 304 and 305, a group of school-age children engaged in various activities, such as free play, reading activities, math activities and other small group activities. Five (5) children from room 305 were out for a field trip at the time of the visit. In room 101, a group of three-to-five-year-old children engaged in free play using brush paint, playdough, sensory rice, and other materials. After cleaning, the group transitioned to the playground. The children played with swings, slide structures, and riding toys. After conversing with the teacher regarding the limitations on the playground discussed with Dr. Burnette, the previous administrator, the teacher asked the children to be off the swings and slide structures. The limitation was that the children were not allowed to use the gross motor equipment that required a fall zone, including swings, slide structures, monkey bars, and spinning structures, due to insufficient loose surfacing. The fall zone is graveled, but the additional gravel cannot be delivered due to the location of the playground and the ground condition. Due to wet and soft ground conditions, the heavy truck cannot deliver the gravel. We discussed the other playgrounds used by the school-age children. Due to some records being maintained off-site, the criminal background letter was checked on the ABCMS system on 3/27/24. Eighteen (18) staff members listed on the Staff and Training Worksheet for the annual compliance visit conducted on 1/23/24 have valid criminal background letters. Ms. Wells' criminal background letter was also valid. The files for one (1) new staff member in room 302, one (1) substitute member in room 101, and a volunteer staff member in room 101 were also monitored. The new staff member in room 302 and the substitute staff member have their criminal background qualification letter. However, the substitute and volunteer staff members did not have their files on site. CPR and First Aid certificates were monitored for all staff members. Sixteen (16) staff members, including the new staff members, have valid CPR/First Aid certificates. One (1) of the substitute staff members for room 101 has a valid CPR/First Aid certificate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today's visit: Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The files for the volunteer staff member (PN) and the substitute staff member (SB) in room 101 were not available for review. G.S. 110-91( 9) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The gravel on the playground for preschool-age children was less than an inch. The temporary solution was discussed on 1/23/24 and accepted, which was the equipment that requires fall zones were not to be used by the children until the solution is made. During today's visit, I observed preschool children use swings, slide structures with monkey bars and spinning structure. .0605(k)(1-4) Technical assistance was provided as follows: 1043: staff records All staff records, including substitute staff members and volunteers, shall be available for review. I advise all temporary staff members to travel with their files. Please obtain the record from the substitute agency and submit a copy to me. The required documents for each position are listed under consultation. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. 1867: Depth of loose surfacing This violation was cited and discussed during the visit on 1/23/24. Due to the lack of sufficient loose surfacing around the playground equipment used by preschool-age children, equipment with a critical height of over eighteen (18) inches shall not be used by the children. We discussed installing an Astroturf to reduce maintenance. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. The gravel for the fall zone on the playgrounds were measured for three (3) inches. Minimum of six (6) inches of gravel is required for the fall zone if the playgrounds were approved for the preschool children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 4/11/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Consecutive repeat violation of item 1048 for First Aid and item 1049 for CPR warrants consideration for Administrative Action. Due to the violations cited on 1/23/24 and 2/16/24, you may receive an Administrative Action. An administrative action is typically issued within forty-five days of a follow-up visit. In your case, the second visit was conducted on 2/16/24. Therefore, you may receive the notice before 4/1/24. The timeline may change depending on the number of actions considered in the State. I will conduct unannounced visit follow-ups every four-to-six weeks until the determination for the action is finalized. Criminal background letter: The criminal background qualification letter for the substitute staff member (SB) was located in room 101 under a different social security number. Please report the error to the Child Care Criminal Background Check Unit at (919) 814-6401, fax (919) 715-0987, or email DHHS.CBC.Unit@dhhs.nc.gov. Staff definition and required document: Volunteers: Rule .0102(51) "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. The required documents are: verification of age TB screening form Emergency Information form Health Questionnaire Documentation of being informed of the EPR plan and its location Substitutes: "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. The following documents are required for the substitute providers: Documentation of being informed of the EPR plan and its location Medical statement TB screening form Emergency information form Health Questionnaire (after the first year) Criminal qualification letter Proof of age Orientation If the substitute staff member works more than ten (10) days out of the school year, the same requirements as other permanent staff members apply including application, policy review, review of shaken baby syndrome and abusive head trauma, staff development plan, evaluation, annual training, Health and Safety training and CPR/First Aid. Playground equipment: On the playground located by the Developmental Day hallway, there are four sections of five (5) sections of play areas: Rope climbing structure green climbing structure green tube slide structure blacktop with basketball court and Special equipment playground The special equipment is large, and they are not appropriate for preschool-age children. The rope structure does not have contact information. If you can locate the equipment's manufacturer's guide or who made it, please find its age range. If the equipment is meant for preschool-age children, the children in room 101 can use it. Bliss Products is the manufacturer/distributor of the green climbing structure. Please contact the representative to find out the age range for the equipment. Their customer service can be contacted at 6831 S. Sweetwater Road, Lithia Springs, GA 30122, Telephone: 1.800.248.2547, Fax: 866.920.1915, Office Hours: 9:00 a.m. – 5:30 p.m. EST, Email: info@blissproducts.com. Playworld Systems is the manufacturer/distributor for the green tube slide structure. Please contact the company to find out the equipment's age range. The product number of BPL303500499 is engraved on the slide. Their customer service number is 1000 Buffalo Road, Lewisburg, PA 17837-9795 USA, +1.570.522.9800, 800.233.8404, info@playworld.com. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states "Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division." As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator's responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1703 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/28/2024 Number Present: 46 Completed Date: 3/28/2024 Age: From 3 To 11 Total Minutes: 190 Time In: 09:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during Unannounced Visit Follow-up. A computerized generated report of today's visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Amy Tiller, Assistant Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Karley Wells, Administrator and Brandi Stephenson, Director of Special Education for the Haywood County Schools. Ms. tiller was available during the visit. Limited Monitoring of Child Care Rules were conducted, including but not limited to restrictions on the permit, First Aid/CPR and criminal background letters. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center's compliance history was reviewed with the operator. The program's compliance history was eighty-two (82) percent as of 3/27/24. Permit type – Five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental Day, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. Upon arrival, I announced my presence and the purpose of the visit. In room 301, 302, 303, 304 and 305, a group of school-age children engaged in various activities, such as free play, reading activities, math activities and other small group activities. Five (5) children from room 305 were out for a field trip at the time of the visit. In room 101, a group of three-to-five-year-old children engaged in free play using brush paint, playdough, sensory rice, and other materials. After cleaning, the group transitioned to the playground. The children played with swings, slide structures, and riding toys. After conversing with the teacher regarding the limitations on the playground discussed with Dr. Burnette, the previous administrator, the teacher asked the children to be off the swings and slide structures. The limitation was that the children were not allowed to use the gross motor equipment that required a fall zone, including swings, slide structures, monkey bars, and spinning structures, due to insufficient loose surfacing. The fall zone is graveled, but the additional gravel cannot be delivered due to the location of the playground and the ground condition. Due to wet and soft ground conditions, the heavy truck cannot deliver the gravel. We discussed the other playgrounds used by the school-age children. Due to some records being maintained off-site, the criminal background letter was checked on the ABCMS system on 3/27/24. Eighteen (18) staff members listed on the Staff and Training Worksheet for the annual compliance visit conducted on 1/23/24 have valid criminal background letters. Ms. Wells' criminal background letter was also valid. The files for one (1) new staff member in room 302, one (1) substitute member in room 101, and a volunteer staff member in room 101 were also monitored. The new staff member in room 302 and the substitute staff member have their criminal background qualification letter. However, the substitute and volunteer staff members did not have their files on site. CPR and First Aid certificates were monitored for all staff members. Sixteen (16) staff members, including the new staff members, have valid CPR/First Aid certificates. One (1) of the substitute staff members for room 101 has a valid CPR/First Aid certificate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today's visit: Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The files for the volunteer staff member (PN) and the substitute staff member (SB) in room 101 were not available for review. G.S. 110-91( 9) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The gravel on the playground for preschool-age children was less than an inch. The temporary solution was discussed on 1/23/24 and accepted, which was the equipment that requires fall zones were not to be used by the children until the solution is made. During today's visit, I observed preschool children use swings, slide structures with monkey bars and spinning structure. .0605(k)(1-4) Technical assistance was provided as follows: 1043: staff records All staff records, including substitute staff members and volunteers, shall be available for review. I advise all temporary staff members to travel with their files. Please obtain the record from the substitute agency and submit a copy to me. The required documents for each position are listed under consultation. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. 1867: Depth of loose surfacing This violation was cited and discussed during the visit on 1/23/24. Due to the lack of sufficient loose surfacing around the playground equipment used by preschool-age children, equipment with a critical height of over eighteen (18) inches shall not be used by the children. We discussed installing an Astroturf to reduce maintenance. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. The gravel for the fall zone on the playgrounds were measured for three (3) inches. Minimum of six (6) inches of gravel is required for the fall zone if the playgrounds were approved for the preschool children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 4/11/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Consecutive repeat violation of item 1048 for First Aid and item 1049 for CPR warrants consideration for Administrative Action. Due to the violations cited on 1/23/24 and 2/16/24, you may receive an Administrative Action. An administrative action is typically issued within forty-five days of a follow-up visit. In your case, the second visit was conducted on 2/16/24. Therefore, you may receive the notice before 4/1/24. The timeline may change depending on the number of actions considered in the State. I will conduct unannounced visit follow-ups every four-to-six weeks until the determination for the action is finalized. Criminal background letter: The criminal background qualification letter for the substitute staff member (SB) was located in room 101 under a different social security number. Please report the error to the Child Care Criminal Background Check Unit at (919) 814-6401, fax (919) 715-0987, or email DHHS.CBC.Unit@dhhs.nc.gov. Staff definition and required document: Volunteers: Rule .0102(51) "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. The required documents are: verification of age TB screening form Emergency Information form Health Questionnaire Documentation of being informed of the EPR plan and its location Substitutes: "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. The following documents are required for the substitute providers: Documentation of being informed of the EPR plan and its location Medical statement TB screening form Emergency information form Health Questionnaire (after the first year) Criminal qualification letter Proof of age Orientation If the substitute staff member works more than ten (10) days out of the school year, the same requirements as other permanent staff members apply including application, policy review, review of shaken baby syndrome and abusive head trauma, staff development plan, evaluation, annual training, Health and Safety training and CPR/First Aid. Playground equipment: On the playground located by the Developmental Day hallway, there are four sections of five (5) sections of play areas: Rope climbing structure green climbing structure green tube slide structure blacktop with basketball court and Special equipment playground The special equipment is large, and they are not appropriate for preschool-age children. The rope structure does not have contact information. If you can locate the equipment's manufacturer's guide or who made it, please find its age range. If the equipment is meant for preschool-age children, the children in room 101 can use it. Bliss Products is the manufacturer/distributor of the green climbing structure. Please contact the representative to find out the age range for the equipment. Their customer service can be contacted at 6831 S. Sweetwater Road, Lithia Springs, GA 30122, Telephone: 1.800.248.2547, Fax: 866.920.1915, Office Hours: 9:00 a.m. – 5:30 p.m. EST, Email: info@blissproducts.com. Playworld Systems is the manufacturer/distributor for the green tube slide structure. Please contact the company to find out the equipment's age range. The product number of BPL303500499 is engraved on the slide. Their customer service number is 1000 Buffalo Road, Lewisburg, PA 17837-9795 USA, +1.570.522.9800, 800.233.8404, info@playworld.com. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states "Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division." As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator's responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2830 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/28/2024 Number Present: 46 Completed Date: 3/28/2024 Age: From 3 To 11 Total Minutes: 190 Time In: 09:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during Unannounced Visit Follow-up. A computerized generated report of today's visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Amy Tiller, Assistant Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Karley Wells, Administrator and Brandi Stephenson, Director of Special Education for the Haywood County Schools. Ms. tiller was available during the visit. Limited Monitoring of Child Care Rules were conducted, including but not limited to restrictions on the permit, First Aid/CPR and criminal background letters. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center's compliance history was reviewed with the operator. The program's compliance history was eighty-two (82) percent as of 3/27/24. Permit type – Five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental Day, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. Upon arrival, I announced my presence and the purpose of the visit. In room 301, 302, 303, 304 and 305, a group of school-age children engaged in various activities, such as free play, reading activities, math activities and other small group activities. Five (5) children from room 305 were out for a field trip at the time of the visit. In room 101, a group of three-to-five-year-old children engaged in free play using brush paint, playdough, sensory rice, and other materials. After cleaning, the group transitioned to the playground. The children played with swings, slide structures, and riding toys. After conversing with the teacher regarding the limitations on the playground discussed with Dr. Burnette, the previous administrator, the teacher asked the children to be off the swings and slide structures. The limitation was that the children were not allowed to use the gross motor equipment that required a fall zone, including swings, slide structures, monkey bars, and spinning structures, due to insufficient loose surfacing. The fall zone is graveled, but the additional gravel cannot be delivered due to the location of the playground and the ground condition. Due to wet and soft ground conditions, the heavy truck cannot deliver the gravel. We discussed the other playgrounds used by the school-age children. Due to some records being maintained off-site, the criminal background letter was checked on the ABCMS system on 3/27/24. Eighteen (18) staff members listed on the Staff and Training Worksheet for the annual compliance visit conducted on 1/23/24 have valid criminal background letters. Ms. Wells' criminal background letter was also valid. The files for one (1) new staff member in room 302, one (1) substitute member in room 101, and a volunteer staff member in room 101 were also monitored. The new staff member in room 302 and the substitute staff member have their criminal background qualification letter. However, the substitute and volunteer staff members did not have their files on site. CPR and First Aid certificates were monitored for all staff members. Sixteen (16) staff members, including the new staff members, have valid CPR/First Aid certificates. One (1) of the substitute staff members for room 101 has a valid CPR/First Aid certificate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today's visit: Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The files for the volunteer staff member (PN) and the substitute staff member (SB) in room 101 were not available for review. G.S. 110-91( 9) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The gravel on the playground for preschool-age children was less than an inch. The temporary solution was discussed on 1/23/24 and accepted, which was the equipment that requires fall zones were not to be used by the children until the solution is made. During today's visit, I observed preschool children use swings, slide structures with monkey bars and spinning structure. .0605(k)(1-4) Technical assistance was provided as follows: 1043: staff records All staff records, including substitute staff members and volunteers, shall be available for review. I advise all temporary staff members to travel with their files. Please obtain the record from the substitute agency and submit a copy to me. The required documents for each position are listed under consultation. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. 1867: Depth of loose surfacing This violation was cited and discussed during the visit on 1/23/24. Due to the lack of sufficient loose surfacing around the playground equipment used by preschool-age children, equipment with a critical height of over eighteen (18) inches shall not be used by the children. We discussed installing an Astroturf to reduce maintenance. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. The gravel for the fall zone on the playgrounds were measured for three (3) inches. Minimum of six (6) inches of gravel is required for the fall zone if the playgrounds were approved for the preschool children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 4/11/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Consecutive repeat violation of item 1048 for First Aid and item 1049 for CPR warrants consideration for Administrative Action. Due to the violations cited on 1/23/24 and 2/16/24, you may receive an Administrative Action. An administrative action is typically issued within forty-five days of a follow-up visit. In your case, the second visit was conducted on 2/16/24. Therefore, you may receive the notice before 4/1/24. The timeline may change depending on the number of actions considered in the State. I will conduct unannounced visit follow-ups every four-to-six weeks until the determination for the action is finalized. Criminal background letter: The criminal background qualification letter for the substitute staff member (SB) was located in room 101 under a different social security number. Please report the error to the Child Care Criminal Background Check Unit at (919) 814-6401, fax (919) 715-0987, or email DHHS.CBC.Unit@dhhs.nc.gov. Staff definition and required document: Volunteers: Rule .0102(51) "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. The required documents are: verification of age TB screening form Emergency Information form Health Questionnaire Documentation of being informed of the EPR plan and its location Substitutes: "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. The following documents are required for the substitute providers: Documentation of being informed of the EPR plan and its location Medical statement TB screening form Emergency information form Health Questionnaire (after the first year) Criminal qualification letter Proof of age Orientation If the substitute staff member works more than ten (10) days out of the school year, the same requirements as other permanent staff members apply including application, policy review, review of shaken baby syndrome and abusive head trauma, staff development plan, evaluation, annual training, Health and Safety training and CPR/First Aid. Playground equipment: On the playground located by the Developmental Day hallway, there are four sections of five (5) sections of play areas: Rope climbing structure green climbing structure green tube slide structure blacktop with basketball court and Special equipment playground The special equipment is large, and they are not appropriate for preschool-age children. The rope structure does not have contact information. If you can locate the equipment's manufacturer's guide or who made it, please find its age range. If the equipment is meant for preschool-age children, the children in room 101 can use it. Bliss Products is the manufacturer/distributor of the green climbing structure. Please contact the representative to find out the age range for the equipment. Their customer service can be contacted at 6831 S. Sweetwater Road, Lithia Springs, GA 30122, Telephone: 1.800.248.2547, Fax: 866.920.1915, Office Hours: 9:00 a.m. – 5:30 p.m. EST, Email: info@blissproducts.com. Playworld Systems is the manufacturer/distributor for the green tube slide structure. Please contact the company to find out the equipment's age range. The product number of BPL303500499 is engraved on the slide. Their customer service number is 1000 Buffalo Road, Lewisburg, PA 17837-9795 USA, +1.570.522.9800, 800.233.8404, info@playworld.com. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states "Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division." As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator's responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-91 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/28/2024 Number Present: 46 Completed Date: 3/28/2024 Age: From 3 To 11 Total Minutes: 190 Time In: 09:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during Unannounced Visit Follow-up. A computerized generated report of today's visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Amy Tiller, Assistant Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Karley Wells, Administrator and Brandi Stephenson, Director of Special Education for the Haywood County Schools. Ms. tiller was available during the visit. Limited Monitoring of Child Care Rules were conducted, including but not limited to restrictions on the permit, First Aid/CPR and criminal background letters. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center's compliance history was reviewed with the operator. The program's compliance history was eighty-two (82) percent as of 3/27/24. Permit type – Five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental Day, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. Upon arrival, I announced my presence and the purpose of the visit. In room 301, 302, 303, 304 and 305, a group of school-age children engaged in various activities, such as free play, reading activities, math activities and other small group activities. Five (5) children from room 305 were out for a field trip at the time of the visit. In room 101, a group of three-to-five-year-old children engaged in free play using brush paint, playdough, sensory rice, and other materials. After cleaning, the group transitioned to the playground. The children played with swings, slide structures, and riding toys. After conversing with the teacher regarding the limitations on the playground discussed with Dr. Burnette, the previous administrator, the teacher asked the children to be off the swings and slide structures. The limitation was that the children were not allowed to use the gross motor equipment that required a fall zone, including swings, slide structures, monkey bars, and spinning structures, due to insufficient loose surfacing. The fall zone is graveled, but the additional gravel cannot be delivered due to the location of the playground and the ground condition. Due to wet and soft ground conditions, the heavy truck cannot deliver the gravel. We discussed the other playgrounds used by the school-age children. Due to some records being maintained off-site, the criminal background letter was checked on the ABCMS system on 3/27/24. Eighteen (18) staff members listed on the Staff and Training Worksheet for the annual compliance visit conducted on 1/23/24 have valid criminal background letters. Ms. Wells' criminal background letter was also valid. The files for one (1) new staff member in room 302, one (1) substitute member in room 101, and a volunteer staff member in room 101 were also monitored. The new staff member in room 302 and the substitute staff member have their criminal background qualification letter. However, the substitute and volunteer staff members did not have their files on site. CPR and First Aid certificates were monitored for all staff members. Sixteen (16) staff members, including the new staff members, have valid CPR/First Aid certificates. One (1) of the substitute staff members for room 101 has a valid CPR/First Aid certificate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today's visit: Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The files for the volunteer staff member (PN) and the substitute staff member (SB) in room 101 were not available for review. G.S. 110-91( 9) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The gravel on the playground for preschool-age children was less than an inch. The temporary solution was discussed on 1/23/24 and accepted, which was the equipment that requires fall zones were not to be used by the children until the solution is made. During today's visit, I observed preschool children use swings, slide structures with monkey bars and spinning structure. .0605(k)(1-4) Technical assistance was provided as follows: 1043: staff records All staff records, including substitute staff members and volunteers, shall be available for review. I advise all temporary staff members to travel with their files. Please obtain the record from the substitute agency and submit a copy to me. The required documents for each position are listed under consultation. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. 1867: Depth of loose surfacing This violation was cited and discussed during the visit on 1/23/24. Due to the lack of sufficient loose surfacing around the playground equipment used by preschool-age children, equipment with a critical height of over eighteen (18) inches shall not be used by the children. We discussed installing an Astroturf to reduce maintenance. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. The gravel for the fall zone on the playgrounds were measured for three (3) inches. Minimum of six (6) inches of gravel is required for the fall zone if the playgrounds were approved for the preschool children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 4/11/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Consecutive repeat violation of item 1048 for First Aid and item 1049 for CPR warrants consideration for Administrative Action. Due to the violations cited on 1/23/24 and 2/16/24, you may receive an Administrative Action. An administrative action is typically issued within forty-five days of a follow-up visit. In your case, the second visit was conducted on 2/16/24. Therefore, you may receive the notice before 4/1/24. The timeline may change depending on the number of actions considered in the State. I will conduct unannounced visit follow-ups every four-to-six weeks until the determination for the action is finalized. Criminal background letter: The criminal background qualification letter for the substitute staff member (SB) was located in room 101 under a different social security number. Please report the error to the Child Care Criminal Background Check Unit at (919) 814-6401, fax (919) 715-0987, or email DHHS.CBC.Unit@dhhs.nc.gov. Staff definition and required document: Volunteers: Rule .0102(51) "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. The required documents are: verification of age TB screening form Emergency Information form Health Questionnaire Documentation of being informed of the EPR plan and its location Substitutes: "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. The following documents are required for the substitute providers: Documentation of being informed of the EPR plan and its location Medical statement TB screening form Emergency information form Health Questionnaire (after the first year) Criminal qualification letter Proof of age Orientation If the substitute staff member works more than ten (10) days out of the school year, the same requirements as other permanent staff members apply including application, policy review, review of shaken baby syndrome and abusive head trauma, staff development plan, evaluation, annual training, Health and Safety training and CPR/First Aid. Playground equipment: On the playground located by the Developmental Day hallway, there are four sections of five (5) sections of play areas: Rope climbing structure green climbing structure green tube slide structure blacktop with basketball court and Special equipment playground The special equipment is large, and they are not appropriate for preschool-age children. The rope structure does not have contact information. If you can locate the equipment's manufacturer's guide or who made it, please find its age range. If the equipment is meant for preschool-age children, the children in room 101 can use it. Bliss Products is the manufacturer/distributor of the green climbing structure. Please contact the representative to find out the age range for the equipment. Their customer service can be contacted at 6831 S. Sweetwater Road, Lithia Springs, GA 30122, Telephone: 1.800.248.2547, Fax: 866.920.1915, Office Hours: 9:00 a.m. – 5:30 p.m. EST, Email: info@blissproducts.com. Playworld Systems is the manufacturer/distributor for the green tube slide structure. Please contact the company to find out the equipment's age range. The product number of BPL303500499 is engraved on the slide. Their customer service number is 1000 Buffalo Road, Lewisburg, PA 17837-9795 USA, +1.570.522.9800, 800.233.8404, info@playworld.com. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states "Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division." As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator's responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
NC GS 110-90 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/28/2024 Number Present: 46 Completed Date: 3/28/2024 Age: From 3 To 11 Total Minutes: 190 Time In: 09:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during Unannounced Visit Follow-up. A computerized generated report of today's visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Amy Tiller, Assistant Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Karley Wells, Administrator and Brandi Stephenson, Director of Special Education for the Haywood County Schools. Ms. tiller was available during the visit. Limited Monitoring of Child Care Rules were conducted, including but not limited to restrictions on the permit, First Aid/CPR and criminal background letters. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center's compliance history was reviewed with the operator. The program's compliance history was eighty-two (82) percent as of 3/27/24. Permit type – Five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental Day, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/23/24. Upon arrival, I announced my presence and the purpose of the visit. In room 301, 302, 303, 304 and 305, a group of school-age children engaged in various activities, such as free play, reading activities, math activities and other small group activities. Five (5) children from room 305 were out for a field trip at the time of the visit. In room 101, a group of three-to-five-year-old children engaged in free play using brush paint, playdough, sensory rice, and other materials. After cleaning, the group transitioned to the playground. The children played with swings, slide structures, and riding toys. After conversing with the teacher regarding the limitations on the playground discussed with Dr. Burnette, the previous administrator, the teacher asked the children to be off the swings and slide structures. The limitation was that the children were not allowed to use the gross motor equipment that required a fall zone, including swings, slide structures, monkey bars, and spinning structures, due to insufficient loose surfacing. The fall zone is graveled, but the additional gravel cannot be delivered due to the location of the playground and the ground condition. Due to wet and soft ground conditions, the heavy truck cannot deliver the gravel. We discussed the other playgrounds used by the school-age children. Due to some records being maintained off-site, the criminal background letter was checked on the ABCMS system on 3/27/24. Eighteen (18) staff members listed on the Staff and Training Worksheet for the annual compliance visit conducted on 1/23/24 have valid criminal background letters. Ms. Wells' criminal background letter was also valid. The files for one (1) new staff member in room 302, one (1) substitute member in room 101, and a volunteer staff member in room 101 were also monitored. The new staff member in room 302 and the substitute staff member have their criminal background qualification letter. However, the substitute and volunteer staff members did not have their files on site. CPR and First Aid certificates were monitored for all staff members. Sixteen (16) staff members, including the new staff members, have valid CPR/First Aid certificates. One (1) of the substitute staff members for room 101 has a valid CPR/First Aid certificate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today's visit: Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The files for the volunteer staff member (PN) and the substitute staff member (SB) in room 101 were not available for review. G.S. 110-91( 9) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The gravel on the playground for preschool-age children was less than an inch. The temporary solution was discussed on 1/23/24 and accepted, which was the equipment that requires fall zones were not to be used by the children until the solution is made. During today's visit, I observed preschool children use swings, slide structures with monkey bars and spinning structure. .0605(k)(1-4) Technical assistance was provided as follows: 1043: staff records All staff records, including substitute staff members and volunteers, shall be available for review. I advise all temporary staff members to travel with their files. Please obtain the record from the substitute agency and submit a copy to me. The required documents for each position are listed under consultation. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. 1867: Depth of loose surfacing This violation was cited and discussed during the visit on 1/23/24. Due to the lack of sufficient loose surfacing around the playground equipment used by preschool-age children, equipment with a critical height of over eighteen (18) inches shall not be used by the children. We discussed installing an Astroturf to reduce maintenance. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. The gravel for the fall zone on the playgrounds were measured for three (3) inches. Minimum of six (6) inches of gravel is required for the fall zone if the playgrounds were approved for the preschool children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 4/11/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Consecutive repeat violation of item 1048 for First Aid and item 1049 for CPR warrants consideration for Administrative Action. Due to the violations cited on 1/23/24 and 2/16/24, you may receive an Administrative Action. An administrative action is typically issued within forty-five days of a follow-up visit. In your case, the second visit was conducted on 2/16/24. Therefore, you may receive the notice before 4/1/24. The timeline may change depending on the number of actions considered in the State. I will conduct unannounced visit follow-ups every four-to-six weeks until the determination for the action is finalized. Criminal background letter: The criminal background qualification letter for the substitute staff member (SB) was located in room 101 under a different social security number. Please report the error to the Child Care Criminal Background Check Unit at (919) 814-6401, fax (919) 715-0987, or email DHHS.CBC.Unit@dhhs.nc.gov. Staff definition and required document: Volunteers: Rule .0102(51) "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. The required documents are: verification of age TB screening form Emergency Information form Health Questionnaire Documentation of being informed of the EPR plan and its location Substitutes: "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. The following documents are required for the substitute providers: Documentation of being informed of the EPR plan and its location Medical statement TB screening form Emergency information form Health Questionnaire (after the first year) Criminal qualification letter Proof of age Orientation If the substitute staff member works more than ten (10) days out of the school year, the same requirements as other permanent staff members apply including application, policy review, review of shaken baby syndrome and abusive head trauma, staff development plan, evaluation, annual training, Health and Safety training and CPR/First Aid. Playground equipment: On the playground located by the Developmental Day hallway, there are four sections of five (5) sections of play areas: Rope climbing structure green climbing structure green tube slide structure blacktop with basketball court and Special equipment playground The special equipment is large, and they are not appropriate for preschool-age children. The rope structure does not have contact information. If you can locate the equipment's manufacturer's guide or who made it, please find its age range. If the equipment is meant for preschool-age children, the children in room 101 can use it. Bliss Products is the manufacturer/distributor of the green climbing structure. Please contact the representative to find out the age range for the equipment. Their customer service can be contacted at 6831 S. Sweetwater Road, Lithia Springs, GA 30122, Telephone: 1.800.248.2547, Fax: 866.920.1915, Office Hours: 9:00 a.m. – 5:30 p.m. EST, Email: info@blissproducts.com. Playworld Systems is the manufacturer/distributor for the green tube slide structure. Please contact the company to find out the equipment's age range. The product number of BPL303500499 is engraved on the slide. Their customer service number is 1000 Buffalo Road, Lewisburg, PA 17837-9795 USA, +1.570.522.9800, 800.233.8404, info@playworld.com. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states "Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division." As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator's responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0304 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/16/2024 Number Present: 54 Completed Date: 2/16/2024 Age: From 4 To 11 Total Minutes: 100 Time In: 10:35 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Dr. Burnette as well as Brandi Stephenson, Director of Special Education for Haywood County Schools. Today, Byron Burnette was available during the visit. Limited monitoring of child care requirements was conducted, including but not limited to staff record. Five (5) violations were cited during the annual compliance visit conducted on 1/23/24. Items 849 and 1867 were corrected by the provider statement on the letter of compliance received on 2/6/24. Per letter of compliance, the plan of correction for items 1048 and 1049 were to be completed on 3/4/24. As for item 1899, the completion was expected to be on or before 2/9/24. Bonnie Mathis, Licensing Supervisor approved an extension for the item 1899 to be completed by 2/9/24. However, I searched for available CPR and First Aid training in the surrounding area for the earlier dates than 3/4/24 and shared the information with Dr. Burnette on 2/6/24. On the same email, I requested additional statement or the proof of completion of the Health and Safety training to be submitted no later than 2/9/24. Due to no responses, I sent a follow-up email on 2/12/24. In case the email is sent to a spam folder, I sent the same follow-up email in an encrypted format. Additionally, I have called Dr. Burnette and left a message on 2/14/24. No response via email or phone was received. Upon arrival, I announced my presence and the purpose of the visit. Staff file was monitored in space #305 for completion of Health and Safety training. The Health and Training was completed on 2/7/24. This item is marked corrected by the consultant visit. Dr. Burnette was interviewed for his plan for the CPR/First Aid training. Per interview, Dr. Burnette is leaving his position as principal of Clyde Elementary School at the end of today. The new principal has not been named yet, and the contact person will be Brandi Stephenson, Director of Special Education for Haywood County Schools. It has been challenging to schedule First Aid and CPR training for the eight (8) staff members. Due to the number of staff needing the training, arranging substitute staff members to cover the teaching staff during the day has not been possible. Due to insufficient timeline established for an extension request, repeat violation of items 1048 First Aid and 1049 CPR training were cited during the visit. Additional resources for potential CPR/FA classes were shared with Dr. Burnette during the visit. Gail Mattingly, CCR&R Program Director at Southwestern Child Development Commission was contacted during the visit. Per conversation, Ms. Mattingly may be able to arrange on-site training with Mandy Mills, Child Care Health Consultant, for this program. The contact information was shared with both parties. A blended CPR/Frist Aid training provided by Buncombe Partnership for Children is also available on 3/9/24 10:00 am – 11:30 am. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their first aid certificate before the previous certificate expired. The violation was originally cited on 1/23/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their CPR certificate before the previous certificate expired. The violation was originally cited on 1/23/24. .1102(d) Technical assistance was provided as follows: 1048: First Aid training All staff shall successfully complete a certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization shall be in the staff file. 1049: CPR training All staff shall successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization shall be in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/1/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Letter of compliance: When a violation is cited, you have up to two (2) weeks to correct your violation if needed. Letter of compliance must state the completion of correction of violations. Future action is not considered a statement of completion. You may ask for an extension for items that require more than two (2) weeks. However, you do not have a guarantee for an extension. When a request is not granted for submitted after the due date, a follow-up visit may be conducted. Legal Designee Form: A legal Designee form was signed by Dr. Burnette pointing Ms. Stephenson as a designee during the visit. The form is attached to today's visit summary. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556-9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/16/2024 Number Present: 54 Completed Date: 2/16/2024 Age: From 4 To 11 Total Minutes: 100 Time In: 10:35 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Dr. Burnette as well as Brandi Stephenson, Director of Special Education for Haywood County Schools. Today, Byron Burnette was available during the visit. Limited monitoring of child care requirements was conducted, including but not limited to staff record. Five (5) violations were cited during the annual compliance visit conducted on 1/23/24. Items 849 and 1867 were corrected by the provider statement on the letter of compliance received on 2/6/24. Per letter of compliance, the plan of correction for items 1048 and 1049 were to be completed on 3/4/24. As for item 1899, the completion was expected to be on or before 2/9/24. Bonnie Mathis, Licensing Supervisor approved an extension for the item 1899 to be completed by 2/9/24. However, I searched for available CPR and First Aid training in the surrounding area for the earlier dates than 3/4/24 and shared the information with Dr. Burnette on 2/6/24. On the same email, I requested additional statement or the proof of completion of the Health and Safety training to be submitted no later than 2/9/24. Due to no responses, I sent a follow-up email on 2/12/24. In case the email is sent to a spam folder, I sent the same follow-up email in an encrypted format. Additionally, I have called Dr. Burnette and left a message on 2/14/24. No response via email or phone was received. Upon arrival, I announced my presence and the purpose of the visit. Staff file was monitored in space #305 for completion of Health and Safety training. The Health and Training was completed on 2/7/24. This item is marked corrected by the consultant visit. Dr. Burnette was interviewed for his plan for the CPR/First Aid training. Per interview, Dr. Burnette is leaving his position as principal of Clyde Elementary School at the end of today. The new principal has not been named yet, and the contact person will be Brandi Stephenson, Director of Special Education for Haywood County Schools. It has been challenging to schedule First Aid and CPR training for the eight (8) staff members. Due to the number of staff needing the training, arranging substitute staff members to cover the teaching staff during the day has not been possible. Due to insufficient timeline established for an extension request, repeat violation of items 1048 First Aid and 1049 CPR training were cited during the visit. Additional resources for potential CPR/FA classes were shared with Dr. Burnette during the visit. Gail Mattingly, CCR&R Program Director at Southwestern Child Development Commission was contacted during the visit. Per conversation, Ms. Mattingly may be able to arrange on-site training with Mandy Mills, Child Care Health Consultant, for this program. The contact information was shared with both parties. A blended CPR/Frist Aid training provided by Buncombe Partnership for Children is also available on 3/9/24 10:00 am – 11:30 am. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their first aid certificate before the previous certificate expired. The violation was originally cited on 1/23/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their CPR certificate before the previous certificate expired. The violation was originally cited on 1/23/24. .1102(d) Technical assistance was provided as follows: 1048: First Aid training All staff shall successfully complete a certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization shall be in the staff file. 1049: CPR training All staff shall successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization shall be in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/1/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Letter of compliance: When a violation is cited, you have up to two (2) weeks to correct your violation if needed. Letter of compliance must state the completion of correction of violations. Future action is not considered a statement of completion. You may ask for an extension for items that require more than two (2) weeks. However, you do not have a guarantee for an extension. When a request is not granted for submitted after the due date, a follow-up visit may be conducted. Legal Designee Form: A legal Designee form was signed by Dr. Burnette pointing Ms. Stephenson as a designee during the visit. The form is attached to today's visit summary. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556-9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1703 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/16/2024 Number Present: 54 Completed Date: 2/16/2024 Age: From 4 To 11 Total Minutes: 100 Time In: 10:35 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Dr. Burnette as well as Brandi Stephenson, Director of Special Education for Haywood County Schools. Today, Byron Burnette was available during the visit. Limited monitoring of child care requirements was conducted, including but not limited to staff record. Five (5) violations were cited during the annual compliance visit conducted on 1/23/24. Items 849 and 1867 were corrected by the provider statement on the letter of compliance received on 2/6/24. Per letter of compliance, the plan of correction for items 1048 and 1049 were to be completed on 3/4/24. As for item 1899, the completion was expected to be on or before 2/9/24. Bonnie Mathis, Licensing Supervisor approved an extension for the item 1899 to be completed by 2/9/24. However, I searched for available CPR and First Aid training in the surrounding area for the earlier dates than 3/4/24 and shared the information with Dr. Burnette on 2/6/24. On the same email, I requested additional statement or the proof of completion of the Health and Safety training to be submitted no later than 2/9/24. Due to no responses, I sent a follow-up email on 2/12/24. In case the email is sent to a spam folder, I sent the same follow-up email in an encrypted format. Additionally, I have called Dr. Burnette and left a message on 2/14/24. No response via email or phone was received. Upon arrival, I announced my presence and the purpose of the visit. Staff file was monitored in space #305 for completion of Health and Safety training. The Health and Training was completed on 2/7/24. This item is marked corrected by the consultant visit. Dr. Burnette was interviewed for his plan for the CPR/First Aid training. Per interview, Dr. Burnette is leaving his position as principal of Clyde Elementary School at the end of today. The new principal has not been named yet, and the contact person will be Brandi Stephenson, Director of Special Education for Haywood County Schools. It has been challenging to schedule First Aid and CPR training for the eight (8) staff members. Due to the number of staff needing the training, arranging substitute staff members to cover the teaching staff during the day has not been possible. Due to insufficient timeline established for an extension request, repeat violation of items 1048 First Aid and 1049 CPR training were cited during the visit. Additional resources for potential CPR/FA classes were shared with Dr. Burnette during the visit. Gail Mattingly, CCR&R Program Director at Southwestern Child Development Commission was contacted during the visit. Per conversation, Ms. Mattingly may be able to arrange on-site training with Mandy Mills, Child Care Health Consultant, for this program. The contact information was shared with both parties. A blended CPR/Frist Aid training provided by Buncombe Partnership for Children is also available on 3/9/24 10:00 am – 11:30 am. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their first aid certificate before the previous certificate expired. The violation was originally cited on 1/23/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their CPR certificate before the previous certificate expired. The violation was originally cited on 1/23/24. .1102(d) Technical assistance was provided as follows: 1048: First Aid training All staff shall successfully complete a certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization shall be in the staff file. 1049: CPR training All staff shall successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization shall be in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/1/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Letter of compliance: When a violation is cited, you have up to two (2) weeks to correct your violation if needed. Letter of compliance must state the completion of correction of violations. Future action is not considered a statement of completion. You may ask for an extension for items that require more than two (2) weeks. However, you do not have a guarantee for an extension. When a request is not granted for submitted after the due date, a follow-up visit may be conducted. Legal Designee Form: A legal Designee form was signed by Dr. Burnette pointing Ms. Stephenson as a designee during the visit. The form is attached to today's visit summary. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556-9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2830 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/16/2024 Number Present: 54 Completed Date: 2/16/2024 Age: From 4 To 11 Total Minutes: 100 Time In: 10:35 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Dr. Burnette as well as Brandi Stephenson, Director of Special Education for Haywood County Schools. Today, Byron Burnette was available during the visit. Limited monitoring of child care requirements was conducted, including but not limited to staff record. Five (5) violations were cited during the annual compliance visit conducted on 1/23/24. Items 849 and 1867 were corrected by the provider statement on the letter of compliance received on 2/6/24. Per letter of compliance, the plan of correction for items 1048 and 1049 were to be completed on 3/4/24. As for item 1899, the completion was expected to be on or before 2/9/24. Bonnie Mathis, Licensing Supervisor approved an extension for the item 1899 to be completed by 2/9/24. However, I searched for available CPR and First Aid training in the surrounding area for the earlier dates than 3/4/24 and shared the information with Dr. Burnette on 2/6/24. On the same email, I requested additional statement or the proof of completion of the Health and Safety training to be submitted no later than 2/9/24. Due to no responses, I sent a follow-up email on 2/12/24. In case the email is sent to a spam folder, I sent the same follow-up email in an encrypted format. Additionally, I have called Dr. Burnette and left a message on 2/14/24. No response via email or phone was received. Upon arrival, I announced my presence and the purpose of the visit. Staff file was monitored in space #305 for completion of Health and Safety training. The Health and Training was completed on 2/7/24. This item is marked corrected by the consultant visit. Dr. Burnette was interviewed for his plan for the CPR/First Aid training. Per interview, Dr. Burnette is leaving his position as principal of Clyde Elementary School at the end of today. The new principal has not been named yet, and the contact person will be Brandi Stephenson, Director of Special Education for Haywood County Schools. It has been challenging to schedule First Aid and CPR training for the eight (8) staff members. Due to the number of staff needing the training, arranging substitute staff members to cover the teaching staff during the day has not been possible. Due to insufficient timeline established for an extension request, repeat violation of items 1048 First Aid and 1049 CPR training were cited during the visit. Additional resources for potential CPR/FA classes were shared with Dr. Burnette during the visit. Gail Mattingly, CCR&R Program Director at Southwestern Child Development Commission was contacted during the visit. Per conversation, Ms. Mattingly may be able to arrange on-site training with Mandy Mills, Child Care Health Consultant, for this program. The contact information was shared with both parties. A blended CPR/Frist Aid training provided by Buncombe Partnership for Children is also available on 3/9/24 10:00 am – 11:30 am. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their first aid certificate before the previous certificate expired. The violation was originally cited on 1/23/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their CPR certificate before the previous certificate expired. The violation was originally cited on 1/23/24. .1102(d) Technical assistance was provided as follows: 1048: First Aid training All staff shall successfully complete a certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization shall be in the staff file. 1049: CPR training All staff shall successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization shall be in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/1/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Letter of compliance: When a violation is cited, you have up to two (2) weeks to correct your violation if needed. Letter of compliance must state the completion of correction of violations. Future action is not considered a statement of completion. You may ask for an extension for items that require more than two (2) weeks. However, you do not have a guarantee for an extension. When a request is not granted for submitted after the due date, a follow-up visit may be conducted. Legal Designee Form: A legal Designee form was signed by Dr. Burnette pointing Ms. Stephenson as a designee during the visit. The form is attached to today's visit summary. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556-9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
NC GS 110-90 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/16/2024 Number Present: 54 Completed Date: 2/16/2024 Age: From 4 To 11 Total Minutes: 100 Time In: 10:35 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Dr. Burnette as well as Brandi Stephenson, Director of Special Education for Haywood County Schools. Today, Byron Burnette was available during the visit. Limited monitoring of child care requirements was conducted, including but not limited to staff record. Five (5) violations were cited during the annual compliance visit conducted on 1/23/24. Items 849 and 1867 were corrected by the provider statement on the letter of compliance received on 2/6/24. Per letter of compliance, the plan of correction for items 1048 and 1049 were to be completed on 3/4/24. As for item 1899, the completion was expected to be on or before 2/9/24. Bonnie Mathis, Licensing Supervisor approved an extension for the item 1899 to be completed by 2/9/24. However, I searched for available CPR and First Aid training in the surrounding area for the earlier dates than 3/4/24 and shared the information with Dr. Burnette on 2/6/24. On the same email, I requested additional statement or the proof of completion of the Health and Safety training to be submitted no later than 2/9/24. Due to no responses, I sent a follow-up email on 2/12/24. In case the email is sent to a spam folder, I sent the same follow-up email in an encrypted format. Additionally, I have called Dr. Burnette and left a message on 2/14/24. No response via email or phone was received. Upon arrival, I announced my presence and the purpose of the visit. Staff file was monitored in space #305 for completion of Health and Safety training. The Health and Training was completed on 2/7/24. This item is marked corrected by the consultant visit. Dr. Burnette was interviewed for his plan for the CPR/First Aid training. Per interview, Dr. Burnette is leaving his position as principal of Clyde Elementary School at the end of today. The new principal has not been named yet, and the contact person will be Brandi Stephenson, Director of Special Education for Haywood County Schools. It has been challenging to schedule First Aid and CPR training for the eight (8) staff members. Due to the number of staff needing the training, arranging substitute staff members to cover the teaching staff during the day has not been possible. Due to insufficient timeline established for an extension request, repeat violation of items 1048 First Aid and 1049 CPR training were cited during the visit. Additional resources for potential CPR/FA classes were shared with Dr. Burnette during the visit. Gail Mattingly, CCR&R Program Director at Southwestern Child Development Commission was contacted during the visit. Per conversation, Ms. Mattingly may be able to arrange on-site training with Mandy Mills, Child Care Health Consultant, for this program. The contact information was shared with both parties. A blended CPR/Frist Aid training provided by Buncombe Partnership for Children is also available on 3/9/24 10:00 am – 11:30 am. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their first aid certificate before the previous certificate expired. The violation was originally cited on 1/23/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their CPR certificate before the previous certificate expired. The violation was originally cited on 1/23/24. .1102(d) Technical assistance was provided as follows: 1048: First Aid training All staff shall successfully complete a certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization shall be in the staff file. 1049: CPR training All staff shall successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization shall be in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/1/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Letter of compliance: When a violation is cited, you have up to two (2) weeks to correct your violation if needed. Letter of compliance must state the completion of correction of violations. Future action is not considered a statement of completion. You may ask for an extension for items that require more than two (2) weeks. However, you do not have a guarantee for an extension. When a request is not granted for submitted after the due date, a follow-up visit may be conducted. Legal Designee Form: A legal Designee form was signed by Dr. Burnette pointing Ms. Stephenson as a designee during the visit. The form is attached to today's visit summary. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556-9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0304 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 51 Completed Date: 1/23/2024 Age: From 4 To 11 Total Minutes: 320 Time In: 09:10 AM Time Out: 02:30 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 monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Principal/Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and emailed to you. Today, Byron Burnett, Principal/Administrator was available to answer questions. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percent as of 1/19/24. Permit type – Five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets, enhanced space, certified developmental day, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 12/22/23. The last lockdown drill was practiced on 10/24/23. The last playground inspection for preschool was documented on 12/15/23. The last fire inspection for the elementary school was conducted on 5/26/23. The most recent inspection was conducted in a recent month, but it was not filed. Per report created on 5/26/23, there were several violations cited. It is recommended to correct those violations. The last sanitation inspection was conducted on 12/13/23 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum along with Heggerty Pre-K and Fundation. Upon arrival, I announced my presence and the purpose of the visit. In space #301, three (3), school-age children engaged in various activities. One (1) child worked on literacy work with a teacher, one (1) child worked on a tablet, and one (1) child rode on an indoor swing. one (1) emergency medication was maintained in a backpack out of reach of children, and seven (7) medications were stored in a locked storage. Valid permission forms and action plans were in place. In space #302, a group of six (6) children engaged in a small group activity and free play. The children played with Legos, toy animals, and games. No medications were maintained in the classroom. In space #303, a group of eight (8) children engaged in various activities. Three (3) children sat with a teacher to complete a small group activity. One (1) child sat with a teacher to work on an activity, and two (2) children played with train tracks and accessories. Two (2) emergency action plans and permission forms were in place, but no medications were maintained. Per the interview, the parents have not brought the medications to school. The children used the bathroom, put their jackets on, and went outside to play. In space #304, a group of eight (8) children had snacks. Some children had cheese crackers and apple juice, and the other children ate what they brought from home. Two (2) emergency medications and one (1) prescription were maintained in the classroom. Storage, permission forms, and action plans were adequate. After snack time, the children gathered on the carpet and had group time. One (1) child arrived during the visit. In space #305, a group of eight (8) children engaged in free play. The school nurse visited the classroom and had a group activity. The children then played with housekeeping materials, such as kitchen toys, dolls, and blocks. One (1) medication was maintained in the backpack. Two (2) of the same medication with two permission forms were filed. One (1) of the medication expired in September 2023. In #301, a group of four-to-five-year-old children engaged in free play on the playground. The children played with swings, slide structures, and spinning structures. After the playground time, the children came inside, washed their hands, and had lunch. Today's menu was Taco beef with chips, shredded cheese, fiesta beans, corn, pineapples, and milk. The items were listed on the posted menu. No medications in this classroom. One(1) new staff file, two (2) existing staff files, and six (6) children's files were monitored. Public School Off-Site verification forms for teachers and students were in the file. Eight (8) staff members need to renew their CPR/First Aid certification. ABCMS system was monitored prior to the visit and all criminal background letters were current. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport three (3) children in pre-K classroom. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all licensed classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool that was completed on 9/26/23 was reviewed today. Two (2) children’s files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. The following violations were documented during today’s visit. Violation Number Comment Rule 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. In space 305, A pack of Valtoco 5mg expired in September 2023 was maintained in the backpack by the entrance door. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their First Aid certificate before the previous certification expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their CPR certificate before the previous certification expired. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On pre-K playground, the gravel around swings were measured for two (2) inches, less than an inch under the monkey bars and three (3) inches around slide structures. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member did not complete 5th-year cycle of Health and Safety training. The last Health and Safety training was completed on 6/30/18. .1103(b) Technical assistance was provided as follows: 849: Medication Expired medications shall be returned to the parent/guardian or disposed of within seventy-two (72) hours. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1048: First Aid training All staff shall successfully complete a certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization shall be in the staff file. 1049: CPR training All staff shall successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization shall be in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Depth of loose surfacing The depth of loose surfacing, such as gravel, shall be based on the critical height of the equipment and must extend minimum of six (6) feet around it. For equipment, such as monkey bars with critical height of less than seven (7) feet, minimum of six (6) inches of gravel is required. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1899: Health and Safety Training: Health and safety training topics shall be included as part of on- going training within five years of completing the previous health and safety training topics. .1103(b). Those staff members who completed in 2019 or before shall complete Health and Safety training immediately. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will be covered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Clyde Elementary School Intensive Intervention classroom is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss details. Reminder: Please complete shelter-in-place or a lockdown drill this month. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556-9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0605 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 51 Completed Date: 1/23/2024 Age: From 4 To 11 Total Minutes: 320 Time In: 09:10 AM Time Out: 02:30 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 monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Principal/Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and emailed to you. Today, Byron Burnett, Principal/Administrator was available to answer questions. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percent as of 1/19/24. Permit type – Five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets, enhanced space, certified developmental day, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 12/22/23. The last lockdown drill was practiced on 10/24/23. The last playground inspection for preschool was documented on 12/15/23. The last fire inspection for the elementary school was conducted on 5/26/23. The most recent inspection was conducted in a recent month, but it was not filed. Per report created on 5/26/23, there were several violations cited. It is recommended to correct those violations. The last sanitation inspection was conducted on 12/13/23 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum along with Heggerty Pre-K and Fundation. Upon arrival, I announced my presence and the purpose of the visit. In space #301, three (3), school-age children engaged in various activities. One (1) child worked on literacy work with a teacher, one (1) child worked on a tablet, and one (1) child rode on an indoor swing. one (1) emergency medication was maintained in a backpack out of reach of children, and seven (7) medications were stored in a locked storage. Valid permission forms and action plans were in place. In space #302, a group of six (6) children engaged in a small group activity and free play. The children played with Legos, toy animals, and games. No medications were maintained in the classroom. In space #303, a group of eight (8) children engaged in various activities. Three (3) children sat with a teacher to complete a small group activity. One (1) child sat with a teacher to work on an activity, and two (2) children played with train tracks and accessories. Two (2) emergency action plans and permission forms were in place, but no medications were maintained. Per the interview, the parents have not brought the medications to school. The children used the bathroom, put their jackets on, and went outside to play. In space #304, a group of eight (8) children had snacks. Some children had cheese crackers and apple juice, and the other children ate what they brought from home. Two (2) emergency medications and one (1) prescription were maintained in the classroom. Storage, permission forms, and action plans were adequate. After snack time, the children gathered on the carpet and had group time. One (1) child arrived during the visit. In space #305, a group of eight (8) children engaged in free play. The school nurse visited the classroom and had a group activity. The children then played with housekeeping materials, such as kitchen toys, dolls, and blocks. One (1) medication was maintained in the backpack. Two (2) of the same medication with two permission forms were filed. One (1) of the medication expired in September 2023. In #301, a group of four-to-five-year-old children engaged in free play on the playground. The children played with swings, slide structures, and spinning structures. After the playground time, the children came inside, washed their hands, and had lunch. Today's menu was Taco beef with chips, shredded cheese, fiesta beans, corn, pineapples, and milk. The items were listed on the posted menu. No medications in this classroom. One(1) new staff file, two (2) existing staff files, and six (6) children's files were monitored. Public School Off-Site verification forms for teachers and students were in the file. Eight (8) staff members need to renew their CPR/First Aid certification. ABCMS system was monitored prior to the visit and all criminal background letters were current. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport three (3) children in pre-K classroom. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all licensed classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool that was completed on 9/26/23 was reviewed today. Two (2) children’s files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. The following violations were documented during today’s visit. Violation Number Comment Rule 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. In space 305, A pack of Valtoco 5mg expired in September 2023 was maintained in the backpack by the entrance door. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their First Aid certificate before the previous certification expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their CPR certificate before the previous certification expired. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On pre-K playground, the gravel around swings were measured for two (2) inches, less than an inch under the monkey bars and three (3) inches around slide structures. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member did not complete 5th-year cycle of Health and Safety training. The last Health and Safety training was completed on 6/30/18. .1103(b) Technical assistance was provided as follows: 849: Medication Expired medications shall be returned to the parent/guardian or disposed of within seventy-two (72) hours. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1048: First Aid training All staff shall successfully complete a certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization shall be in the staff file. 1049: CPR training All staff shall successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization shall be in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Depth of loose surfacing The depth of loose surfacing, such as gravel, shall be based on the critical height of the equipment and must extend minimum of six (6) feet around it. For equipment, such as monkey bars with critical height of less than seven (7) feet, minimum of six (6) inches of gravel is required. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1899: Health and Safety Training: Health and safety training topics shall be included as part of on- going training within five years of completing the previous health and safety training topics. .1103(b). Those staff members who completed in 2019 or before shall complete Health and Safety training immediately. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will be covered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Clyde Elementary School Intensive Intervention classroom is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss details. Reminder: Please complete shelter-in-place or a lockdown drill this month. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556-9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0803 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 51 Completed Date: 1/23/2024 Age: From 4 To 11 Total Minutes: 320 Time In: 09:10 AM Time Out: 02:30 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 monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Principal/Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and emailed to you. Today, Byron Burnett, Principal/Administrator was available to answer questions. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percent as of 1/19/24. Permit type – Five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets, enhanced space, certified developmental day, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 12/22/23. The last lockdown drill was practiced on 10/24/23. The last playground inspection for preschool was documented on 12/15/23. The last fire inspection for the elementary school was conducted on 5/26/23. The most recent inspection was conducted in a recent month, but it was not filed. Per report created on 5/26/23, there were several violations cited. It is recommended to correct those violations. The last sanitation inspection was conducted on 12/13/23 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum along with Heggerty Pre-K and Fundation. Upon arrival, I announced my presence and the purpose of the visit. In space #301, three (3), school-age children engaged in various activities. One (1) child worked on literacy work with a teacher, one (1) child worked on a tablet, and one (1) child rode on an indoor swing. one (1) emergency medication was maintained in a backpack out of reach of children, and seven (7) medications were stored in a locked storage. Valid permission forms and action plans were in place. In space #302, a group of six (6) children engaged in a small group activity and free play. The children played with Legos, toy animals, and games. No medications were maintained in the classroom. In space #303, a group of eight (8) children engaged in various activities. Three (3) children sat with a teacher to complete a small group activity. One (1) child sat with a teacher to work on an activity, and two (2) children played with train tracks and accessories. Two (2) emergency action plans and permission forms were in place, but no medications were maintained. Per the interview, the parents have not brought the medications to school. The children used the bathroom, put their jackets on, and went outside to play. In space #304, a group of eight (8) children had snacks. Some children had cheese crackers and apple juice, and the other children ate what they brought from home. Two (2) emergency medications and one (1) prescription were maintained in the classroom. Storage, permission forms, and action plans were adequate. After snack time, the children gathered on the carpet and had group time. One (1) child arrived during the visit. In space #305, a group of eight (8) children engaged in free play. The school nurse visited the classroom and had a group activity. The children then played with housekeeping materials, such as kitchen toys, dolls, and blocks. One (1) medication was maintained in the backpack. Two (2) of the same medication with two permission forms were filed. One (1) of the medication expired in September 2023. In #301, a group of four-to-five-year-old children engaged in free play on the playground. The children played with swings, slide structures, and spinning structures. After the playground time, the children came inside, washed their hands, and had lunch. Today's menu was Taco beef with chips, shredded cheese, fiesta beans, corn, pineapples, and milk. The items were listed on the posted menu. No medications in this classroom. One(1) new staff file, two (2) existing staff files, and six (6) children's files were monitored. Public School Off-Site verification forms for teachers and students were in the file. Eight (8) staff members need to renew their CPR/First Aid certification. ABCMS system was monitored prior to the visit and all criminal background letters were current. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport three (3) children in pre-K classroom. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all licensed classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool that was completed on 9/26/23 was reviewed today. Two (2) children’s files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. The following violations were documented during today’s visit. Violation Number Comment Rule 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. In space 305, A pack of Valtoco 5mg expired in September 2023 was maintained in the backpack by the entrance door. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their First Aid certificate before the previous certification expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their CPR certificate before the previous certification expired. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On pre-K playground, the gravel around swings were measured for two (2) inches, less than an inch under the monkey bars and three (3) inches around slide structures. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member did not complete 5th-year cycle of Health and Safety training. The last Health and Safety training was completed on 6/30/18. .1103(b) Technical assistance was provided as follows: 849: Medication Expired medications shall be returned to the parent/guardian or disposed of within seventy-two (72) hours. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1048: First Aid training All staff shall successfully complete a certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization shall be in the staff file. 1049: CPR training All staff shall successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization shall be in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Depth of loose surfacing The depth of loose surfacing, such as gravel, shall be based on the critical height of the equipment and must extend minimum of six (6) feet around it. For equipment, such as monkey bars with critical height of less than seven (7) feet, minimum of six (6) inches of gravel is required. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1899: Health and Safety Training: Health and safety training topics shall be included as part of on- going training within five years of completing the previous health and safety training topics. .1103(b). Those staff members who completed in 2019 or before shall complete Health and Safety training immediately. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will be covered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Clyde Elementary School Intensive Intervention classroom is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss details. Reminder: Please complete shelter-in-place or a lockdown drill this month. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556-9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1102 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 51 Completed Date: 1/23/2024 Age: From 4 To 11 Total Minutes: 320 Time In: 09:10 AM Time Out: 02:30 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 monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Principal/Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and emailed to you. Today, Byron Burnett, Principal/Administrator was available to answer questions. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percent as of 1/19/24. Permit type – Five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets, enhanced space, certified developmental day, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 12/22/23. The last lockdown drill was practiced on 10/24/23. The last playground inspection for preschool was documented on 12/15/23. The last fire inspection for the elementary school was conducted on 5/26/23. The most recent inspection was conducted in a recent month, but it was not filed. Per report created on 5/26/23, there were several violations cited. It is recommended to correct those violations. The last sanitation inspection was conducted on 12/13/23 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum along with Heggerty Pre-K and Fundation. Upon arrival, I announced my presence and the purpose of the visit. In space #301, three (3), school-age children engaged in various activities. One (1) child worked on literacy work with a teacher, one (1) child worked on a tablet, and one (1) child rode on an indoor swing. one (1) emergency medication was maintained in a backpack out of reach of children, and seven (7) medications were stored in a locked storage. Valid permission forms and action plans were in place. In space #302, a group of six (6) children engaged in a small group activity and free play. The children played with Legos, toy animals, and games. No medications were maintained in the classroom. In space #303, a group of eight (8) children engaged in various activities. Three (3) children sat with a teacher to complete a small group activity. One (1) child sat with a teacher to work on an activity, and two (2) children played with train tracks and accessories. Two (2) emergency action plans and permission forms were in place, but no medications were maintained. Per the interview, the parents have not brought the medications to school. The children used the bathroom, put their jackets on, and went outside to play. In space #304, a group of eight (8) children had snacks. Some children had cheese crackers and apple juice, and the other children ate what they brought from home. Two (2) emergency medications and one (1) prescription were maintained in the classroom. Storage, permission forms, and action plans were adequate. After snack time, the children gathered on the carpet and had group time. One (1) child arrived during the visit. In space #305, a group of eight (8) children engaged in free play. The school nurse visited the classroom and had a group activity. The children then played with housekeeping materials, such as kitchen toys, dolls, and blocks. One (1) medication was maintained in the backpack. Two (2) of the same medication with two permission forms were filed. One (1) of the medication expired in September 2023. In #301, a group of four-to-five-year-old children engaged in free play on the playground. The children played with swings, slide structures, and spinning structures. After the playground time, the children came inside, washed their hands, and had lunch. Today's menu was Taco beef with chips, shredded cheese, fiesta beans, corn, pineapples, and milk. The items were listed on the posted menu. No medications in this classroom. One(1) new staff file, two (2) existing staff files, and six (6) children's files were monitored. Public School Off-Site verification forms for teachers and students were in the file. Eight (8) staff members need to renew their CPR/First Aid certification. ABCMS system was monitored prior to the visit and all criminal background letters were current. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport three (3) children in pre-K classroom. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all licensed classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool that was completed on 9/26/23 was reviewed today. Two (2) children’s files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. The following violations were documented during today’s visit. Violation Number Comment Rule 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. In space 305, A pack of Valtoco 5mg expired in September 2023 was maintained in the backpack by the entrance door. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their First Aid certificate before the previous certification expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their CPR certificate before the previous certification expired. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On pre-K playground, the gravel around swings were measured for two (2) inches, less than an inch under the monkey bars and three (3) inches around slide structures. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member did not complete 5th-year cycle of Health and Safety training. The last Health and Safety training was completed on 6/30/18. .1103(b) Technical assistance was provided as follows: 849: Medication Expired medications shall be returned to the parent/guardian or disposed of within seventy-two (72) hours. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1048: First Aid training All staff shall successfully complete a certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization shall be in the staff file. 1049: CPR training All staff shall successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization shall be in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Depth of loose surfacing The depth of loose surfacing, such as gravel, shall be based on the critical height of the equipment and must extend minimum of six (6) feet around it. For equipment, such as monkey bars with critical height of less than seven (7) feet, minimum of six (6) inches of gravel is required. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1899: Health and Safety Training: Health and safety training topics shall be included as part of on- going training within five years of completing the previous health and safety training topics. .1103(b). Those staff members who completed in 2019 or before shall complete Health and Safety training immediately. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will be covered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Clyde Elementary School Intensive Intervention classroom is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss details. Reminder: Please complete shelter-in-place or a lockdown drill this month. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556-9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1103 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 51 Completed Date: 1/23/2024 Age: From 4 To 11 Total Minutes: 320 Time In: 09:10 AM Time Out: 02:30 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 monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Principal/Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and emailed to you. Today, Byron Burnett, Principal/Administrator was available to answer questions. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percent as of 1/19/24. Permit type – Five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets, enhanced space, certified developmental day, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 12/22/23. The last lockdown drill was practiced on 10/24/23. The last playground inspection for preschool was documented on 12/15/23. The last fire inspection for the elementary school was conducted on 5/26/23. The most recent inspection was conducted in a recent month, but it was not filed. Per report created on 5/26/23, there were several violations cited. It is recommended to correct those violations. The last sanitation inspection was conducted on 12/13/23 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum along with Heggerty Pre-K and Fundation. Upon arrival, I announced my presence and the purpose of the visit. In space #301, three (3), school-age children engaged in various activities. One (1) child worked on literacy work with a teacher, one (1) child worked on a tablet, and one (1) child rode on an indoor swing. one (1) emergency medication was maintained in a backpack out of reach of children, and seven (7) medications were stored in a locked storage. Valid permission forms and action plans were in place. In space #302, a group of six (6) children engaged in a small group activity and free play. The children played with Legos, toy animals, and games. No medications were maintained in the classroom. In space #303, a group of eight (8) children engaged in various activities. Three (3) children sat with a teacher to complete a small group activity. One (1) child sat with a teacher to work on an activity, and two (2) children played with train tracks and accessories. Two (2) emergency action plans and permission forms were in place, but no medications were maintained. Per the interview, the parents have not brought the medications to school. The children used the bathroom, put their jackets on, and went outside to play. In space #304, a group of eight (8) children had snacks. Some children had cheese crackers and apple juice, and the other children ate what they brought from home. Two (2) emergency medications and one (1) prescription were maintained in the classroom. Storage, permission forms, and action plans were adequate. After snack time, the children gathered on the carpet and had group time. One (1) child arrived during the visit. In space #305, a group of eight (8) children engaged in free play. The school nurse visited the classroom and had a group activity. The children then played with housekeeping materials, such as kitchen toys, dolls, and blocks. One (1) medication was maintained in the backpack. Two (2) of the same medication with two permission forms were filed. One (1) of the medication expired in September 2023. In #301, a group of four-to-five-year-old children engaged in free play on the playground. The children played with swings, slide structures, and spinning structures. After the playground time, the children came inside, washed their hands, and had lunch. Today's menu was Taco beef with chips, shredded cheese, fiesta beans, corn, pineapples, and milk. The items were listed on the posted menu. No medications in this classroom. One(1) new staff file, two (2) existing staff files, and six (6) children's files were monitored. Public School Off-Site verification forms for teachers and students were in the file. Eight (8) staff members need to renew their CPR/First Aid certification. ABCMS system was monitored prior to the visit and all criminal background letters were current. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport three (3) children in pre-K classroom. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all licensed classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool that was completed on 9/26/23 was reviewed today. Two (2) children’s files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. The following violations were documented during today’s visit. Violation Number Comment Rule 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. In space 305, A pack of Valtoco 5mg expired in September 2023 was maintained in the backpack by the entrance door. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their First Aid certificate before the previous certification expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their CPR certificate before the previous certification expired. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On pre-K playground, the gravel around swings were measured for two (2) inches, less than an inch under the monkey bars and three (3) inches around slide structures. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member did not complete 5th-year cycle of Health and Safety training. The last Health and Safety training was completed on 6/30/18. .1103(b) Technical assistance was provided as follows: 849: Medication Expired medications shall be returned to the parent/guardian or disposed of within seventy-two (72) hours. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1048: First Aid training All staff shall successfully complete a certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization shall be in the staff file. 1049: CPR training All staff shall successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization shall be in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Depth of loose surfacing The depth of loose surfacing, such as gravel, shall be based on the critical height of the equipment and must extend minimum of six (6) feet around it. For equipment, such as monkey bars with critical height of less than seven (7) feet, minimum of six (6) inches of gravel is required. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1899: Health and Safety Training: Health and safety training topics shall be included as part of on- going training within five years of completing the previous health and safety training topics. .1103(b). Those staff members who completed in 2019 or before shall complete Health and Safety training immediately. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will be covered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Clyde Elementary School Intensive Intervention classroom is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss details. Reminder: Please complete shelter-in-place or a lockdown drill this month. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556-9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1703 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 51 Completed Date: 1/23/2024 Age: From 4 To 11 Total Minutes: 320 Time In: 09:10 AM Time Out: 02:30 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 monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Principal/Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and emailed to you. Today, Byron Burnett, Principal/Administrator was available to answer questions. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percent as of 1/19/24. Permit type – Five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets, enhanced space, certified developmental day, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 12/22/23. The last lockdown drill was practiced on 10/24/23. The last playground inspection for preschool was documented on 12/15/23. The last fire inspection for the elementary school was conducted on 5/26/23. The most recent inspection was conducted in a recent month, but it was not filed. Per report created on 5/26/23, there were several violations cited. It is recommended to correct those violations. The last sanitation inspection was conducted on 12/13/23 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum along with Heggerty Pre-K and Fundation. Upon arrival, I announced my presence and the purpose of the visit. In space #301, three (3), school-age children engaged in various activities. One (1) child worked on literacy work with a teacher, one (1) child worked on a tablet, and one (1) child rode on an indoor swing. one (1) emergency medication was maintained in a backpack out of reach of children, and seven (7) medications were stored in a locked storage. Valid permission forms and action plans were in place. In space #302, a group of six (6) children engaged in a small group activity and free play. The children played with Legos, toy animals, and games. No medications were maintained in the classroom. In space #303, a group of eight (8) children engaged in various activities. Three (3) children sat with a teacher to complete a small group activity. One (1) child sat with a teacher to work on an activity, and two (2) children played with train tracks and accessories. Two (2) emergency action plans and permission forms were in place, but no medications were maintained. Per the interview, the parents have not brought the medications to school. The children used the bathroom, put their jackets on, and went outside to play. In space #304, a group of eight (8) children had snacks. Some children had cheese crackers and apple juice, and the other children ate what they brought from home. Two (2) emergency medications and one (1) prescription were maintained in the classroom. Storage, permission forms, and action plans were adequate. After snack time, the children gathered on the carpet and had group time. One (1) child arrived during the visit. In space #305, a group of eight (8) children engaged in free play. The school nurse visited the classroom and had a group activity. The children then played with housekeeping materials, such as kitchen toys, dolls, and blocks. One (1) medication was maintained in the backpack. Two (2) of the same medication with two permission forms were filed. One (1) of the medication expired in September 2023. In #301, a group of four-to-five-year-old children engaged in free play on the playground. The children played with swings, slide structures, and spinning structures. After the playground time, the children came inside, washed their hands, and had lunch. Today's menu was Taco beef with chips, shredded cheese, fiesta beans, corn, pineapples, and milk. The items were listed on the posted menu. No medications in this classroom. One(1) new staff file, two (2) existing staff files, and six (6) children's files were monitored. Public School Off-Site verification forms for teachers and students were in the file. Eight (8) staff members need to renew their CPR/First Aid certification. ABCMS system was monitored prior to the visit and all criminal background letters were current. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport three (3) children in pre-K classroom. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all licensed classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool that was completed on 9/26/23 was reviewed today. Two (2) children’s files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. The following violations were documented during today’s visit. Violation Number Comment Rule 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. In space 305, A pack of Valtoco 5mg expired in September 2023 was maintained in the backpack by the entrance door. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their First Aid certificate before the previous certification expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their CPR certificate before the previous certification expired. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On pre-K playground, the gravel around swings were measured for two (2) inches, less than an inch under the monkey bars and three (3) inches around slide structures. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member did not complete 5th-year cycle of Health and Safety training. The last Health and Safety training was completed on 6/30/18. .1103(b) Technical assistance was provided as follows: 849: Medication Expired medications shall be returned to the parent/guardian or disposed of within seventy-two (72) hours. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1048: First Aid training All staff shall successfully complete a certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization shall be in the staff file. 1049: CPR training All staff shall successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization shall be in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Depth of loose surfacing The depth of loose surfacing, such as gravel, shall be based on the critical height of the equipment and must extend minimum of six (6) feet around it. For equipment, such as monkey bars with critical height of less than seven (7) feet, minimum of six (6) inches of gravel is required. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1899: Health and Safety Training: Health and safety training topics shall be included as part of on- going training within five years of completing the previous health and safety training topics. .1103(b). Those staff members who completed in 2019 or before shall complete Health and Safety training immediately. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will be covered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Clyde Elementary School Intensive Intervention classroom is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss details. Reminder: Please complete shelter-in-place or a lockdown drill this month. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556-9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2830 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 51 Completed Date: 1/23/2024 Age: From 4 To 11 Total Minutes: 320 Time In: 09:10 AM Time Out: 02:30 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 monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Principal/Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and emailed to you. Today, Byron Burnett, Principal/Administrator was available to answer questions. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percent as of 1/19/24. Permit type – Five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets, enhanced space, certified developmental day, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 12/22/23. The last lockdown drill was practiced on 10/24/23. The last playground inspection for preschool was documented on 12/15/23. The last fire inspection for the elementary school was conducted on 5/26/23. The most recent inspection was conducted in a recent month, but it was not filed. Per report created on 5/26/23, there were several violations cited. It is recommended to correct those violations. The last sanitation inspection was conducted on 12/13/23 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum along with Heggerty Pre-K and Fundation. Upon arrival, I announced my presence and the purpose of the visit. In space #301, three (3), school-age children engaged in various activities. One (1) child worked on literacy work with a teacher, one (1) child worked on a tablet, and one (1) child rode on an indoor swing. one (1) emergency medication was maintained in a backpack out of reach of children, and seven (7) medications were stored in a locked storage. Valid permission forms and action plans were in place. In space #302, a group of six (6) children engaged in a small group activity and free play. The children played with Legos, toy animals, and games. No medications were maintained in the classroom. In space #303, a group of eight (8) children engaged in various activities. Three (3) children sat with a teacher to complete a small group activity. One (1) child sat with a teacher to work on an activity, and two (2) children played with train tracks and accessories. Two (2) emergency action plans and permission forms were in place, but no medications were maintained. Per the interview, the parents have not brought the medications to school. The children used the bathroom, put their jackets on, and went outside to play. In space #304, a group of eight (8) children had snacks. Some children had cheese crackers and apple juice, and the other children ate what they brought from home. Two (2) emergency medications and one (1) prescription were maintained in the classroom. Storage, permission forms, and action plans were adequate. After snack time, the children gathered on the carpet and had group time. One (1) child arrived during the visit. In space #305, a group of eight (8) children engaged in free play. The school nurse visited the classroom and had a group activity. The children then played with housekeeping materials, such as kitchen toys, dolls, and blocks. One (1) medication was maintained in the backpack. Two (2) of the same medication with two permission forms were filed. One (1) of the medication expired in September 2023. In #301, a group of four-to-five-year-old children engaged in free play on the playground. The children played with swings, slide structures, and spinning structures. After the playground time, the children came inside, washed their hands, and had lunch. Today's menu was Taco beef with chips, shredded cheese, fiesta beans, corn, pineapples, and milk. The items were listed on the posted menu. No medications in this classroom. One(1) new staff file, two (2) existing staff files, and six (6) children's files were monitored. Public School Off-Site verification forms for teachers and students were in the file. Eight (8) staff members need to renew their CPR/First Aid certification. ABCMS system was monitored prior to the visit and all criminal background letters were current. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport three (3) children in pre-K classroom. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all licensed classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool that was completed on 9/26/23 was reviewed today. Two (2) children’s files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. The following violations were documented during today’s visit. Violation Number Comment Rule 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. In space 305, A pack of Valtoco 5mg expired in September 2023 was maintained in the backpack by the entrance door. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their First Aid certificate before the previous certification expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their CPR certificate before the previous certification expired. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On pre-K playground, the gravel around swings were measured for two (2) inches, less than an inch under the monkey bars and three (3) inches around slide structures. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member did not complete 5th-year cycle of Health and Safety training. The last Health and Safety training was completed on 6/30/18. .1103(b) Technical assistance was provided as follows: 849: Medication Expired medications shall be returned to the parent/guardian or disposed of within seventy-two (72) hours. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1048: First Aid training All staff shall successfully complete a certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization shall be in the staff file. 1049: CPR training All staff shall successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization shall be in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Depth of loose surfacing The depth of loose surfacing, such as gravel, shall be based on the critical height of the equipment and must extend minimum of six (6) feet around it. For equipment, such as monkey bars with critical height of less than seven (7) feet, minimum of six (6) inches of gravel is required. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1899: Health and Safety Training: Health and safety training topics shall be included as part of on- going training within five years of completing the previous health and safety training topics. .1103(b). Those staff members who completed in 2019 or before shall complete Health and Safety training immediately. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will be covered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Clyde Elementary School Intensive Intervention classroom is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss details. Reminder: Please complete shelter-in-place or a lockdown drill this month. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556-9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
NC GS 110-90 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 51 Completed Date: 1/23/2024 Age: From 4 To 11 Total Minutes: 320 Time In: 09:10 AM Time Out: 02:30 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 monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Principal/Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and emailed to you. Today, Byron Burnett, Principal/Administrator was available to answer questions. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percent as of 1/19/24. Permit type – Five-star center license issued on 9/13/23. Special Services/Restrictions – daytime care, meets, enhanced space, certified developmental day, playground does not meet child care playground safety standards for school-age only. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 12/22/23. The last lockdown drill was practiced on 10/24/23. The last playground inspection for preschool was documented on 12/15/23. The last fire inspection for the elementary school was conducted on 5/26/23. The most recent inspection was conducted in a recent month, but it was not filed. Per report created on 5/26/23, there were several violations cited. It is recommended to correct those violations. The last sanitation inspection was conducted on 12/13/23 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum along with Heggerty Pre-K and Fundation. Upon arrival, I announced my presence and the purpose of the visit. In space #301, three (3), school-age children engaged in various activities. One (1) child worked on literacy work with a teacher, one (1) child worked on a tablet, and one (1) child rode on an indoor swing. one (1) emergency medication was maintained in a backpack out of reach of children, and seven (7) medications were stored in a locked storage. Valid permission forms and action plans were in place. In space #302, a group of six (6) children engaged in a small group activity and free play. The children played with Legos, toy animals, and games. No medications were maintained in the classroom. In space #303, a group of eight (8) children engaged in various activities. Three (3) children sat with a teacher to complete a small group activity. One (1) child sat with a teacher to work on an activity, and two (2) children played with train tracks and accessories. Two (2) emergency action plans and permission forms were in place, but no medications were maintained. Per the interview, the parents have not brought the medications to school. The children used the bathroom, put their jackets on, and went outside to play. In space #304, a group of eight (8) children had snacks. Some children had cheese crackers and apple juice, and the other children ate what they brought from home. Two (2) emergency medications and one (1) prescription were maintained in the classroom. Storage, permission forms, and action plans were adequate. After snack time, the children gathered on the carpet and had group time. One (1) child arrived during the visit. In space #305, a group of eight (8) children engaged in free play. The school nurse visited the classroom and had a group activity. The children then played with housekeeping materials, such as kitchen toys, dolls, and blocks. One (1) medication was maintained in the backpack. Two (2) of the same medication with two permission forms were filed. One (1) of the medication expired in September 2023. In #301, a group of four-to-five-year-old children engaged in free play on the playground. The children played with swings, slide structures, and spinning structures. After the playground time, the children came inside, washed their hands, and had lunch. Today's menu was Taco beef with chips, shredded cheese, fiesta beans, corn, pineapples, and milk. The items were listed on the posted menu. No medications in this classroom. One(1) new staff file, two (2) existing staff files, and six (6) children's files were monitored. Public School Off-Site verification forms for teachers and students were in the file. Eight (8) staff members need to renew their CPR/First Aid certification. ABCMS system was monitored prior to the visit and all criminal background letters were current. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport three (3) children in pre-K classroom. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all licensed classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool that was completed on 9/26/23 was reviewed today. Two (2) children’s files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. The following violations were documented during today’s visit. Violation Number Comment Rule 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. In space 305, A pack of Valtoco 5mg expired in September 2023 was maintained in the backpack by the entrance door. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their First Aid certificate before the previous certification expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Eight (8) staff members on the staff and training worksheet did not renew their CPR certificate before the previous certification expired. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On pre-K playground, the gravel around swings were measured for two (2) inches, less than an inch under the monkey bars and three (3) inches around slide structures. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member did not complete 5th-year cycle of Health and Safety training. The last Health and Safety training was completed on 6/30/18. .1103(b) Technical assistance was provided as follows: 849: Medication Expired medications shall be returned to the parent/guardian or disposed of within seventy-two (72) hours. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1048: First Aid training All staff shall successfully complete a certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization shall be in the staff file. 1049: CPR training All staff shall successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization shall be in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Depth of loose surfacing The depth of loose surfacing, such as gravel, shall be based on the critical height of the equipment and must extend minimum of six (6) feet around it. For equipment, such as monkey bars with critical height of less than seven (7) feet, minimum of six (6) inches of gravel is required. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1899: Health and Safety Training: Health and safety training topics shall be included as part of on- going training within five years of completing the previous health and safety training topics. .1103(b). Those staff members who completed in 2019 or before shall complete Health and Safety training immediately. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will be covered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Clyde Elementary School Intensive Intervention classroom is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss details. Reminder: Please complete shelter-in-place or a lockdown drill this month. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556-9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0304 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 52 Completed Date: 9/13/2023 Age: From 4 To 11 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the Byron Burnette, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percentage as of 9/8/23. Permit type – Five-star center license issued on 5/5/20. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental Day, playground does not meet Child Care Playground Safety Standards. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 8/29/23. A record of the last shelter-in-place/lockdown drill was not available. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 11/30/22. The last sanitation inspection was conducted on 5/22/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free-play on the playground. Children played with tricycles, swings, balance beam, slides, water table and other structures. The playground ground is graveled. After playground, the children ate lunch in the classroom. Today’s menu was chicken pot pie, biscuit, mash potato, green pea, peaches and milk. The items were listed on the menu. Some children brought lunch from home, but they were also served with school lunch. In space #2, school-age children engaged in various activities. Two (2) students used swings while supervised, and other children worked on small group activity using picture cards. In space #3, a group of school-age children worked in literacy/math activities. The lead teacher for space #3 was absent and a substitute teacher was present. In space #4, children worked on activities with teachers in the classroom. In space #5, children played with puppets and magnetic tiles. The group transitioned to lunch in cafeteria shortly after. In space #6, the lead teacher read Ten (10) Little Ducks to the group. The group transitioned to rest time after the group time. The school-age children in Developmental Day classes played with a new playground. The playground has four (4) swings, spinning structures, a music instrument on astroturf. This playground has not been measured or approved by the Division. Due to no fence around the new space, it is acceptable for school-age children to play on. Playground safety guide was requested but not reviewed during the visit due to time constraints. The safety manual shall be followed and make sure that the equipment is age-appropriate. No preschool children shall be allowed on the playground without further approval by the Division. There is no space calculation sheet and the diagram on the playground used by the preschool children. Per teachers, the playground has been the designated playground for pre-K children for the last several years. The playground was measured and approved for ninety (90) children for one hundred (100) square feet per child. There are three (3) slide structures and two swing structures with four (4) total swings. There are two (2) spinning structures and one (1) basketball basket structure. All of the permanent structures are on the gravel. Staff files were monitored for criminal Background letter and CPR/First Aid certificate. One teacher’s criminal background letter is maintained at off-site location, but off-site verification form was not presented. The updated CPR/FA certificate were not in file for one (1) staff member. Fourteen (14) staff files were monitored in total. Medications were monitored in each classroom. There are one (1) medication without a permission form or action plan. Per teacher, school nurse is responsible for the forms and the request has been made to the child’s parent, but no forms have been returned so far. This child has severe allergy, and the medication is at school. Other medications were scored correctly with valid permission forms and action plans. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A yellow slide on the preschool playground is cracked. G.S. 110-91(6); .0601(b) 847 Parent's medication authorization did not include required information. In space #5 (room 304),parent authorization form for an epi-pen for a child was not acquired and maintained with the medication. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground for preschool children, the depth of gravel were measured zero (0) to 1/2 of an inch under the monkey bar. Gravel has hardened on the bottom and it is measure about an inch to three (3) inches on the other sections of the playground. .0605(k)(1-4) Technical assistance was provided as follows: 721: Equipment in good repair All equipment shall be in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. 847: Medication Authorization form: All medication requires parental authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048: First Aid 1049: CPR All staff shall have valid CPR and First Aid training, and the certificate shall be maintained in each staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Loose surfacing Loose surfacing on fall zones shall be based on the critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/27/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication: A medication for CD in space #6 (room 305) expires today, 9/13/23. Please ask the parent to refill the medication. Shelter-in-place/lockdown drill: Shelter-in-place/lockdown drill at DPI program shall be conducted as soon as the school start in August/September due to the schools being out for summer in May/June. The first drill does not have to use alarm but explain children the importance and the procedure of the drill. File monitoring: Mr. Burnette and I discussed more efficient file monitoring system. It took me at least four (4) hours to locate all the staff files. Teachers communicate with each other using cell phones. There is no ways for me to locate teachers or the children, and many classrooms stay away from the classroom for hours due to specials, playground time and lunch. Licensed space: All space used by children enrolled in licensed child care programs, including developmental day and afterschool program shall be approved by the Division prior to first use. When you plan to add space, structure or modify space, please notify me at least thirty (30) days prior to the start of construction. Dr. Burnette is planning to fence preschool playground and the playground used by school-age children for Developmental day program and after school program. I will forward the information to Bonnie Mathis, Licensing Supervisor and discuss possible monitoring visit(s) necessary by the Division. I will notify you regarding this matter via email. Permit Restriction: The current permit restriction include playground does not meet Child Care Playground Safety Standards. However, this restriction is for school-age programs only and does not apply to preschool-age children. Therefore, this permit will be changed to playground does not meet Child Care Playground Safety Standards for school-age children only. You will receive a new permit within 4-6 weeks. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it y affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0601 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 52 Completed Date: 9/13/2023 Age: From 4 To 11 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the Byron Burnette, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percentage as of 9/8/23. Permit type – Five-star center license issued on 5/5/20. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental Day, playground does not meet Child Care Playground Safety Standards. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 8/29/23. A record of the last shelter-in-place/lockdown drill was not available. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 11/30/22. The last sanitation inspection was conducted on 5/22/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free-play on the playground. Children played with tricycles, swings, balance beam, slides, water table and other structures. The playground ground is graveled. After playground, the children ate lunch in the classroom. Today’s menu was chicken pot pie, biscuit, mash potato, green pea, peaches and milk. The items were listed on the menu. Some children brought lunch from home, but they were also served with school lunch. In space #2, school-age children engaged in various activities. Two (2) students used swings while supervised, and other children worked on small group activity using picture cards. In space #3, a group of school-age children worked in literacy/math activities. The lead teacher for space #3 was absent and a substitute teacher was present. In space #4, children worked on activities with teachers in the classroom. In space #5, children played with puppets and magnetic tiles. The group transitioned to lunch in cafeteria shortly after. In space #6, the lead teacher read Ten (10) Little Ducks to the group. The group transitioned to rest time after the group time. The school-age children in Developmental Day classes played with a new playground. The playground has four (4) swings, spinning structures, a music instrument on astroturf. This playground has not been measured or approved by the Division. Due to no fence around the new space, it is acceptable for school-age children to play on. Playground safety guide was requested but not reviewed during the visit due to time constraints. The safety manual shall be followed and make sure that the equipment is age-appropriate. No preschool children shall be allowed on the playground without further approval by the Division. There is no space calculation sheet and the diagram on the playground used by the preschool children. Per teachers, the playground has been the designated playground for pre-K children for the last several years. The playground was measured and approved for ninety (90) children for one hundred (100) square feet per child. There are three (3) slide structures and two swing structures with four (4) total swings. There are two (2) spinning structures and one (1) basketball basket structure. All of the permanent structures are on the gravel. Staff files were monitored for criminal Background letter and CPR/First Aid certificate. One teacher’s criminal background letter is maintained at off-site location, but off-site verification form was not presented. The updated CPR/FA certificate were not in file for one (1) staff member. Fourteen (14) staff files were monitored in total. Medications were monitored in each classroom. There are one (1) medication without a permission form or action plan. Per teacher, school nurse is responsible for the forms and the request has been made to the child’s parent, but no forms have been returned so far. This child has severe allergy, and the medication is at school. Other medications were scored correctly with valid permission forms and action plans. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A yellow slide on the preschool playground is cracked. G.S. 110-91(6); .0601(b) 847 Parent's medication authorization did not include required information. In space #5 (room 304),parent authorization form for an epi-pen for a child was not acquired and maintained with the medication. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground for preschool children, the depth of gravel were measured zero (0) to 1/2 of an inch under the monkey bar. Gravel has hardened on the bottom and it is measure about an inch to three (3) inches on the other sections of the playground. .0605(k)(1-4) Technical assistance was provided as follows: 721: Equipment in good repair All equipment shall be in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. 847: Medication Authorization form: All medication requires parental authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048: First Aid 1049: CPR All staff shall have valid CPR and First Aid training, and the certificate shall be maintained in each staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Loose surfacing Loose surfacing on fall zones shall be based on the critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/27/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication: A medication for CD in space #6 (room 305) expires today, 9/13/23. Please ask the parent to refill the medication. Shelter-in-place/lockdown drill: Shelter-in-place/lockdown drill at DPI program shall be conducted as soon as the school start in August/September due to the schools being out for summer in May/June. The first drill does not have to use alarm but explain children the importance and the procedure of the drill. File monitoring: Mr. Burnette and I discussed more efficient file monitoring system. It took me at least four (4) hours to locate all the staff files. Teachers communicate with each other using cell phones. There is no ways for me to locate teachers or the children, and many classrooms stay away from the classroom for hours due to specials, playground time and lunch. Licensed space: All space used by children enrolled in licensed child care programs, including developmental day and afterschool program shall be approved by the Division prior to first use. When you plan to add space, structure or modify space, please notify me at least thirty (30) days prior to the start of construction. Dr. Burnette is planning to fence preschool playground and the playground used by school-age children for Developmental day program and after school program. I will forward the information to Bonnie Mathis, Licensing Supervisor and discuss possible monitoring visit(s) necessary by the Division. I will notify you regarding this matter via email. Permit Restriction: The current permit restriction include playground does not meet Child Care Playground Safety Standards. However, this restriction is for school-age programs only and does not apply to preschool-age children. Therefore, this permit will be changed to playground does not meet Child Care Playground Safety Standards for school-age children only. You will receive a new permit within 4-6 weeks. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it y affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0605 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 52 Completed Date: 9/13/2023 Age: From 4 To 11 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the Byron Burnette, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percentage as of 9/8/23. Permit type – Five-star center license issued on 5/5/20. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental Day, playground does not meet Child Care Playground Safety Standards. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 8/29/23. A record of the last shelter-in-place/lockdown drill was not available. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 11/30/22. The last sanitation inspection was conducted on 5/22/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free-play on the playground. Children played with tricycles, swings, balance beam, slides, water table and other structures. The playground ground is graveled. After playground, the children ate lunch in the classroom. Today’s menu was chicken pot pie, biscuit, mash potato, green pea, peaches and milk. The items were listed on the menu. Some children brought lunch from home, but they were also served with school lunch. In space #2, school-age children engaged in various activities. Two (2) students used swings while supervised, and other children worked on small group activity using picture cards. In space #3, a group of school-age children worked in literacy/math activities. The lead teacher for space #3 was absent and a substitute teacher was present. In space #4, children worked on activities with teachers in the classroom. In space #5, children played with puppets and magnetic tiles. The group transitioned to lunch in cafeteria shortly after. In space #6, the lead teacher read Ten (10) Little Ducks to the group. The group transitioned to rest time after the group time. The school-age children in Developmental Day classes played with a new playground. The playground has four (4) swings, spinning structures, a music instrument on astroturf. This playground has not been measured or approved by the Division. Due to no fence around the new space, it is acceptable for school-age children to play on. Playground safety guide was requested but not reviewed during the visit due to time constraints. The safety manual shall be followed and make sure that the equipment is age-appropriate. No preschool children shall be allowed on the playground without further approval by the Division. There is no space calculation sheet and the diagram on the playground used by the preschool children. Per teachers, the playground has been the designated playground for pre-K children for the last several years. The playground was measured and approved for ninety (90) children for one hundred (100) square feet per child. There are three (3) slide structures and two swing structures with four (4) total swings. There are two (2) spinning structures and one (1) basketball basket structure. All of the permanent structures are on the gravel. Staff files were monitored for criminal Background letter and CPR/First Aid certificate. One teacher’s criminal background letter is maintained at off-site location, but off-site verification form was not presented. The updated CPR/FA certificate were not in file for one (1) staff member. Fourteen (14) staff files were monitored in total. Medications were monitored in each classroom. There are one (1) medication without a permission form or action plan. Per teacher, school nurse is responsible for the forms and the request has been made to the child’s parent, but no forms have been returned so far. This child has severe allergy, and the medication is at school. Other medications were scored correctly with valid permission forms and action plans. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A yellow slide on the preschool playground is cracked. G.S. 110-91(6); .0601(b) 847 Parent's medication authorization did not include required information. In space #5 (room 304),parent authorization form for an epi-pen for a child was not acquired and maintained with the medication. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground for preschool children, the depth of gravel were measured zero (0) to 1/2 of an inch under the monkey bar. Gravel has hardened on the bottom and it is measure about an inch to three (3) inches on the other sections of the playground. .0605(k)(1-4) Technical assistance was provided as follows: 721: Equipment in good repair All equipment shall be in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. 847: Medication Authorization form: All medication requires parental authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048: First Aid 1049: CPR All staff shall have valid CPR and First Aid training, and the certificate shall be maintained in each staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Loose surfacing Loose surfacing on fall zones shall be based on the critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/27/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication: A medication for CD in space #6 (room 305) expires today, 9/13/23. Please ask the parent to refill the medication. Shelter-in-place/lockdown drill: Shelter-in-place/lockdown drill at DPI program shall be conducted as soon as the school start in August/September due to the schools being out for summer in May/June. The first drill does not have to use alarm but explain children the importance and the procedure of the drill. File monitoring: Mr. Burnette and I discussed more efficient file monitoring system. It took me at least four (4) hours to locate all the staff files. Teachers communicate with each other using cell phones. There is no ways for me to locate teachers or the children, and many classrooms stay away from the classroom for hours due to specials, playground time and lunch. Licensed space: All space used by children enrolled in licensed child care programs, including developmental day and afterschool program shall be approved by the Division prior to first use. When you plan to add space, structure or modify space, please notify me at least thirty (30) days prior to the start of construction. Dr. Burnette is planning to fence preschool playground and the playground used by school-age children for Developmental day program and after school program. I will forward the information to Bonnie Mathis, Licensing Supervisor and discuss possible monitoring visit(s) necessary by the Division. I will notify you regarding this matter via email. Permit Restriction: The current permit restriction include playground does not meet Child Care Playground Safety Standards. However, this restriction is for school-age programs only and does not apply to preschool-age children. Therefore, this permit will be changed to playground does not meet Child Care Playground Safety Standards for school-age children only. You will receive a new permit within 4-6 weeks. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it y affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0803 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 52 Completed Date: 9/13/2023 Age: From 4 To 11 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the Byron Burnette, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percentage as of 9/8/23. Permit type – Five-star center license issued on 5/5/20. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental Day, playground does not meet Child Care Playground Safety Standards. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 8/29/23. A record of the last shelter-in-place/lockdown drill was not available. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 11/30/22. The last sanitation inspection was conducted on 5/22/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free-play on the playground. Children played with tricycles, swings, balance beam, slides, water table and other structures. The playground ground is graveled. After playground, the children ate lunch in the classroom. Today’s menu was chicken pot pie, biscuit, mash potato, green pea, peaches and milk. The items were listed on the menu. Some children brought lunch from home, but they were also served with school lunch. In space #2, school-age children engaged in various activities. Two (2) students used swings while supervised, and other children worked on small group activity using picture cards. In space #3, a group of school-age children worked in literacy/math activities. The lead teacher for space #3 was absent and a substitute teacher was present. In space #4, children worked on activities with teachers in the classroom. In space #5, children played with puppets and magnetic tiles. The group transitioned to lunch in cafeteria shortly after. In space #6, the lead teacher read Ten (10) Little Ducks to the group. The group transitioned to rest time after the group time. The school-age children in Developmental Day classes played with a new playground. The playground has four (4) swings, spinning structures, a music instrument on astroturf. This playground has not been measured or approved by the Division. Due to no fence around the new space, it is acceptable for school-age children to play on. Playground safety guide was requested but not reviewed during the visit due to time constraints. The safety manual shall be followed and make sure that the equipment is age-appropriate. No preschool children shall be allowed on the playground without further approval by the Division. There is no space calculation sheet and the diagram on the playground used by the preschool children. Per teachers, the playground has been the designated playground for pre-K children for the last several years. The playground was measured and approved for ninety (90) children for one hundred (100) square feet per child. There are three (3) slide structures and two swing structures with four (4) total swings. There are two (2) spinning structures and one (1) basketball basket structure. All of the permanent structures are on the gravel. Staff files were monitored for criminal Background letter and CPR/First Aid certificate. One teacher’s criminal background letter is maintained at off-site location, but off-site verification form was not presented. The updated CPR/FA certificate were not in file for one (1) staff member. Fourteen (14) staff files were monitored in total. Medications were monitored in each classroom. There are one (1) medication without a permission form or action plan. Per teacher, school nurse is responsible for the forms and the request has been made to the child’s parent, but no forms have been returned so far. This child has severe allergy, and the medication is at school. Other medications were scored correctly with valid permission forms and action plans. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A yellow slide on the preschool playground is cracked. G.S. 110-91(6); .0601(b) 847 Parent's medication authorization did not include required information. In space #5 (room 304),parent authorization form for an epi-pen for a child was not acquired and maintained with the medication. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground for preschool children, the depth of gravel were measured zero (0) to 1/2 of an inch under the monkey bar. Gravel has hardened on the bottom and it is measure about an inch to three (3) inches on the other sections of the playground. .0605(k)(1-4) Technical assistance was provided as follows: 721: Equipment in good repair All equipment shall be in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. 847: Medication Authorization form: All medication requires parental authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048: First Aid 1049: CPR All staff shall have valid CPR and First Aid training, and the certificate shall be maintained in each staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Loose surfacing Loose surfacing on fall zones shall be based on the critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/27/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication: A medication for CD in space #6 (room 305) expires today, 9/13/23. Please ask the parent to refill the medication. Shelter-in-place/lockdown drill: Shelter-in-place/lockdown drill at DPI program shall be conducted as soon as the school start in August/September due to the schools being out for summer in May/June. The first drill does not have to use alarm but explain children the importance and the procedure of the drill. File monitoring: Mr. Burnette and I discussed more efficient file monitoring system. It took me at least four (4) hours to locate all the staff files. Teachers communicate with each other using cell phones. There is no ways for me to locate teachers or the children, and many classrooms stay away from the classroom for hours due to specials, playground time and lunch. Licensed space: All space used by children enrolled in licensed child care programs, including developmental day and afterschool program shall be approved by the Division prior to first use. When you plan to add space, structure or modify space, please notify me at least thirty (30) days prior to the start of construction. Dr. Burnette is planning to fence preschool playground and the playground used by school-age children for Developmental day program and after school program. I will forward the information to Bonnie Mathis, Licensing Supervisor and discuss possible monitoring visit(s) necessary by the Division. I will notify you regarding this matter via email. Permit Restriction: The current permit restriction include playground does not meet Child Care Playground Safety Standards. However, this restriction is for school-age programs only and does not apply to preschool-age children. Therefore, this permit will be changed to playground does not meet Child Care Playground Safety Standards for school-age children only. You will receive a new permit within 4-6 weeks. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it y affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1102 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 52 Completed Date: 9/13/2023 Age: From 4 To 11 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the Byron Burnette, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percentage as of 9/8/23. Permit type – Five-star center license issued on 5/5/20. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental Day, playground does not meet Child Care Playground Safety Standards. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 8/29/23. A record of the last shelter-in-place/lockdown drill was not available. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 11/30/22. The last sanitation inspection was conducted on 5/22/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free-play on the playground. Children played with tricycles, swings, balance beam, slides, water table and other structures. The playground ground is graveled. After playground, the children ate lunch in the classroom. Today’s menu was chicken pot pie, biscuit, mash potato, green pea, peaches and milk. The items were listed on the menu. Some children brought lunch from home, but they were also served with school lunch. In space #2, school-age children engaged in various activities. Two (2) students used swings while supervised, and other children worked on small group activity using picture cards. In space #3, a group of school-age children worked in literacy/math activities. The lead teacher for space #3 was absent and a substitute teacher was present. In space #4, children worked on activities with teachers in the classroom. In space #5, children played with puppets and magnetic tiles. The group transitioned to lunch in cafeteria shortly after. In space #6, the lead teacher read Ten (10) Little Ducks to the group. The group transitioned to rest time after the group time. The school-age children in Developmental Day classes played with a new playground. The playground has four (4) swings, spinning structures, a music instrument on astroturf. This playground has not been measured or approved by the Division. Due to no fence around the new space, it is acceptable for school-age children to play on. Playground safety guide was requested but not reviewed during the visit due to time constraints. The safety manual shall be followed and make sure that the equipment is age-appropriate. No preschool children shall be allowed on the playground without further approval by the Division. There is no space calculation sheet and the diagram on the playground used by the preschool children. Per teachers, the playground has been the designated playground for pre-K children for the last several years. The playground was measured and approved for ninety (90) children for one hundred (100) square feet per child. There are three (3) slide structures and two swing structures with four (4) total swings. There are two (2) spinning structures and one (1) basketball basket structure. All of the permanent structures are on the gravel. Staff files were monitored for criminal Background letter and CPR/First Aid certificate. One teacher’s criminal background letter is maintained at off-site location, but off-site verification form was not presented. The updated CPR/FA certificate were not in file for one (1) staff member. Fourteen (14) staff files were monitored in total. Medications were monitored in each classroom. There are one (1) medication without a permission form or action plan. Per teacher, school nurse is responsible for the forms and the request has been made to the child’s parent, but no forms have been returned so far. This child has severe allergy, and the medication is at school. Other medications were scored correctly with valid permission forms and action plans. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A yellow slide on the preschool playground is cracked. G.S. 110-91(6); .0601(b) 847 Parent's medication authorization did not include required information. In space #5 (room 304),parent authorization form for an epi-pen for a child was not acquired and maintained with the medication. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground for preschool children, the depth of gravel were measured zero (0) to 1/2 of an inch under the monkey bar. Gravel has hardened on the bottom and it is measure about an inch to three (3) inches on the other sections of the playground. .0605(k)(1-4) Technical assistance was provided as follows: 721: Equipment in good repair All equipment shall be in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. 847: Medication Authorization form: All medication requires parental authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048: First Aid 1049: CPR All staff shall have valid CPR and First Aid training, and the certificate shall be maintained in each staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Loose surfacing Loose surfacing on fall zones shall be based on the critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/27/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication: A medication for CD in space #6 (room 305) expires today, 9/13/23. Please ask the parent to refill the medication. Shelter-in-place/lockdown drill: Shelter-in-place/lockdown drill at DPI program shall be conducted as soon as the school start in August/September due to the schools being out for summer in May/June. The first drill does not have to use alarm but explain children the importance and the procedure of the drill. File monitoring: Mr. Burnette and I discussed more efficient file monitoring system. It took me at least four (4) hours to locate all the staff files. Teachers communicate with each other using cell phones. There is no ways for me to locate teachers or the children, and many classrooms stay away from the classroom for hours due to specials, playground time and lunch. Licensed space: All space used by children enrolled in licensed child care programs, including developmental day and afterschool program shall be approved by the Division prior to first use. When you plan to add space, structure or modify space, please notify me at least thirty (30) days prior to the start of construction. Dr. Burnette is planning to fence preschool playground and the playground used by school-age children for Developmental day program and after school program. I will forward the information to Bonnie Mathis, Licensing Supervisor and discuss possible monitoring visit(s) necessary by the Division. I will notify you regarding this matter via email. Permit Restriction: The current permit restriction include playground does not meet Child Care Playground Safety Standards. However, this restriction is for school-age programs only and does not apply to preschool-age children. Therefore, this permit will be changed to playground does not meet Child Care Playground Safety Standards for school-age children only. You will receive a new permit within 4-6 weeks. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it y affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1703 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 52 Completed Date: 9/13/2023 Age: From 4 To 11 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the Byron Burnette, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percentage as of 9/8/23. Permit type – Five-star center license issued on 5/5/20. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental Day, playground does not meet Child Care Playground Safety Standards. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 8/29/23. A record of the last shelter-in-place/lockdown drill was not available. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 11/30/22. The last sanitation inspection was conducted on 5/22/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free-play on the playground. Children played with tricycles, swings, balance beam, slides, water table and other structures. The playground ground is graveled. After playground, the children ate lunch in the classroom. Today’s menu was chicken pot pie, biscuit, mash potato, green pea, peaches and milk. The items were listed on the menu. Some children brought lunch from home, but they were also served with school lunch. In space #2, school-age children engaged in various activities. Two (2) students used swings while supervised, and other children worked on small group activity using picture cards. In space #3, a group of school-age children worked in literacy/math activities. The lead teacher for space #3 was absent and a substitute teacher was present. In space #4, children worked on activities with teachers in the classroom. In space #5, children played with puppets and magnetic tiles. The group transitioned to lunch in cafeteria shortly after. In space #6, the lead teacher read Ten (10) Little Ducks to the group. The group transitioned to rest time after the group time. The school-age children in Developmental Day classes played with a new playground. The playground has four (4) swings, spinning structures, a music instrument on astroturf. This playground has not been measured or approved by the Division. Due to no fence around the new space, it is acceptable for school-age children to play on. Playground safety guide was requested but not reviewed during the visit due to time constraints. The safety manual shall be followed and make sure that the equipment is age-appropriate. No preschool children shall be allowed on the playground without further approval by the Division. There is no space calculation sheet and the diagram on the playground used by the preschool children. Per teachers, the playground has been the designated playground for pre-K children for the last several years. The playground was measured and approved for ninety (90) children for one hundred (100) square feet per child. There are three (3) slide structures and two swing structures with four (4) total swings. There are two (2) spinning structures and one (1) basketball basket structure. All of the permanent structures are on the gravel. Staff files were monitored for criminal Background letter and CPR/First Aid certificate. One teacher’s criminal background letter is maintained at off-site location, but off-site verification form was not presented. The updated CPR/FA certificate were not in file for one (1) staff member. Fourteen (14) staff files were monitored in total. Medications were monitored in each classroom. There are one (1) medication without a permission form or action plan. Per teacher, school nurse is responsible for the forms and the request has been made to the child’s parent, but no forms have been returned so far. This child has severe allergy, and the medication is at school. Other medications were scored correctly with valid permission forms and action plans. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A yellow slide on the preschool playground is cracked. G.S. 110-91(6); .0601(b) 847 Parent's medication authorization did not include required information. In space #5 (room 304),parent authorization form for an epi-pen for a child was not acquired and maintained with the medication. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground for preschool children, the depth of gravel were measured zero (0) to 1/2 of an inch under the monkey bar. Gravel has hardened on the bottom and it is measure about an inch to three (3) inches on the other sections of the playground. .0605(k)(1-4) Technical assistance was provided as follows: 721: Equipment in good repair All equipment shall be in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. 847: Medication Authorization form: All medication requires parental authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048: First Aid 1049: CPR All staff shall have valid CPR and First Aid training, and the certificate shall be maintained in each staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Loose surfacing Loose surfacing on fall zones shall be based on the critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/27/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication: A medication for CD in space #6 (room 305) expires today, 9/13/23. Please ask the parent to refill the medication. Shelter-in-place/lockdown drill: Shelter-in-place/lockdown drill at DPI program shall be conducted as soon as the school start in August/September due to the schools being out for summer in May/June. The first drill does not have to use alarm but explain children the importance and the procedure of the drill. File monitoring: Mr. Burnette and I discussed more efficient file monitoring system. It took me at least four (4) hours to locate all the staff files. Teachers communicate with each other using cell phones. There is no ways for me to locate teachers or the children, and many classrooms stay away from the classroom for hours due to specials, playground time and lunch. Licensed space: All space used by children enrolled in licensed child care programs, including developmental day and afterschool program shall be approved by the Division prior to first use. When you plan to add space, structure or modify space, please notify me at least thirty (30) days prior to the start of construction. Dr. Burnette is planning to fence preschool playground and the playground used by school-age children for Developmental day program and after school program. I will forward the information to Bonnie Mathis, Licensing Supervisor and discuss possible monitoring visit(s) necessary by the Division. I will notify you regarding this matter via email. Permit Restriction: The current permit restriction include playground does not meet Child Care Playground Safety Standards. However, this restriction is for school-age programs only and does not apply to preschool-age children. Therefore, this permit will be changed to playground does not meet Child Care Playground Safety Standards for school-age children only. You will receive a new permit within 4-6 weeks. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it y affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2830 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 52 Completed Date: 9/13/2023 Age: From 4 To 11 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the Byron Burnette, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percentage as of 9/8/23. Permit type – Five-star center license issued on 5/5/20. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental Day, playground does not meet Child Care Playground Safety Standards. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 8/29/23. A record of the last shelter-in-place/lockdown drill was not available. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 11/30/22. The last sanitation inspection was conducted on 5/22/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free-play on the playground. Children played with tricycles, swings, balance beam, slides, water table and other structures. The playground ground is graveled. After playground, the children ate lunch in the classroom. Today’s menu was chicken pot pie, biscuit, mash potato, green pea, peaches and milk. The items were listed on the menu. Some children brought lunch from home, but they were also served with school lunch. In space #2, school-age children engaged in various activities. Two (2) students used swings while supervised, and other children worked on small group activity using picture cards. In space #3, a group of school-age children worked in literacy/math activities. The lead teacher for space #3 was absent and a substitute teacher was present. In space #4, children worked on activities with teachers in the classroom. In space #5, children played with puppets and magnetic tiles. The group transitioned to lunch in cafeteria shortly after. In space #6, the lead teacher read Ten (10) Little Ducks to the group. The group transitioned to rest time after the group time. The school-age children in Developmental Day classes played with a new playground. The playground has four (4) swings, spinning structures, a music instrument on astroturf. This playground has not been measured or approved by the Division. Due to no fence around the new space, it is acceptable for school-age children to play on. Playground safety guide was requested but not reviewed during the visit due to time constraints. The safety manual shall be followed and make sure that the equipment is age-appropriate. No preschool children shall be allowed on the playground without further approval by the Division. There is no space calculation sheet and the diagram on the playground used by the preschool children. Per teachers, the playground has been the designated playground for pre-K children for the last several years. The playground was measured and approved for ninety (90) children for one hundred (100) square feet per child. There are three (3) slide structures and two swing structures with four (4) total swings. There are two (2) spinning structures and one (1) basketball basket structure. All of the permanent structures are on the gravel. Staff files were monitored for criminal Background letter and CPR/First Aid certificate. One teacher’s criminal background letter is maintained at off-site location, but off-site verification form was not presented. The updated CPR/FA certificate were not in file for one (1) staff member. Fourteen (14) staff files were monitored in total. Medications were monitored in each classroom. There are one (1) medication without a permission form or action plan. Per teacher, school nurse is responsible for the forms and the request has been made to the child’s parent, but no forms have been returned so far. This child has severe allergy, and the medication is at school. Other medications were scored correctly with valid permission forms and action plans. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A yellow slide on the preschool playground is cracked. G.S. 110-91(6); .0601(b) 847 Parent's medication authorization did not include required information. In space #5 (room 304),parent authorization form for an epi-pen for a child was not acquired and maintained with the medication. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground for preschool children, the depth of gravel were measured zero (0) to 1/2 of an inch under the monkey bar. Gravel has hardened on the bottom and it is measure about an inch to three (3) inches on the other sections of the playground. .0605(k)(1-4) Technical assistance was provided as follows: 721: Equipment in good repair All equipment shall be in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. 847: Medication Authorization form: All medication requires parental authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048: First Aid 1049: CPR All staff shall have valid CPR and First Aid training, and the certificate shall be maintained in each staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Loose surfacing Loose surfacing on fall zones shall be based on the critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/27/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication: A medication for CD in space #6 (room 305) expires today, 9/13/23. Please ask the parent to refill the medication. Shelter-in-place/lockdown drill: Shelter-in-place/lockdown drill at DPI program shall be conducted as soon as the school start in August/September due to the schools being out for summer in May/June. The first drill does not have to use alarm but explain children the importance and the procedure of the drill. File monitoring: Mr. Burnette and I discussed more efficient file monitoring system. It took me at least four (4) hours to locate all the staff files. Teachers communicate with each other using cell phones. There is no ways for me to locate teachers or the children, and many classrooms stay away from the classroom for hours due to specials, playground time and lunch. Licensed space: All space used by children enrolled in licensed child care programs, including developmental day and afterschool program shall be approved by the Division prior to first use. When you plan to add space, structure or modify space, please notify me at least thirty (30) days prior to the start of construction. Dr. Burnette is planning to fence preschool playground and the playground used by school-age children for Developmental day program and after school program. I will forward the information to Bonnie Mathis, Licensing Supervisor and discuss possible monitoring visit(s) necessary by the Division. I will notify you regarding this matter via email. Permit Restriction: The current permit restriction include playground does not meet Child Care Playground Safety Standards. However, this restriction is for school-age programs only and does not apply to preschool-age children. Therefore, this permit will be changed to playground does not meet Child Care Playground Safety Standards for school-age children only. You will receive a new permit within 4-6 weeks. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it y affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-91 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 52 Completed Date: 9/13/2023 Age: From 4 To 11 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the Byron Burnette, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percentage as of 9/8/23. Permit type – Five-star center license issued on 5/5/20. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental Day, playground does not meet Child Care Playground Safety Standards. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 8/29/23. A record of the last shelter-in-place/lockdown drill was not available. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 11/30/22. The last sanitation inspection was conducted on 5/22/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free-play on the playground. Children played with tricycles, swings, balance beam, slides, water table and other structures. The playground ground is graveled. After playground, the children ate lunch in the classroom. Today’s menu was chicken pot pie, biscuit, mash potato, green pea, peaches and milk. The items were listed on the menu. Some children brought lunch from home, but they were also served with school lunch. In space #2, school-age children engaged in various activities. Two (2) students used swings while supervised, and other children worked on small group activity using picture cards. In space #3, a group of school-age children worked in literacy/math activities. The lead teacher for space #3 was absent and a substitute teacher was present. In space #4, children worked on activities with teachers in the classroom. In space #5, children played with puppets and magnetic tiles. The group transitioned to lunch in cafeteria shortly after. In space #6, the lead teacher read Ten (10) Little Ducks to the group. The group transitioned to rest time after the group time. The school-age children in Developmental Day classes played with a new playground. The playground has four (4) swings, spinning structures, a music instrument on astroturf. This playground has not been measured or approved by the Division. Due to no fence around the new space, it is acceptable for school-age children to play on. Playground safety guide was requested but not reviewed during the visit due to time constraints. The safety manual shall be followed and make sure that the equipment is age-appropriate. No preschool children shall be allowed on the playground without further approval by the Division. There is no space calculation sheet and the diagram on the playground used by the preschool children. Per teachers, the playground has been the designated playground for pre-K children for the last several years. The playground was measured and approved for ninety (90) children for one hundred (100) square feet per child. There are three (3) slide structures and two swing structures with four (4) total swings. There are two (2) spinning structures and one (1) basketball basket structure. All of the permanent structures are on the gravel. Staff files were monitored for criminal Background letter and CPR/First Aid certificate. One teacher’s criminal background letter is maintained at off-site location, but off-site verification form was not presented. The updated CPR/FA certificate were not in file for one (1) staff member. Fourteen (14) staff files were monitored in total. Medications were monitored in each classroom. There are one (1) medication without a permission form or action plan. Per teacher, school nurse is responsible for the forms and the request has been made to the child’s parent, but no forms have been returned so far. This child has severe allergy, and the medication is at school. Other medications were scored correctly with valid permission forms and action plans. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A yellow slide on the preschool playground is cracked. G.S. 110-91(6); .0601(b) 847 Parent's medication authorization did not include required information. In space #5 (room 304),parent authorization form for an epi-pen for a child was not acquired and maintained with the medication. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground for preschool children, the depth of gravel were measured zero (0) to 1/2 of an inch under the monkey bar. Gravel has hardened on the bottom and it is measure about an inch to three (3) inches on the other sections of the playground. .0605(k)(1-4) Technical assistance was provided as follows: 721: Equipment in good repair All equipment shall be in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. 847: Medication Authorization form: All medication requires parental authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048: First Aid 1049: CPR All staff shall have valid CPR and First Aid training, and the certificate shall be maintained in each staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Loose surfacing Loose surfacing on fall zones shall be based on the critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/27/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication: A medication for CD in space #6 (room 305) expires today, 9/13/23. Please ask the parent to refill the medication. Shelter-in-place/lockdown drill: Shelter-in-place/lockdown drill at DPI program shall be conducted as soon as the school start in August/September due to the schools being out for summer in May/June. The first drill does not have to use alarm but explain children the importance and the procedure of the drill. File monitoring: Mr. Burnette and I discussed more efficient file monitoring system. It took me at least four (4) hours to locate all the staff files. Teachers communicate with each other using cell phones. There is no ways for me to locate teachers or the children, and many classrooms stay away from the classroom for hours due to specials, playground time and lunch. Licensed space: All space used by children enrolled in licensed child care programs, including developmental day and afterschool program shall be approved by the Division prior to first use. When you plan to add space, structure or modify space, please notify me at least thirty (30) days prior to the start of construction. Dr. Burnette is planning to fence preschool playground and the playground used by school-age children for Developmental day program and after school program. I will forward the information to Bonnie Mathis, Licensing Supervisor and discuss possible monitoring visit(s) necessary by the Division. I will notify you regarding this matter via email. Permit Restriction: The current permit restriction include playground does not meet Child Care Playground Safety Standards. However, this restriction is for school-age programs only and does not apply to preschool-age children. Therefore, this permit will be changed to playground does not meet Child Care Playground Safety Standards for school-age children only. You will receive a new permit within 4-6 weeks. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it y affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
NC GS 110-90 · Violation
Name of Operation: CLYDE ELEMENTARY SCHOOL INTENSIVE INTERVENTION CLA Facility ID: 44000163 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 52 Completed Date: 9/13/2023 Age: From 4 To 11 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Byron Burnette, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the Byron Burnette, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percentage as of 9/8/23. Permit type – Five-star center license issued on 5/5/20. Special Services/Restrictions – daytime care, meets enhanced space, certified Developmental Day, playground does not meet Child Care Playground Safety Standards. Meets reduced staff/child ratios. The last annual compliance visit was conducted on 1/31/23. The last fire drill was practiced on 8/29/23. A record of the last shelter-in-place/lockdown drill was not available. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 11/30/22. The last sanitation inspection was conducted on 5/22/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free-play on the playground. Children played with tricycles, swings, balance beam, slides, water table and other structures. The playground ground is graveled. After playground, the children ate lunch in the classroom. Today’s menu was chicken pot pie, biscuit, mash potato, green pea, peaches and milk. The items were listed on the menu. Some children brought lunch from home, but they were also served with school lunch. In space #2, school-age children engaged in various activities. Two (2) students used swings while supervised, and other children worked on small group activity using picture cards. In space #3, a group of school-age children worked in literacy/math activities. The lead teacher for space #3 was absent and a substitute teacher was present. In space #4, children worked on activities with teachers in the classroom. In space #5, children played with puppets and magnetic tiles. The group transitioned to lunch in cafeteria shortly after. In space #6, the lead teacher read Ten (10) Little Ducks to the group. The group transitioned to rest time after the group time. The school-age children in Developmental Day classes played with a new playground. The playground has four (4) swings, spinning structures, a music instrument on astroturf. This playground has not been measured or approved by the Division. Due to no fence around the new space, it is acceptable for school-age children to play on. Playground safety guide was requested but not reviewed during the visit due to time constraints. The safety manual shall be followed and make sure that the equipment is age-appropriate. No preschool children shall be allowed on the playground without further approval by the Division. There is no space calculation sheet and the diagram on the playground used by the preschool children. Per teachers, the playground has been the designated playground for pre-K children for the last several years. The playground was measured and approved for ninety (90) children for one hundred (100) square feet per child. There are three (3) slide structures and two swing structures with four (4) total swings. There are two (2) spinning structures and one (1) basketball basket structure. All of the permanent structures are on the gravel. Staff files were monitored for criminal Background letter and CPR/First Aid certificate. One teacher’s criminal background letter is maintained at off-site location, but off-site verification form was not presented. The updated CPR/FA certificate were not in file for one (1) staff member. Fourteen (14) staff files were monitored in total. Medications were monitored in each classroom. There are one (1) medication without a permission form or action plan. Per teacher, school nurse is responsible for the forms and the request has been made to the child’s parent, but no forms have been returned so far. This child has severe allergy, and the medication is at school. Other medications were scored correctly with valid permission forms and action plans. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A yellow slide on the preschool playground is cracked. G.S. 110-91(6); .0601(b) 847 Parent's medication authorization did not include required information. In space #5 (room 304),parent authorization form for an epi-pen for a child was not acquired and maintained with the medication. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. In space #6 (room 306), staff member, DJ's first aid certificate was not maintained in file. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playground for preschool children, the depth of gravel were measured zero (0) to 1/2 of an inch under the monkey bar. Gravel has hardened on the bottom and it is measure about an inch to three (3) inches on the other sections of the playground. .0605(k)(1-4) Technical assistance was provided as follows: 721: Equipment in good repair All equipment shall be in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. 847: Medication Authorization form: All medication requires parental authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048: First Aid 1049: CPR All staff shall have valid CPR and First Aid training, and the certificate shall be maintained in each staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 1867: Loose surfacing Loose surfacing on fall zones shall be based on the critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/27/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication: A medication for CD in space #6 (room 305) expires today, 9/13/23. Please ask the parent to refill the medication. Shelter-in-place/lockdown drill: Shelter-in-place/lockdown drill at DPI program shall be conducted as soon as the school start in August/September due to the schools being out for summer in May/June. The first drill does not have to use alarm but explain children the importance and the procedure of the drill. File monitoring: Mr. Burnette and I discussed more efficient file monitoring system. It took me at least four (4) hours to locate all the staff files. Teachers communicate with each other using cell phones. There is no ways for me to locate teachers or the children, and many classrooms stay away from the classroom for hours due to specials, playground time and lunch. Licensed space: All space used by children enrolled in licensed child care programs, including developmental day and afterschool program shall be approved by the Division prior to first use. When you plan to add space, structure or modify space, please notify me at least thirty (30) days prior to the start of construction. Dr. Burnette is planning to fence preschool playground and the playground used by school-age children for Developmental day program and after school program. I will forward the information to Bonnie Mathis, Licensing Supervisor and discuss possible monitoring visit(s) necessary by the Division. I will notify you regarding this matter via email. Permit Restriction: The current permit restriction include playground does not meet Child Care Playground Safety Standards. However, this restriction is for school-age programs only and does not apply to preschool-age children. Therefore, this permit will be changed to playground does not meet Child Care Playground Safety Standards for school-age children only. You will receive a new permit within 4-6 weeks. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it y affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
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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.
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.
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.