Save THE Children Cabarrus Head Start

NC GS 110-90 · Violation

Name of Operation: SAVE THE CHILDREN CABARRUS HEAD START Facility ID: 13000557 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 8/21/2025 Number Present: 94 Completed Date: 8/21/2025 Age: From 0 To 4 Total Minutes: 343 Time In: 10:17 AM Time Out: 04:00 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 your program for compliance with applicable child care requirements for an annual compliance visit. You, Sheena Robertson, Director, assisted me with today’s visit. The last annual compliance visit was conducted on August 28, 2024. The last sanitation inspection was completed on June 30, 2025. The last fire inspection was conducted on April 22, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 95% prior to today’s visit. The center's four star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, story time, routine care taking, meal time, staff/child interaction and rest time. Teachers were observed handling children in a nurturing manner. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Incident reports are being filed in children’s individual files. Playground inspections are being conducted monthly. Your playground meets child care safety standards. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Medications, medical action plans and permission to administer forms were monitored today. A selection of staff files and children’s files were monitored during today’s visit. This facility does not provide transportation. The following violations were documented today: 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. A staff member hired on 4/7/25 did not have a First Aid certificate on 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. A staff member hired on 4/7/25 did not have a CPR certificate on file and available for review. .1102(d) Technical Assistance was provided on the following: It is highly recommended that staff and training worksheets and staff files are reviewed monthly, to ensure all items on the worksheets and in the files are current to ensure compliance at all times. This includes but is not limited to First Aid and CPR certificates. It is highly recommended that you utilize the order of the items listed on the staff and training worksheets to organize your files. This may assist with locating items in the files that need to be reviewed. Please ensure that any staff members without First Aid and CPR certificates have those items updated no later than September 4, 2025 and that those items are placed in their file and available for review. Please ensure that all First Aid and CPR certificates are always on file and available for review. Please ensure trainings are being taken well before previous First Aid and CPR certificates expire, giving the trainer time to supply you with certificates before the previous certificates expire. Consultation was provided on the following: Please continue ensuring when emergency medication is brought into the facility for a child it is accompanied by medical action plan and permission to administer documents, and these documents are filled out in their entirety. It is recommended that the medication and documents are stored together. Please remember that the permission to administer form is only good for six months. Please continue ensuring that trash bags are tied in a knot tightly around trash bins, primarily in classrooms with children two years of age and younger. I have listed a link to find information concerning QRIS Pathways: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization 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. A three star licensed is required to be eligible to receive DSS subsidy. The violation(s) documented must be corrected immediately. On or before September 4, 2025, I must receive a 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. You can send an email and in the body of the email you can simply include the following items: Facility Name: Facility ID #: Administrator's Name: Violation Item # (List each violation item # separately): How the violation was corrected or what you will do to prevent this violation from reoccurring (List each violation correction separately under the corresponding violation item #): Email the information to: brittany.j.adams@dhhs.nc.gov It must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: SAVE THE CHILDREN CABARRUS HEAD START Facility ID: 13000557 Consultant: BRITTANY ADAMS Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 80 Completed Date: 8/28/2024 Age: From 1 To 4 Total Minutes: 348 Time In: 09:42 AM Time Out: 03:30 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 your program for compliance with applicable child care requirements for an annual compliance visit. You, Sheena Robertson, assisted me with today’s visit. The last annual compliance visit was conducted on September 7, 2023. The last sanitation inspection was completed on February 26, 2024 with a “Superior” classification. The last fire inspection was conducted April 29, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 92% prior to today’s visit. The center's four star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were engaged in free play indoors and outdoors, care taking routines, meal time, staff/child interactions, rest time and departure. Fire drills are being completed monthly as required. Emergency drills are being conducted every three months as required. Incident logs were monitored during today’s visit. Incident reports are being filed in children’s individual files. Playground inspections are being conducted monthly. Your playground meets child care safety standards. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I monitored medications and Medical Action Plans. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The following violations were documented today: 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. A staff member hired on 10/9/23, 1/23/24, 3/18/24 and 2/5/24 did not have current First-Aid certificates on 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. A staff member hired on 1/23/24 and 2/5/24 did not have current CPR certificates on file. .1102(d) Technical Assistance was provided on the following: We discussed: Reviewing the staff and training worksheet monthly to ensure that all required trainings are completed by each staff member and are kept current, including but not limited to First Aid and CPR. Consultation was provided on the following: We discussed staff continuing to review Permission to Administer forms for diaper creams when they are brought into the classroom, to ensure all items on the form are completed. We discussed staff continuing to check the bag that is taken outdoors when children are on the playground, to ensure that all emergency medication and documentation is kept where the child is. 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. On or before September 11, 2024, 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. Mail or email the information to: Brittany Adams, Child Care Consultant P.O. Box 470753 Charlotte, NC 28247 Email: brittany.j.adams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: SAVE THE CHILDREN CABARRUS HEAD START Facility ID: 13000557 Consultant: DANA STIKELEATHER Operation Type: Center Case Number: Visit Date: 9/7/2023 Number Present: 53 Completed Date: 9/7/2023 Age: From 1 To 4 Total Minutes: 380 Time In: 09:10 AM Time Out: 03:30 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 your program for compliance with applicable child care requirements for an annual compliance visit. Ms., director, assisted me with today’s visit. Your program currently operates with a four-star license, issued March 12, 2020, earning 7 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point. The last annual compliance visit was conducted on September 21, 2023. There are four new staff. New staff files and a sampling of other staff files were monitored today. One staff, date of employment July 17, 2023, did not have information showing that sixteen hours of orientation was completed within the first six weeks of employment. Four staff did not have a separate medical file. One staff did not have information showing an annual review of the emergency medical care plan. One staff did not have information showing an annual review of the EPR plan. A sampling of children’s files was monitored today. One child’s discipline policy did not include the date of enrollment. Additional files may be monitored during other visits throughout the year. I visited each indoor and outdoor space. The Annual Compliance Monitoring Checklist for Child Care Centers was used during today’s visit. A copy of this document was emailed to you during today’s visit. In space 312 there were two feeding plans that have not been signed and dated. The refrigerator thermometer was reading 60 degrees. Milk cartons and other items in the refrigerator had condensation on them. In space 302, there were Styrofoam plates, Ziploc bags, and other plastic bags in a cabinet accessible to children. The items were removed from the classroom during the visit. In space 303, there were fourteen children present and there were twelve children signed in. The two children that had not been signed in, were signed in during the visit. Children were observed during free play activities, staff/child interactions, group time, routines, transitions, and lunch. Lunch was observed and included chicken tenders, dinner roll, mixed vegetables, pears, and milk. You stated that you are not providing transportation. A sanitation inspection was completed on February 17, 2023. You received a superior classification with five demerits. The last fire inspection was conducted on April 26, 2023. The last fire drill was conducted on August 10, 2023. The last playground inspection was conducted on August 9, 2023. A shelter-in-place drill was conducted on June 28, 2023. A shelter-in-place and/or lockdown drill will need to be conducted this month, September 2023. The center's compliance history was reviewed with you. The programs compliance history was at ninety-one percent as of September 7, 2023. The following violations were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space 303, there were fourteen children present and there were twelve children signed in. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space 312 there were two feeding plans that have not been signed and dated. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 312, the refrigerator thermometer was reading 60 degrees. Milk cartons and other items in the refrigerator had condensation on them. 15A NCAC 18A .2806(j)(2) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 302, there were Styrofoam plates, Ziploc bags, and other plastic bags in a cabinet accessible to children. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff did not have information showing an annual review of the emergency medical care plan. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff, date of employment July 17, 2023, did not have information showing that sixteen hours of orientation was completed within the first six weeks of employment. .1101(a) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child’s discipline policy did not include the date of enrollment. .1804(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One staff did not have information showing an annual review of the EPR plan. .0607(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Four staff did not have a separate medical file. Three staff did not have a medical on file. .0701(d) 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. On or before September 21, 2023, I need to receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. An unannounced visit will be conducted. 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. While the Division allow you time to explain how you have corrected violations when violations are cited, it is expected you correct all violations immediately. When you are asked to send a compliance letter to me, it is expected and required that your compliance letter be sent to me no later than the date indicated in this documentation. Your letter must include the following: -Name of your program -ID number of your program -Date of Letter -Violation number -Explain how you corrected the violation (send supporting documentation to show compliance) -Describe your plan to make sure you will not have that same violation in the future -Name or signature of the person who wrote the letter. (If emailing the letter, your email address will be considered your digital signature.) Technical assistance was given today concerning the following: Any type of plastic bags, Styrofoam products etc. should not be accessible to children under three years of age. We discussed having staff check the classroom and cabinets prior to children arriving to make sure there are not any plastic bags accessible to children. We discussed having staff do a routine check to make sure that any type of plastic bags is out of reach of children. We also discussed putting a magnetic lock so that items can be locked if kept in a cabinet that children have access to. We also discussed putting the items that are in plastic bags in containers with a lid if you would like to store them in the cabinet children have access to. We discussed that Styrofoam products would need to be kept inaccessible unless the plates are being used to eat off of. We reviewed and discussed arrival and departure time requirements. We discussed making sure that all children are signed in as they arrive and signed out when they leave. We reviewed and discussed feeding plans. We discussed that all information needs to be completed and it needs to be signed by the parent. We also discussed that feeding plans are required for children under 15 months. We discussed having someone review this information to make sure all required information has been completed and signed by the parent. We also discussed that feeding plans need to be updated as the child’s needs change. We reviewed and discussed that the discipline policy needs to include all required information. We discussed having someone review the forms to make sure they are complete. Suggestions were given concerning doing routine checks of children’s files to make sure all required information is on file. We reviewed and discussed staff files and making sure all information is completed within the required timeframes. We discussed using the staff file checklist, orientation sheet, and staff and training worksheet to make sure information is completed. Suggestions were given concerning doing routine checks of staff files to make sure all required information is on file. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Thank you for your time today. Contact me at 704-594-0049 or by email at dana.stikeleather@dhhs.nc.gov or Kris Updike, Supervisor, at 336-404-4133 or by email at kris.updike@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: SAVE THE CHILDREN CABARRUS HEAD START Facility ID: 13000557 Consultant: DANA STIKELEATHER Operation Type: Center Case Number: Visit Date: 9/7/2023 Number Present: 53 Completed Date: 9/7/2023 Age: From 1 To 4 Total Minutes: 380 Time In: 09:10 AM Time Out: 03:30 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 your program for compliance with applicable child care requirements for an annual compliance visit. Ms., director, assisted me with today’s visit. Your program currently operates with a four-star license, issued March 12, 2020, earning 7 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point. The last annual compliance visit was conducted on September 21, 2023. There are four new staff. New staff files and a sampling of other staff files were monitored today. One staff, date of employment July 17, 2023, did not have information showing that sixteen hours of orientation was completed within the first six weeks of employment. Four staff did not have a separate medical file. One staff did not have information showing an annual review of the emergency medical care plan. One staff did not have information showing an annual review of the EPR plan. A sampling of children’s files was monitored today. One child’s discipline policy did not include the date of enrollment. Additional files may be monitored during other visits throughout the year. I visited each indoor and outdoor space. The Annual Compliance Monitoring Checklist for Child Care Centers was used during today’s visit. A copy of this document was emailed to you during today’s visit. In space 312 there were two feeding plans that have not been signed and dated. The refrigerator thermometer was reading 60 degrees. Milk cartons and other items in the refrigerator had condensation on them. In space 302, there were Styrofoam plates, Ziploc bags, and other plastic bags in a cabinet accessible to children. The items were removed from the classroom during the visit. In space 303, there were fourteen children present and there were twelve children signed in. The two children that had not been signed in, were signed in during the visit. Children were observed during free play activities, staff/child interactions, group time, routines, transitions, and lunch. Lunch was observed and included chicken tenders, dinner roll, mixed vegetables, pears, and milk. You stated that you are not providing transportation. A sanitation inspection was completed on February 17, 2023. You received a superior classification with five demerits. The last fire inspection was conducted on April 26, 2023. The last fire drill was conducted on August 10, 2023. The last playground inspection was conducted on August 9, 2023. A shelter-in-place drill was conducted on June 28, 2023. A shelter-in-place and/or lockdown drill will need to be conducted this month, September 2023. The center's compliance history was reviewed with you. The programs compliance history was at ninety-one percent as of September 7, 2023. The following violations were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space 303, there were fourteen children present and there were twelve children signed in. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space 312 there were two feeding plans that have not been signed and dated. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 312, the refrigerator thermometer was reading 60 degrees. Milk cartons and other items in the refrigerator had condensation on them. 15A NCAC 18A .2806(j)(2) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 302, there were Styrofoam plates, Ziploc bags, and other plastic bags in a cabinet accessible to children. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff did not have information showing an annual review of the emergency medical care plan. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff, date of employment July 17, 2023, did not have information showing that sixteen hours of orientation was completed within the first six weeks of employment. .1101(a) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child’s discipline policy did not include the date of enrollment. .1804(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One staff did not have information showing an annual review of the EPR plan. .0607(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Four staff did not have a separate medical file. Three staff did not have a medical on file. .0701(d) 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. On or before September 21, 2023, I need to receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. An unannounced visit will be conducted. 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. While the Division allow you time to explain how you have corrected violations when violations are cited, it is expected you correct all violations immediately. When you are asked to send a compliance letter to me, it is expected and required that your compliance letter be sent to me no later than the date indicated in this documentation. Your letter must include the following: -Name of your program -ID number of your program -Date of Letter -Violation number -Explain how you corrected the violation (send supporting documentation to show compliance) -Describe your plan to make sure you will not have that same violation in the future -Name or signature of the person who wrote the letter. (If emailing the letter, your email address will be considered your digital signature.) Technical assistance was given today concerning the following: Any type of plastic bags, Styrofoam products etc. should not be accessible to children under three years of age. We discussed having staff check the classroom and cabinets prior to children arriving to make sure there are not any plastic bags accessible to children. We discussed having staff do a routine check to make sure that any type of plastic bags is out of reach of children. We also discussed putting a magnetic lock so that items can be locked if kept in a cabinet that children have access to. We also discussed putting the items that are in plastic bags in containers with a lid if you would like to store them in the cabinet children have access to. We discussed that Styrofoam products would need to be kept inaccessible unless the plates are being used to eat off of. We reviewed and discussed arrival and departure time requirements. We discussed making sure that all children are signed in as they arrive and signed out when they leave. We reviewed and discussed feeding plans. We discussed that all information needs to be completed and it needs to be signed by the parent. We also discussed that feeding plans are required for children under 15 months. We discussed having someone review this information to make sure all required information has been completed and signed by the parent. We also discussed that feeding plans need to be updated as the child’s needs change. We reviewed and discussed that the discipline policy needs to include all required information. We discussed having someone review the forms to make sure they are complete. Suggestions were given concerning doing routine checks of children’s files to make sure all required information is on file. We reviewed and discussed staff files and making sure all information is completed within the required timeframes. We discussed using the staff file checklist, orientation sheet, and staff and training worksheet to make sure information is completed. Suggestions were given concerning doing routine checks of staff files to make sure all required information is on file. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Thank you for your time today. Contact me at 704-594-0049 or by email at dana.stikeleather@dhhs.nc.gov or Kris Updike, Supervisor, at 336-404-4133 or by email at kris.updike@dhhs.nc.gov if you have questions. 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: SAVE THE CHILDREN CABARRUS HEAD START Facility ID: 13000557 Consultant: DANA STIKELEATHER Operation Type: Center Case Number: Visit Date: 9/7/2023 Number Present: 53 Completed Date: 9/7/2023 Age: From 1 To 4 Total Minutes: 380 Time In: 09:10 AM Time Out: 03:30 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 your program for compliance with applicable child care requirements for an annual compliance visit. Ms., director, assisted me with today’s visit. Your program currently operates with a four-star license, issued March 12, 2020, earning 7 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point. The last annual compliance visit was conducted on September 21, 2023. There are four new staff. New staff files and a sampling of other staff files were monitored today. One staff, date of employment July 17, 2023, did not have information showing that sixteen hours of orientation was completed within the first six weeks of employment. Four staff did not have a separate medical file. One staff did not have information showing an annual review of the emergency medical care plan. One staff did not have information showing an annual review of the EPR plan. A sampling of children’s files was monitored today. One child’s discipline policy did not include the date of enrollment. Additional files may be monitored during other visits throughout the year. I visited each indoor and outdoor space. The Annual Compliance Monitoring Checklist for Child Care Centers was used during today’s visit. A copy of this document was emailed to you during today’s visit. In space 312 there were two feeding plans that have not been signed and dated. The refrigerator thermometer was reading 60 degrees. Milk cartons and other items in the refrigerator had condensation on them. In space 302, there were Styrofoam plates, Ziploc bags, and other plastic bags in a cabinet accessible to children. The items were removed from the classroom during the visit. In space 303, there were fourteen children present and there were twelve children signed in. The two children that had not been signed in, were signed in during the visit. Children were observed during free play activities, staff/child interactions, group time, routines, transitions, and lunch. Lunch was observed and included chicken tenders, dinner roll, mixed vegetables, pears, and milk. You stated that you are not providing transportation. A sanitation inspection was completed on February 17, 2023. You received a superior classification with five demerits. The last fire inspection was conducted on April 26, 2023. The last fire drill was conducted on August 10, 2023. The last playground inspection was conducted on August 9, 2023. A shelter-in-place drill was conducted on June 28, 2023. A shelter-in-place and/or lockdown drill will need to be conducted this month, September 2023. The center's compliance history was reviewed with you. The programs compliance history was at ninety-one percent as of September 7, 2023. The following violations were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space 303, there were fourteen children present and there were twelve children signed in. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space 312 there were two feeding plans that have not been signed and dated. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space 312, the refrigerator thermometer was reading 60 degrees. Milk cartons and other items in the refrigerator had condensation on them. 15A NCAC 18A .2806(j)(2) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 302, there were Styrofoam plates, Ziploc bags, and other plastic bags in a cabinet accessible to children. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff did not have information showing an annual review of the emergency medical care plan. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff, date of employment July 17, 2023, did not have information showing that sixteen hours of orientation was completed within the first six weeks of employment. .1101(a) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child’s discipline policy did not include the date of enrollment. .1804(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One staff did not have information showing an annual review of the EPR plan. .0607(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Four staff did not have a separate medical file. Three staff did not have a medical on file. .0701(d) 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. On or before September 21, 2023, I need to receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. An unannounced visit will be conducted. 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. While the Division allow you time to explain how you have corrected violations when violations are cited, it is expected you correct all violations immediately. When you are asked to send a compliance letter to me, it is expected and required that your compliance letter be sent to me no later than the date indicated in this documentation. Your letter must include the following: -Name of your program -ID number of your program -Date of Letter -Violation number -Explain how you corrected the violation (send supporting documentation to show compliance) -Describe your plan to make sure you will not have that same violation in the future -Name or signature of the person who wrote the letter. (If emailing the letter, your email address will be considered your digital signature.) Technical assistance was given today concerning the following: Any type of plastic bags, Styrofoam products etc. should not be accessible to children under three years of age. We discussed having staff check the classroom and cabinets prior to children arriving to make sure there are not any plastic bags accessible to children. We discussed having staff do a routine check to make sure that any type of plastic bags is out of reach of children. We also discussed putting a magnetic lock so that items can be locked if kept in a cabinet that children have access to. We also discussed putting the items that are in plastic bags in containers with a lid if you would like to store them in the cabinet children have access to. We discussed that Styrofoam products would need to be kept inaccessible unless the plates are being used to eat off of. We reviewed and discussed arrival and departure time requirements. We discussed making sure that all children are signed in as they arrive and signed out when they leave. We reviewed and discussed feeding plans. We discussed that all information needs to be completed and it needs to be signed by the parent. We also discussed that feeding plans are required for children under 15 months. We discussed having someone review this information to make sure all required information has been completed and signed by the parent. We also discussed that feeding plans need to be updated as the child’s needs change. We reviewed and discussed that the discipline policy needs to include all required information. We discussed having someone review the forms to make sure they are complete. Suggestions were given concerning doing routine checks of children’s files to make sure all required information is on file. We reviewed and discussed staff files and making sure all information is completed within the required timeframes. We discussed using the staff file checklist, orientation sheet, and staff and training worksheet to make sure information is completed. Suggestions were given concerning doing routine checks of staff files to make sure all required information is on file. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Thank you for your time today. Contact me at 704-594-0049 or by email at dana.stikeleather@dhhs.nc.gov or Kris Updike, Supervisor, at 336-404-4133 or by email at kris.updike@dhhs.nc.gov if you have questions. 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