10A NCAC 09 .0302 · Violation

Name of Operation: ICARD ELEMENTARY PRE-K Facility ID: 12000291 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 16 Completed Date: 2/27/2024 Age: From 3 To 5 Total Minutes: 125 Time In: 09:50 AM Time Out: 11:55 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your program for compliance with applicable child care requirements. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Melanie Rambarran, Lead Teacher. You provided me with applicable program and staff records for review. NC Pre-K requirements were monitored during today’s visit. Your program currently operates with a Five Star License effective November 23, 2022. The program’s compliance history was 98 percent prior to today’s visit. 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 walk-through of indoor space was completed today. Staff and children were observed during handwashing routines, lunch, and free play activities indoors. The most recent sanitation inspection for your facility was conducted on October 13, 2023. A Superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on October 13, 2023. Three new staff have been employed since your most recent annual compliance visit conducted on October 12, 2023. The following violation of child care requirements was observed and documented during today’s visit. The violation and technical assistance were thoroughly reviewed with you and documented in the Visit Summary given to you at the conclusion of the visit. 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. On February 8, 2024, one child was not signed in. On February 9, 2024, two children were not signed in. 10A NCAC 09 .0302(d)(4) The violation documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how the violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by March 12, 2024. Please send your compliance letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violation and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical Assistance: -I reminded you that staff must sign a child in when the parent fails to do so and if the child arrives to the facility later than the typical drop off time. If a parent signs a child in but does not include the time of drop off or pick up, staff must record the arrival or departure time. I recommended that you check arrival and departure records prior to lunch every day and at the end of the day once all children have left the facility to ensure records are complete for each child’s time of arrival and departure. Consultation (the following items were reviewed with you today): -Snack menu to document 100% juice. It was confirmed during the visit that the juice served is 100% juice. -Lunch boxes labeled with the child’s name and date and stored appropriately. Per sanitation requirement 15A NCAC 18A .2804(k) Lunches, snacks, and other meals that a child brings from home to the child care center shall be labeled with the date on which the food is brought to the child care center and the name of the child to whom the food belongs at the child's home and shall be returned to the child's home or discarded at the end of each day. Lunches, snacks, and other meals containing potentially hazardous foods shall be refrigerated at 45 degrees Fahrenheit or below and stored in the child care center kitchen or approved food preparation area. Hot foods that a child brings from home to the child care center in double-walled, insulated thermos containers may be stored outside of refrigeration at the child care center with the written permission of the child's parent or guardian. If the classroom does not have an approved food preparation area, then lunches brought from home that contain potentially hazardous foods would have to be stored in a designated refrigerator in the cafeteria kitchen, since the cafeteria kitchen is the required approved kitchen for a licensed Pre-K facility located in a public school. Reach out to your Environmental Health Specialist for more guidance. -Documenting staff acknowledgment for review of Emergency Medical Care Plan and Emergency Preparedness and Response/School Crisis Management Plan. -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance during today’s visit. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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: ICARD ELEMENTARY PRE-K Facility ID: 12000291 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 16 Completed Date: 2/27/2024 Age: From 3 To 5 Total Minutes: 125 Time In: 09:50 AM Time Out: 11:55 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your program for compliance with applicable child care requirements. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Melanie Rambarran, Lead Teacher. You provided me with applicable program and staff records for review. NC Pre-K requirements were monitored during today’s visit. Your program currently operates with a Five Star License effective November 23, 2022. The program’s compliance history was 98 percent prior to today’s visit. 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 walk-through of indoor space was completed today. Staff and children were observed during handwashing routines, lunch, and free play activities indoors. The most recent sanitation inspection for your facility was conducted on October 13, 2023. A Superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on October 13, 2023. Three new staff have been employed since your most recent annual compliance visit conducted on October 12, 2023. The following violation of child care requirements was observed and documented during today’s visit. The violation and technical assistance were thoroughly reviewed with you and documented in the Visit Summary given to you at the conclusion of the visit. 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. On February 8, 2024, one child was not signed in. On February 9, 2024, two children were not signed in. 10A NCAC 09 .0302(d)(4) The violation documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how the violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by March 12, 2024. Please send your compliance letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violation and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical Assistance: -I reminded you that staff must sign a child in when the parent fails to do so and if the child arrives to the facility later than the typical drop off time. If a parent signs a child in but does not include the time of drop off or pick up, staff must record the arrival or departure time. I recommended that you check arrival and departure records prior to lunch every day and at the end of the day once all children have left the facility to ensure records are complete for each child’s time of arrival and departure. Consultation (the following items were reviewed with you today): -Snack menu to document 100% juice. It was confirmed during the visit that the juice served is 100% juice. -Lunch boxes labeled with the child’s name and date and stored appropriately. Per sanitation requirement 15A NCAC 18A .2804(k) Lunches, snacks, and other meals that a child brings from home to the child care center shall be labeled with the date on which the food is brought to the child care center and the name of the child to whom the food belongs at the child's home and shall be returned to the child's home or discarded at the end of each day. Lunches, snacks, and other meals containing potentially hazardous foods shall be refrigerated at 45 degrees Fahrenheit or below and stored in the child care center kitchen or approved food preparation area. Hot foods that a child brings from home to the child care center in double-walled, insulated thermos containers may be stored outside of refrigeration at the child care center with the written permission of the child's parent or guardian. If the classroom does not have an approved food preparation area, then lunches brought from home that contain potentially hazardous foods would have to be stored in a designated refrigerator in the cafeteria kitchen, since the cafeteria kitchen is the required approved kitchen for a licensed Pre-K facility located in a public school. Reach out to your Environmental Health Specialist for more guidance. -Documenting staff acknowledgment for review of Emergency Medical Care Plan and Emergency Preparedness and Response/School Crisis Management Plan. -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance during today’s visit. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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 .0604 · Violation

Name of Operation: ICARD ELEMENTARY PRE-K Facility ID: 12000291 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 18 Completed Date: 10/12/2023 Age: From 3 To 5 Total Minutes: 205 Time In: 09:50 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements. The visit was conducted with you, Melanie Rambarran, Lead Teacher. You provided me with applicable program, staff, and children’s records for review. This program currently operates with a Five star rated license effective November 23, 2022. The program’s compliance history was 100 percent prior to today’s visit. 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 checklist was used to note the requirements I monitored today. A walk-through of licensed indoor and outdoor space was completed, and all areas were monitored. Staff and children were observed during free play activities indoors and gross motor activities outdoors. NC Pre-K requirements were monitored during today’s visit. The most recent sanitation inspection for your facility was conducted on October 18, 2022. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on October 5, 2023. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1, there were three uncovered outlets in a surge protector power strip under a small teacher's desk located at the front of the room that was accessible to children. 10A NCAC 09 .0604(c) 1898 Staff did not complete the health and safety training within one year of employment. Teacher Assistant employed on 8/22/22 did not complete all required health and safety trainings within the first year of employment. .1102(a) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by October 26, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical Assistance regarding the violations observed: -The Lead Teacher covered the three electrical outlets with safety covers during the visit. I recommended that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. -A. Seagle needs to complete training on three topics in health and safety including handling and storage of hazardous materials and the appropriate disposal of biocontaminants, precautions in transporting children, and prevention of Shaken Baby Syndrome and Abusive Head Trauma. These trainings must be completed by October 26, 2023. I recommended that new staff complete health and safety training within the first six months of employment to ensure completion prior to the deadline. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort two. More information will be forthcoming once your cohort year approaches. Consultation (the following items reviewed were in compliance today): 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. (b) Site-level administrators shall review all health assessment results at the time of the child’s entry into the program to determine whether the assessment includes specific instructions for identified health needs that may require physical or occupational or other therapies to support the child’s development and learning goals. If a screening is marked as “uncooperative” or “unable to complete” due to the child being uncooperative then this requirement is not in compliance. However, if the health care professional provides additional information such as “due to developmental delays the hearing screening was not completed” then compliance has been met. -We discussed updating children’s applications and emergency information when changes occur, such as a parental preference special diet. -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@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 .3005 · Violation

Name of Operation: ICARD ELEMENTARY PRE-K Facility ID: 12000291 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 18 Completed Date: 10/12/2023 Age: From 3 To 5 Total Minutes: 205 Time In: 09:50 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements. The visit was conducted with you, Melanie Rambarran, Lead Teacher. You provided me with applicable program, staff, and children’s records for review. This program currently operates with a Five star rated license effective November 23, 2022. The program’s compliance history was 100 percent prior to today’s visit. 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 checklist was used to note the requirements I monitored today. A walk-through of licensed indoor and outdoor space was completed, and all areas were monitored. Staff and children were observed during free play activities indoors and gross motor activities outdoors. NC Pre-K requirements were monitored during today’s visit. The most recent sanitation inspection for your facility was conducted on October 18, 2022. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on October 5, 2023. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1, there were three uncovered outlets in a surge protector power strip under a small teacher's desk located at the front of the room that was accessible to children. 10A NCAC 09 .0604(c) 1898 Staff did not complete the health and safety training within one year of employment. Teacher Assistant employed on 8/22/22 did not complete all required health and safety trainings within the first year of employment. .1102(a) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by October 26, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical Assistance regarding the violations observed: -The Lead Teacher covered the three electrical outlets with safety covers during the visit. I recommended that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. -A. Seagle needs to complete training on three topics in health and safety including handling and storage of hazardous materials and the appropriate disposal of biocontaminants, precautions in transporting children, and prevention of Shaken Baby Syndrome and Abusive Head Trauma. These trainings must be completed by October 26, 2023. I recommended that new staff complete health and safety training within the first six months of employment to ensure completion prior to the deadline. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort two. More information will be forthcoming once your cohort year approaches. Consultation (the following items reviewed were in compliance today): 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. (b) Site-level administrators shall review all health assessment results at the time of the child’s entry into the program to determine whether the assessment includes specific instructions for identified health needs that may require physical or occupational or other therapies to support the child’s development and learning goals. If a screening is marked as “uncooperative” or “unable to complete” due to the child being uncooperative then this requirement is not in compliance. However, if the health care professional provides additional information such as “due to developmental delays the hearing screening was not completed” then compliance has been met. -We discussed updating children’s applications and emergency information when changes occur, such as a parental preference special diet. -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@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: ICARD ELEMENTARY PRE-K Facility ID: 12000291 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 18 Completed Date: 10/12/2023 Age: From 3 To 5 Total Minutes: 205 Time In: 09:50 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements. The visit was conducted with you, Melanie Rambarran, Lead Teacher. You provided me with applicable program, staff, and children’s records for review. This program currently operates with a Five star rated license effective November 23, 2022. The program’s compliance history was 100 percent prior to today’s visit. 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 checklist was used to note the requirements I monitored today. A walk-through of licensed indoor and outdoor space was completed, and all areas were monitored. Staff and children were observed during free play activities indoors and gross motor activities outdoors. NC Pre-K requirements were monitored during today’s visit. The most recent sanitation inspection for your facility was conducted on October 18, 2022. A superior sanitation classification was issued with 2 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on October 5, 2023. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1, there were three uncovered outlets in a surge protector power strip under a small teacher's desk located at the front of the room that was accessible to children. 10A NCAC 09 .0604(c) 1898 Staff did not complete the health and safety training within one year of employment. Teacher Assistant employed on 8/22/22 did not complete all required health and safety trainings within the first year of employment. .1102(a) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by October 26, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical Assistance regarding the violations observed: -The Lead Teacher covered the three electrical outlets with safety covers during the visit. I recommended that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. -A. Seagle needs to complete training on three topics in health and safety including handling and storage of hazardous materials and the appropriate disposal of biocontaminants, precautions in transporting children, and prevention of Shaken Baby Syndrome and Abusive Head Trauma. These trainings must be completed by October 26, 2023. I recommended that new staff complete health and safety training within the first six months of employment to ensure completion prior to the deadline. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort two. More information will be forthcoming once your cohort year approaches. Consultation (the following items reviewed were in compliance today): 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. (b) Site-level administrators shall review all health assessment results at the time of the child’s entry into the program to determine whether the assessment includes specific instructions for identified health needs that may require physical or occupational or other therapies to support the child’s development and learning goals. If a screening is marked as “uncooperative” or “unable to complete” due to the child being uncooperative then this requirement is not in compliance. However, if the health care professional provides additional information such as “due to developmental delays the hearing screening was not completed” then compliance has been met. -We discussed updating children’s applications and emergency information when changes occur, such as a parental preference special diet. -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@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