GS110-90 · Violation

Name of Operation: LYLE CREEK ELEMENTARY Facility ID: 18000563 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 3/26/2024 Number Present: 55 Completed Date: 3/26/2024 Age: From 3 To 11 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with all applicable child care requirements during a routine unannounced visit. You, Jessica Wells, NCPK Lead Teacher, Brittany Brown, Developmental Day Lead Teacher, Angela Garrison, NCPK Teacher, and Kathy Parks, NCPK, assisted me, Meria Wilder, Child Care Consultant with today’s visit. Your program’s compliance history score was 92% prior to today’s visit. Your last annual compliance visit was conducted on October 10, 2023. Your program has three NCPK classrooms, and one school-age Developmental Day classrooms. Your program operates with a Five-Star rated license that was issued on October 2, 2023, earning 7 points in program standard points, 7 points in staff education points and 1 quality point for a total of 15 points. Your program operates with the following restrictions: Daytime care only, meets enhanced space, meets enhanced ratios, Reduced staff child ratios by one per group, Certified Developmental Day Center, and may care for children up to 14 years old. The following required postings were posted at the entrance to classrooms #406, 408, 410 and 206: license, sanitation placard, tobacco free signage, safe arrival and departure procedures, Emergency Medical Care Plan, Emergency Phone numbers, activity plan, daily schedule, and menu. Playground inspections, emergency drills, fire inspection reports, fire drills and sanitation reports were monitored. Incident report logs were monitored in all classrooms. Sign in/sign out sheets and daily attendance records were current for all classrooms. Screen time log for all classrooms were monitored. Staff child ratios, appropriate group sizes, adequate supervision and approved spaces were being used. Children were served cheese pizza, peach fruit cups, baby carrots and 1% unflavored white milk for lunch today as identified on the menu for today. Children were being cared for in a nurturing way. Health and safety standards were monitored. Toys and materials were of sufficient quantity and were observed to be in good repair. Children participated in transitions, free choice play, whole group activities and outside play time. Your outdoor playground was monitored. I monitored 1 new staff file and 7 existing staff files for criminal background qualification letters, First Aid, CPR, Recognizing and Responding to Suspicions of Child Maltreatment, BSAC, IT’S SIDS and special trainings. No children’s records were monitored during today’s visit. You stated there were no medications to monitor in classrooms 410, 408 and 206. In classroom 406 there were 2 emergency medications and medication permission to administer forms to monitor. NCPK requirements were monitored in classrooms 406, 408 and 410. Developmental Day requirements were monitored in classroom 206. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In classroom 406 there were 2 medication permission to administer forms that provide standing orders to administer the following: Ventolin HFA 90mcg and an EpiPen that were not signed and dated by the parent. 10A NCAC 09 .0803(4)(6-9) 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. One teacher with a hire date of August 2019, had medical information stored with their personnel file. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. • In classroom 410 one teacher with a hire date of February 7, 2000, did not have documentation available of completing Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) Technical Assistance: All violations cited during today’s visit must be corrected immediately. • In classroom 410 one teacher with a hire date of February 7, 2000, did not have documentation available of completing Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. As discussed, all staff working with children must have documentation of completing Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. I suggest you use the Staff File Checklist to review staff files at least quarterly to ensure all required documents and trainings are current and in the staff member’s file. • In classroom 408 there were 2 medication permission to administer forms that provide standing orders to administer the following: Ventolin HFA 90mcg and an EpiPen that were not signed and dated by the parent. As discussed, all medication permission to administer forms should be signed and dated by the parent. I suggest that all forms that are sent in by parents be checked prior to storing the medications and documents to ensure that all of the required information is completed. • One teacher with a hire date of August 2019, had medical information stored with their personnel file. As discussed, all medical information should be stored in a file separate from the personnel file. I recommend monitoring staff files quarterly to ensure that all files are kept as required with medical and personnel information stored separately. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). You must maintain at least 75% Compliance History for each 18-month period as required by GS110-90(4)(c). Please note any violations cited during future visits may negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Also, please remember in order to maintain an enhanced rated license your compliance history must remain above 75% at all times. • Your program is in Cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • When reviewing Staff Files, Children’s Files, and Program Records utilize the Staff Files Checklist, Children’s File Checklist, Volunteer Files Checklist and the Program Records File Checklist to ensure that you are maintaining compliance with all of the files that are being maintained and that all of the documents within those files are current, accurate and relevant. These forms should be used annually to review files and can be found on the DCDEE website under provider documents. • When reviewing staff files, you may utilize the schools Off Site Verification Forms which identifies information that is stored off site. The bulleted items identified on the form is not required to be maintained in the file of that staff member as long as that staff members name and date of employment is listed on the employee roster that should be attached to the form. The information that is stored “off-site” should be available upon the consultant’s request in the event that the consultant would need to verify that information. That Off Site Verification Form should be updated annually and/or as staff members are hired. • Although not an issue today, remember fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. If the fire inspection report is not sent to the consultant within 7 business days a violation will be cited at the next monitoring visit. • There are 3 staff members that have First Aid and CPR certifications that will expire by August of 2024. Please plan to complete this process in advance to prevent the expiration of these certifications and to remain in compliance with child care rules. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. Your compliance letter should be emailed to me by April 9, 2024, from the email address you have registered with the DCDEE (this serves as your signature) and the following information must be included: Name, position, Facility name, Facility ID number Violation Item number Date of violation correction How the violation was corrected How the violation will be prevented in the future You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard, Licensing Supervisor, by email at erin.pickard@dhhs.nc.gov, if you have questions. At the end of today’s visit a copy of your visit summary was printed, signed, and left with you for you to print and save for your records. Thank you for your time and assistance today! If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS110-91 · Violation

Name of Operation: LYLE CREEK ELEMENTARY Facility ID: 18000563 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 3/26/2024 Number Present: 55 Completed Date: 3/26/2024 Age: From 3 To 11 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with all applicable child care requirements during a routine unannounced visit. You, Jessica Wells, NCPK Lead Teacher, Brittany Brown, Developmental Day Lead Teacher, Angela Garrison, NCPK Teacher, and Kathy Parks, NCPK, assisted me, Meria Wilder, Child Care Consultant with today’s visit. Your program’s compliance history score was 92% prior to today’s visit. Your last annual compliance visit was conducted on October 10, 2023. Your program has three NCPK classrooms, and one school-age Developmental Day classrooms. Your program operates with a Five-Star rated license that was issued on October 2, 2023, earning 7 points in program standard points, 7 points in staff education points and 1 quality point for a total of 15 points. Your program operates with the following restrictions: Daytime care only, meets enhanced space, meets enhanced ratios, Reduced staff child ratios by one per group, Certified Developmental Day Center, and may care for children up to 14 years old. The following required postings were posted at the entrance to classrooms #406, 408, 410 and 206: license, sanitation placard, tobacco free signage, safe arrival and departure procedures, Emergency Medical Care Plan, Emergency Phone numbers, activity plan, daily schedule, and menu. Playground inspections, emergency drills, fire inspection reports, fire drills and sanitation reports were monitored. Incident report logs were monitored in all classrooms. Sign in/sign out sheets and daily attendance records were current for all classrooms. Screen time log for all classrooms were monitored. Staff child ratios, appropriate group sizes, adequate supervision and approved spaces were being used. Children were served cheese pizza, peach fruit cups, baby carrots and 1% unflavored white milk for lunch today as identified on the menu for today. Children were being cared for in a nurturing way. Health and safety standards were monitored. Toys and materials were of sufficient quantity and were observed to be in good repair. Children participated in transitions, free choice play, whole group activities and outside play time. Your outdoor playground was monitored. I monitored 1 new staff file and 7 existing staff files for criminal background qualification letters, First Aid, CPR, Recognizing and Responding to Suspicions of Child Maltreatment, BSAC, IT’S SIDS and special trainings. No children’s records were monitored during today’s visit. You stated there were no medications to monitor in classrooms 410, 408 and 206. In classroom 406 there were 2 emergency medications and medication permission to administer forms to monitor. NCPK requirements were monitored in classrooms 406, 408 and 410. Developmental Day requirements were monitored in classroom 206. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In classroom 406 there were 2 medication permission to administer forms that provide standing orders to administer the following: Ventolin HFA 90mcg and an EpiPen that were not signed and dated by the parent. 10A NCAC 09 .0803(4)(6-9) 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. One teacher with a hire date of August 2019, had medical information stored with their personnel file. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. • In classroom 410 one teacher with a hire date of February 7, 2000, did not have documentation available of completing Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) Technical Assistance: All violations cited during today’s visit must be corrected immediately. • In classroom 410 one teacher with a hire date of February 7, 2000, did not have documentation available of completing Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. As discussed, all staff working with children must have documentation of completing Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. I suggest you use the Staff File Checklist to review staff files at least quarterly to ensure all required documents and trainings are current and in the staff member’s file. • In classroom 408 there were 2 medication permission to administer forms that provide standing orders to administer the following: Ventolin HFA 90mcg and an EpiPen that were not signed and dated by the parent. As discussed, all medication permission to administer forms should be signed and dated by the parent. I suggest that all forms that are sent in by parents be checked prior to storing the medications and documents to ensure that all of the required information is completed. • One teacher with a hire date of August 2019, had medical information stored with their personnel file. As discussed, all medical information should be stored in a file separate from the personnel file. I recommend monitoring staff files quarterly to ensure that all files are kept as required with medical and personnel information stored separately. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). You must maintain at least 75% Compliance History for each 18-month period as required by GS110-90(4)(c). Please note any violations cited during future visits may negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Also, please remember in order to maintain an enhanced rated license your compliance history must remain above 75% at all times. • Your program is in Cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025 and the month of your reassessment will be the month that your current rated license expires. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • When reviewing Staff Files, Children’s Files, and Program Records utilize the Staff Files Checklist, Children’s File Checklist, Volunteer Files Checklist and the Program Records File Checklist to ensure that you are maintaining compliance with all of the files that are being maintained and that all of the documents within those files are current, accurate and relevant. These forms should be used annually to review files and can be found on the DCDEE website under provider documents. • When reviewing staff files, you may utilize the schools Off Site Verification Forms which identifies information that is stored off site. The bulleted items identified on the form is not required to be maintained in the file of that staff member as long as that staff members name and date of employment is listed on the employee roster that should be attached to the form. The information that is stored “off-site” should be available upon the consultant’s request in the event that the consultant would need to verify that information. That Off Site Verification Form should be updated annually and/or as staff members are hired. • Although not an issue today, remember fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. If the fire inspection report is not sent to the consultant within 7 business days a violation will be cited at the next monitoring visit. • There are 3 staff members that have First Aid and CPR certifications that will expire by August of 2024. Please plan to complete this process in advance to prevent the expiration of these certifications and to remain in compliance with child care rules. • Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. Your compliance letter should be emailed to me by April 9, 2024, from the email address you have registered with the DCDEE (this serves as your signature) and the following information must be included: Name, position, Facility name, Facility ID number Violation Item number Date of violation correction How the violation was corrected How the violation will be prevented in the future You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard, Licensing Supervisor, by email at erin.pickard@dhhs.nc.gov, if you have questions. At the end of today’s visit a copy of your visit summary was printed, signed, and left with you for you to print and save for your records. Thank you for your time and assistance today! If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.