Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 7/7/2026 Number Present: 18 Completed Date: 7/7/2026 Age: From 0 To 4 Total Minutes: 465 Time In: 09:45 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Skylar Stout, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and available to be electronically emailed to you. Ms. Stout was not onsite when I arrived due to car issues, but she arrived later. Staff we all great about answering my questions. The indoor and outdoor areas were monitored today, including, but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one percentage (81%) as of 7/6/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Sugar Grove Developmental Day School, Inc., is current/active as of 7/6/26. Permit type – five-star license issues on 6/4/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/16/25. The last fire drill was practiced on 6/26/26. The last shelter-in-place drill was practiced on 6/26/26. The last playground inspection was documented on 6/3/26. The last fire inspection was approved on 10/23/25. The last sanitation inspection was conducted on 3/12/26 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 9/14/23 without hazards. This is a test that needs to be repeated every three years. This will make it due again on 9/14/26. Lead paint was completed 1/21/26 without hazards and asbestos testing was completed on 7/25/25 without hazards. When I arrived, I rang the bell and was let into the building and was greeted by Ms. Sidney. She was working on the bullion board by the front door. She informed me that the administrator was running late due to her car not starting. I started my walk through of the facility by visiting each classroom and monitoring the indoor and outdoor environments. In space #1, children were playing on the floor, napping and getting diapers changed. Space #2 is not currently being used. In space #3, children were cleaning up to go outside. Ms. Jean was putting sunscreen on the children. In space #4, the children were outside already. On the playground, the children were playing with a variety of materials which included balls, cooking in the mud kitchen and the sand box. The two older children were taken outside to play. I was told the younger two children would be heading out soon but for sure this afternoon. After lunch the children washed hands for lunch and sat down to eat. Then laid down for rest time. The children at this facility bring food packed from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4, the activity plan was not current. GS 110-91(12); .0508(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The outdoor area, especially in the area for the younger children, the grass was in need of mowing, weeds were growing up along the sidewalk area, toys were left out, rained in and starting to mold. There is an access of toys behind the storage shed on the large playground and an access of “stuff” around the fence outside the fence. We want to deter snakes and vermin from coming around. There was no cover for the sandbox. 15A NCAC 18A .2832(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. The diaper changing table has storage underneath where diaper cream was kept. Diaper cream must be kept 5 feet up or locked. 15A NCAC 18A .2820(d) 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. Plastic was found underneath the changing table in the infant classroom and the classroom for two-year-old children. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One new staff has worked here for a month and isn’t in the system yet. We discussed this today. G.S. 110-90.2 & .2703(r) Item #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. *Plastic was found underneath the changing table in the infant classroom and the classroom for two-year-old children. Rule reference- 10A NCAC.0604(q) Item #841- Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. *The diaper changing table has storage underneath where diaper cream was kept. Diaper cream must be kept 5 feet up or locked. Rule reference- 15A NCAC 18A .2820(d) Item #808- The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards and/or maintained in a manner which does not create conditions that attract or harbor pests. *The outdoor area, especially in the area for the younger children, the grass was in need of mowing, weeds were growing up along the sidewalk area, toys were left out, rained in and starting to mold. There is an access of toys behind the storage shed on the large playground and an access of “stuff” around the fence outside the fence. We want to deter snakes and vermin from coming around. **There was no cover for the sandbox. The tarp was in poor repair, so it was discarded. Rule reference: 15A NCAC 18A.2820(d) Item #1805- The ABCMS system needs to have new staff added to it within 5 days. *One new staff has worked here for a month and isn’t in the system yet. We discussed this today. G.S. 110-90.2 & 10A NCAC .2703(r) Item #428- In space #4, the activity plan was not current. *It is a good idea to get into the habit of printing off the activity plan the week prior. However, the center was closed on Friday for a holiday observance. Rule reference- G.S. 110-91(12);.0508(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by July 21, 2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the star rated license application and when you plan you apply for that. Ms. Stout stated that she would be talking to her board chair to discuss this further and be in touch. • We discussed the cleaning up of the playgrounds and around them and she stated that they have a teacher workday coming up and parents volunteering as well. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 828.434.0236, or email [email protected], or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 7/7/2026 Number Present: 18 Completed Date: 7/7/2026 Age: From 0 To 4 Total Minutes: 465 Time In: 09:45 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Skylar Stout, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and available to be electronically emailed to you. Ms. Stout was not onsite when I arrived due to car issues, but she arrived later. Staff we all great about answering my questions. The indoor and outdoor areas were monitored today, including, but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one percentage (81%) as of 7/6/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Sugar Grove Developmental Day School, Inc., is current/active as of 7/6/26. Permit type – five-star license issues on 6/4/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/16/25. The last fire drill was practiced on 6/26/26. The last shelter-in-place drill was practiced on 6/26/26. The last playground inspection was documented on 6/3/26. The last fire inspection was approved on 10/23/25. The last sanitation inspection was conducted on 3/12/26 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 9/14/23 without hazards. This is a test that needs to be repeated every three years. This will make it due again on 9/14/26. Lead paint was completed 1/21/26 without hazards and asbestos testing was completed on 7/25/25 without hazards. When I arrived, I rang the bell and was let into the building and was greeted by Ms. Sidney. She was working on the bullion board by the front door. She informed me that the administrator was running late due to her car not starting. I started my walk through of the facility by visiting each classroom and monitoring the indoor and outdoor environments. In space #1, children were playing on the floor, napping and getting diapers changed. Space #2 is not currently being used. In space #3, children were cleaning up to go outside. Ms. Jean was putting sunscreen on the children. In space #4, the children were outside already. On the playground, the children were playing with a variety of materials which included balls, cooking in the mud kitchen and the sand box. The two older children were taken outside to play. I was told the younger two children would be heading out soon but for sure this afternoon. After lunch the children washed hands for lunch and sat down to eat. Then laid down for rest time. The children at this facility bring food packed from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4, the activity plan was not current. GS 110-91(12); .0508(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The outdoor area, especially in the area for the younger children, the grass was in need of mowing, weeds were growing up along the sidewalk area, toys were left out, rained in and starting to mold. There is an access of toys behind the storage shed on the large playground and an access of “stuff” around the fence outside the fence. We want to deter snakes and vermin from coming around. There was no cover for the sandbox. 15A NCAC 18A .2832(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. The diaper changing table has storage underneath where diaper cream was kept. Diaper cream must be kept 5 feet up or locked. 15A NCAC 18A .2820(d) 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. Plastic was found underneath the changing table in the infant classroom and the classroom for two-year-old children. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One new staff has worked here for a month and isn’t in the system yet. We discussed this today. G.S. 110-90.2 & .2703(r) Item #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. *Plastic was found underneath the changing table in the infant classroom and the classroom for two-year-old children. Rule reference- 10A NCAC.0604(q) Item #841- Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. *The diaper changing table has storage underneath where diaper cream was kept. Diaper cream must be kept 5 feet up or locked. Rule reference- 15A NCAC 18A .2820(d) Item #808- The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards and/or maintained in a manner which does not create conditions that attract or harbor pests. *The outdoor area, especially in the area for the younger children, the grass was in need of mowing, weeds were growing up along the sidewalk area, toys were left out, rained in and starting to mold. There is an access of toys behind the storage shed on the large playground and an access of “stuff” around the fence outside the fence. We want to deter snakes and vermin from coming around. **There was no cover for the sandbox. The tarp was in poor repair, so it was discarded. Rule reference: 15A NCAC 18A.2820(d) Item #1805- The ABCMS system needs to have new staff added to it within 5 days. *One new staff has worked here for a month and isn’t in the system yet. We discussed this today. G.S. 110-90.2 & 10A NCAC .2703(r) Item #428- In space #4, the activity plan was not current. *It is a good idea to get into the habit of printing off the activity plan the week prior. However, the center was closed on Friday for a holiday observance. Rule reference- G.S. 110-91(12);.0508(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by July 21, 2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the star rated license application and when you plan you apply for that. Ms. Stout stated that she would be talking to her board chair to discuss this further and be in touch. • We discussed the cleaning up of the playgrounds and around them and she stated that they have a teacher workday coming up and parents volunteering as well. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 828.434.0236, or email [email protected], or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 7/7/2026 Number Present: 18 Completed Date: 7/7/2026 Age: From 0 To 4 Total Minutes: 465 Time In: 09:45 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Skylar Stout, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and available to be electronically emailed to you. Ms. Stout was not onsite when I arrived due to car issues, but she arrived later. Staff we all great about answering my questions. The indoor and outdoor areas were monitored today, including, but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one percentage (81%) as of 7/6/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Sugar Grove Developmental Day School, Inc., is current/active as of 7/6/26. Permit type – five-star license issues on 6/4/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/16/25. The last fire drill was practiced on 6/26/26. The last shelter-in-place drill was practiced on 6/26/26. The last playground inspection was documented on 6/3/26. The last fire inspection was approved on 10/23/25. The last sanitation inspection was conducted on 3/12/26 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 9/14/23 without hazards. This is a test that needs to be repeated every three years. This will make it due again on 9/14/26. Lead paint was completed 1/21/26 without hazards and asbestos testing was completed on 7/25/25 without hazards. When I arrived, I rang the bell and was let into the building and was greeted by Ms. Sidney. She was working on the bullion board by the front door. She informed me that the administrator was running late due to her car not starting. I started my walk through of the facility by visiting each classroom and monitoring the indoor and outdoor environments. In space #1, children were playing on the floor, napping and getting diapers changed. Space #2 is not currently being used. In space #3, children were cleaning up to go outside. Ms. Jean was putting sunscreen on the children. In space #4, the children were outside already. On the playground, the children were playing with a variety of materials which included balls, cooking in the mud kitchen and the sand box. The two older children were taken outside to play. I was told the younger two children would be heading out soon but for sure this afternoon. After lunch the children washed hands for lunch and sat down to eat. Then laid down for rest time. The children at this facility bring food packed from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4, the activity plan was not current. GS 110-91(12); .0508(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The outdoor area, especially in the area for the younger children, the grass was in need of mowing, weeds were growing up along the sidewalk area, toys were left out, rained in and starting to mold. There is an access of toys behind the storage shed on the large playground and an access of “stuff” around the fence outside the fence. We want to deter snakes and vermin from coming around. There was no cover for the sandbox. 15A NCAC 18A .2832(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. The diaper changing table has storage underneath where diaper cream was kept. Diaper cream must be kept 5 feet up or locked. 15A NCAC 18A .2820(d) 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. Plastic was found underneath the changing table in the infant classroom and the classroom for two-year-old children. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One new staff has worked here for a month and isn’t in the system yet. We discussed this today. G.S. 110-90.2 & .2703(r) Item #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. *Plastic was found underneath the changing table in the infant classroom and the classroom for two-year-old children. Rule reference- 10A NCAC.0604(q) Item #841- Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. *The diaper changing table has storage underneath where diaper cream was kept. Diaper cream must be kept 5 feet up or locked. Rule reference- 15A NCAC 18A .2820(d) Item #808- The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards and/or maintained in a manner which does not create conditions that attract or harbor pests. *The outdoor area, especially in the area for the younger children, the grass was in need of mowing, weeds were growing up along the sidewalk area, toys were left out, rained in and starting to mold. There is an access of toys behind the storage shed on the large playground and an access of “stuff” around the fence outside the fence. We want to deter snakes and vermin from coming around. **There was no cover for the sandbox. The tarp was in poor repair, so it was discarded. Rule reference: 15A NCAC 18A.2820(d) Item #1805- The ABCMS system needs to have new staff added to it within 5 days. *One new staff has worked here for a month and isn’t in the system yet. We discussed this today. G.S. 110-90.2 & 10A NCAC .2703(r) Item #428- In space #4, the activity plan was not current. *It is a good idea to get into the habit of printing off the activity plan the week prior. However, the center was closed on Friday for a holiday observance. Rule reference- G.S. 110-91(12);.0508(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by July 21, 2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the star rated license application and when you plan you apply for that. Ms. Stout stated that she would be talking to her board chair to discuss this further and be in touch. • We discussed the cleaning up of the playgrounds and around them and she stated that they have a teacher workday coming up and parents volunteering as well. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 828.434.0236, or email [email protected], or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 7/7/2026 Number Present: 18 Completed Date: 7/7/2026 Age: From 0 To 4 Total Minutes: 465 Time In: 09:45 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Skylar Stout, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and available to be electronically emailed to you. Ms. Stout was not onsite when I arrived due to car issues, but she arrived later. Staff we all great about answering my questions. The indoor and outdoor areas were monitored today, including, but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one percentage (81%) as of 7/6/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Sugar Grove Developmental Day School, Inc., is current/active as of 7/6/26. Permit type – five-star license issues on 6/4/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/16/25. The last fire drill was practiced on 6/26/26. The last shelter-in-place drill was practiced on 6/26/26. The last playground inspection was documented on 6/3/26. The last fire inspection was approved on 10/23/25. The last sanitation inspection was conducted on 3/12/26 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 9/14/23 without hazards. This is a test that needs to be repeated every three years. This will make it due again on 9/14/26. Lead paint was completed 1/21/26 without hazards and asbestos testing was completed on 7/25/25 without hazards. When I arrived, I rang the bell and was let into the building and was greeted by Ms. Sidney. She was working on the bullion board by the front door. She informed me that the administrator was running late due to her car not starting. I started my walk through of the facility by visiting each classroom and monitoring the indoor and outdoor environments. In space #1, children were playing on the floor, napping and getting diapers changed. Space #2 is not currently being used. In space #3, children were cleaning up to go outside. Ms. Jean was putting sunscreen on the children. In space #4, the children were outside already. On the playground, the children were playing with a variety of materials which included balls, cooking in the mud kitchen and the sand box. The two older children were taken outside to play. I was told the younger two children would be heading out soon but for sure this afternoon. After lunch the children washed hands for lunch and sat down to eat. Then laid down for rest time. The children at this facility bring food packed from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4, the activity plan was not current. GS 110-91(12); .0508(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The outdoor area, especially in the area for the younger children, the grass was in need of mowing, weeds were growing up along the sidewalk area, toys were left out, rained in and starting to mold. There is an access of toys behind the storage shed on the large playground and an access of “stuff” around the fence outside the fence. We want to deter snakes and vermin from coming around. There was no cover for the sandbox. 15A NCAC 18A .2832(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. The diaper changing table has storage underneath where diaper cream was kept. Diaper cream must be kept 5 feet up or locked. 15A NCAC 18A .2820(d) 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. Plastic was found underneath the changing table in the infant classroom and the classroom for two-year-old children. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One new staff has worked here for a month and isn’t in the system yet. We discussed this today. G.S. 110-90.2 & .2703(r) Item #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. *Plastic was found underneath the changing table in the infant classroom and the classroom for two-year-old children. Rule reference- 10A NCAC.0604(q) Item #841- Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. *The diaper changing table has storage underneath where diaper cream was kept. Diaper cream must be kept 5 feet up or locked. Rule reference- 15A NCAC 18A .2820(d) Item #808- The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards and/or maintained in a manner which does not create conditions that attract or harbor pests. *The outdoor area, especially in the area for the younger children, the grass was in need of mowing, weeds were growing up along the sidewalk area, toys were left out, rained in and starting to mold. There is an access of toys behind the storage shed on the large playground and an access of “stuff” around the fence outside the fence. We want to deter snakes and vermin from coming around. **There was no cover for the sandbox. The tarp was in poor repair, so it was discarded. Rule reference: 15A NCAC 18A.2820(d) Item #1805- The ABCMS system needs to have new staff added to it within 5 days. *One new staff has worked here for a month and isn’t in the system yet. We discussed this today. G.S. 110-90.2 & 10A NCAC .2703(r) Item #428- In space #4, the activity plan was not current. *It is a good idea to get into the habit of printing off the activity plan the week prior. However, the center was closed on Friday for a holiday observance. Rule reference- G.S. 110-91(12);.0508(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by July 21, 2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the star rated license application and when you plan you apply for that. Ms. Stout stated that she would be talking to her board chair to discuss this further and be in touch. • We discussed the cleaning up of the playgrounds and around them and she stated that they have a teacher workday coming up and parents volunteering as well. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 828.434.0236, or email [email protected], or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 7/7/2026 Number Present: 18 Completed Date: 7/7/2026 Age: From 0 To 4 Total Minutes: 465 Time In: 09:45 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Skylar Stout, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and available to be electronically emailed to you. Ms. Stout was not onsite when I arrived due to car issues, but she arrived later. Staff we all great about answering my questions. The indoor and outdoor areas were monitored today, including, but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one percentage (81%) as of 7/6/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Sugar Grove Developmental Day School, Inc., is current/active as of 7/6/26. Permit type – five-star license issues on 6/4/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/16/25. The last fire drill was practiced on 6/26/26. The last shelter-in-place drill was practiced on 6/26/26. The last playground inspection was documented on 6/3/26. The last fire inspection was approved on 10/23/25. The last sanitation inspection was conducted on 3/12/26 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 9/14/23 without hazards. This is a test that needs to be repeated every three years. This will make it due again on 9/14/26. Lead paint was completed 1/21/26 without hazards and asbestos testing was completed on 7/25/25 without hazards. When I arrived, I rang the bell and was let into the building and was greeted by Ms. Sidney. She was working on the bullion board by the front door. She informed me that the administrator was running late due to her car not starting. I started my walk through of the facility by visiting each classroom and monitoring the indoor and outdoor environments. In space #1, children were playing on the floor, napping and getting diapers changed. Space #2 is not currently being used. In space #3, children were cleaning up to go outside. Ms. Jean was putting sunscreen on the children. In space #4, the children were outside already. On the playground, the children were playing with a variety of materials which included balls, cooking in the mud kitchen and the sand box. The two older children were taken outside to play. I was told the younger two children would be heading out soon but for sure this afternoon. After lunch the children washed hands for lunch and sat down to eat. Then laid down for rest time. The children at this facility bring food packed from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4, the activity plan was not current. GS 110-91(12); .0508(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The outdoor area, especially in the area for the younger children, the grass was in need of mowing, weeds were growing up along the sidewalk area, toys were left out, rained in and starting to mold. There is an access of toys behind the storage shed on the large playground and an access of “stuff” around the fence outside the fence. We want to deter snakes and vermin from coming around. There was no cover for the sandbox. 15A NCAC 18A .2832(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. The diaper changing table has storage underneath where diaper cream was kept. Diaper cream must be kept 5 feet up or locked. 15A NCAC 18A .2820(d) 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. Plastic was found underneath the changing table in the infant classroom and the classroom for two-year-old children. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One new staff has worked here for a month and isn’t in the system yet. We discussed this today. G.S. 110-90.2 & .2703(r) Item #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. *Plastic was found underneath the changing table in the infant classroom and the classroom for two-year-old children. Rule reference- 10A NCAC.0604(q) Item #841- Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. *The diaper changing table has storage underneath where diaper cream was kept. Diaper cream must be kept 5 feet up or locked. Rule reference- 15A NCAC 18A .2820(d) Item #808- The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards and/or maintained in a manner which does not create conditions that attract or harbor pests. *The outdoor area, especially in the area for the younger children, the grass was in need of mowing, weeds were growing up along the sidewalk area, toys were left out, rained in and starting to mold. There is an access of toys behind the storage shed on the large playground and an access of “stuff” around the fence outside the fence. We want to deter snakes and vermin from coming around. **There was no cover for the sandbox. The tarp was in poor repair, so it was discarded. Rule reference: 15A NCAC 18A.2820(d) Item #1805- The ABCMS system needs to have new staff added to it within 5 days. *One new staff has worked here for a month and isn’t in the system yet. We discussed this today. G.S. 110-90.2 & 10A NCAC .2703(r) Item #428- In space #4, the activity plan was not current. *It is a good idea to get into the habit of printing off the activity plan the week prior. However, the center was closed on Friday for a holiday observance. Rule reference- G.S. 110-91(12);.0508(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by July 21, 2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the star rated license application and when you plan you apply for that. Ms. Stout stated that she would be talking to her board chair to discuss this further and be in touch. • We discussed the cleaning up of the playgrounds and around them and she stated that they have a teacher workday coming up and parents volunteering as well. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 828.434.0236, or email [email protected], or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 7/7/2026 Number Present: 18 Completed Date: 7/7/2026 Age: From 0 To 4 Total Minutes: 465 Time In: 09:45 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Skylar Stout, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and available to be electronically emailed to you. Ms. Stout was not onsite when I arrived due to car issues, but she arrived later. Staff we all great about answering my questions. The indoor and outdoor areas were monitored today, including, but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one percentage (81%) as of 7/6/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Sugar Grove Developmental Day School, Inc., is current/active as of 7/6/26. Permit type – five-star license issues on 6/4/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/16/25. The last fire drill was practiced on 6/26/26. The last shelter-in-place drill was practiced on 6/26/26. The last playground inspection was documented on 6/3/26. The last fire inspection was approved on 10/23/25. The last sanitation inspection was conducted on 3/12/26 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 9/14/23 without hazards. This is a test that needs to be repeated every three years. This will make it due again on 9/14/26. Lead paint was completed 1/21/26 without hazards and asbestos testing was completed on 7/25/25 without hazards. When I arrived, I rang the bell and was let into the building and was greeted by Ms. Sidney. She was working on the bullion board by the front door. She informed me that the administrator was running late due to her car not starting. I started my walk through of the facility by visiting each classroom and monitoring the indoor and outdoor environments. In space #1, children were playing on the floor, napping and getting diapers changed. Space #2 is not currently being used. In space #3, children were cleaning up to go outside. Ms. Jean was putting sunscreen on the children. In space #4, the children were outside already. On the playground, the children were playing with a variety of materials which included balls, cooking in the mud kitchen and the sand box. The two older children were taken outside to play. I was told the younger two children would be heading out soon but for sure this afternoon. After lunch the children washed hands for lunch and sat down to eat. Then laid down for rest time. The children at this facility bring food packed from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4, the activity plan was not current. GS 110-91(12); .0508(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The outdoor area, especially in the area for the younger children, the grass was in need of mowing, weeds were growing up along the sidewalk area, toys were left out, rained in and starting to mold. There is an access of toys behind the storage shed on the large playground and an access of “stuff” around the fence outside the fence. We want to deter snakes and vermin from coming around. There was no cover for the sandbox. 15A NCAC 18A .2832(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. The diaper changing table has storage underneath where diaper cream was kept. Diaper cream must be kept 5 feet up or locked. 15A NCAC 18A .2820(d) 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. Plastic was found underneath the changing table in the infant classroom and the classroom for two-year-old children. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One new staff has worked here for a month and isn’t in the system yet. We discussed this today. G.S. 110-90.2 & .2703(r) Item #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. *Plastic was found underneath the changing table in the infant classroom and the classroom for two-year-old children. Rule reference- 10A NCAC.0604(q) Item #841- Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. *The diaper changing table has storage underneath where diaper cream was kept. Diaper cream must be kept 5 feet up or locked. Rule reference- 15A NCAC 18A .2820(d) Item #808- The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards and/or maintained in a manner which does not create conditions that attract or harbor pests. *The outdoor area, especially in the area for the younger children, the grass was in need of mowing, weeds were growing up along the sidewalk area, toys were left out, rained in and starting to mold. There is an access of toys behind the storage shed on the large playground and an access of “stuff” around the fence outside the fence. We want to deter snakes and vermin from coming around. **There was no cover for the sandbox. The tarp was in poor repair, so it was discarded. Rule reference: 15A NCAC 18A.2820(d) Item #1805- The ABCMS system needs to have new staff added to it within 5 days. *One new staff has worked here for a month and isn’t in the system yet. We discussed this today. G.S. 110-90.2 & 10A NCAC .2703(r) Item #428- In space #4, the activity plan was not current. *It is a good idea to get into the habit of printing off the activity plan the week prior. However, the center was closed on Friday for a holiday observance. Rule reference- G.S. 110-91(12);.0508(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by July 21, 2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the star rated license application and when you plan you apply for that. Ms. Stout stated that she would be talking to her board chair to discuss this further and be in touch. • We discussed the cleaning up of the playgrounds and around them and she stated that they have a teacher workday coming up and parents volunteering as well. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 828.434.0236, or email [email protected], or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 7/7/2026 Number Present: 18 Completed Date: 7/7/2026 Age: From 0 To 4 Total Minutes: 465 Time In: 09:45 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Skylar Stout, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and available to be electronically emailed to you. Ms. Stout was not onsite when I arrived due to car issues, but she arrived later. Staff we all great about answering my questions. The indoor and outdoor areas were monitored today, including, but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one percentage (81%) as of 7/6/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Sugar Grove Developmental Day School, Inc., is current/active as of 7/6/26. Permit type – five-star license issues on 6/4/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/16/25. The last fire drill was practiced on 6/26/26. The last shelter-in-place drill was practiced on 6/26/26. The last playground inspection was documented on 6/3/26. The last fire inspection was approved on 10/23/25. The last sanitation inspection was conducted on 3/12/26 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 9/14/23 without hazards. This is a test that needs to be repeated every three years. This will make it due again on 9/14/26. Lead paint was completed 1/21/26 without hazards and asbestos testing was completed on 7/25/25 without hazards. When I arrived, I rang the bell and was let into the building and was greeted by Ms. Sidney. She was working on the bullion board by the front door. She informed me that the administrator was running late due to her car not starting. I started my walk through of the facility by visiting each classroom and monitoring the indoor and outdoor environments. In space #1, children were playing on the floor, napping and getting diapers changed. Space #2 is not currently being used. In space #3, children were cleaning up to go outside. Ms. Jean was putting sunscreen on the children. In space #4, the children were outside already. On the playground, the children were playing with a variety of materials which included balls, cooking in the mud kitchen and the sand box. The two older children were taken outside to play. I was told the younger two children would be heading out soon but for sure this afternoon. After lunch the children washed hands for lunch and sat down to eat. Then laid down for rest time. The children at this facility bring food packed from home. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4, the activity plan was not current. GS 110-91(12); .0508(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The outdoor area, especially in the area for the younger children, the grass was in need of mowing, weeds were growing up along the sidewalk area, toys were left out, rained in and starting to mold. There is an access of toys behind the storage shed on the large playground and an access of “stuff” around the fence outside the fence. We want to deter snakes and vermin from coming around. There was no cover for the sandbox. 15A NCAC 18A .2832(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. The diaper changing table has storage underneath where diaper cream was kept. Diaper cream must be kept 5 feet up or locked. 15A NCAC 18A .2820(d) 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. Plastic was found underneath the changing table in the infant classroom and the classroom for two-year-old children. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One new staff has worked here for a month and isn’t in the system yet. We discussed this today. G.S. 110-90.2 & .2703(r) Item #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. *Plastic was found underneath the changing table in the infant classroom and the classroom for two-year-old children. Rule reference- 10A NCAC.0604(q) Item #841- Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. *The diaper changing table has storage underneath where diaper cream was kept. Diaper cream must be kept 5 feet up or locked. Rule reference- 15A NCAC 18A .2820(d) Item #808- The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards and/or maintained in a manner which does not create conditions that attract or harbor pests. *The outdoor area, especially in the area for the younger children, the grass was in need of mowing, weeds were growing up along the sidewalk area, toys were left out, rained in and starting to mold. There is an access of toys behind the storage shed on the large playground and an access of “stuff” around the fence outside the fence. We want to deter snakes and vermin from coming around. **There was no cover for the sandbox. The tarp was in poor repair, so it was discarded. Rule reference: 15A NCAC 18A.2820(d) Item #1805- The ABCMS system needs to have new staff added to it within 5 days. *One new staff has worked here for a month and isn’t in the system yet. We discussed this today. G.S. 110-90.2 & 10A NCAC .2703(r) Item #428- In space #4, the activity plan was not current. *It is a good idea to get into the habit of printing off the activity plan the week prior. However, the center was closed on Friday for a holiday observance. Rule reference- G.S. 110-91(12);.0508(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by July 21, 2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the star rated license application and when you plan you apply for that. Ms. Stout stated that she would be talking to her board chair to discuss this further and be in touch. • We discussed the cleaning up of the playgrounds and around them and she stated that they have a teacher workday coming up and parents volunteering as well. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 828.434.0236, or email [email protected], or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: 0526-199L Visit Date: 5/19/2026 Number Present: 20 Completed Date: 5/19/2026 Age: From 0 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information related to a self-report received by the Division. During today’s visit, administrator, Skylar Stout, was not on site. I conducted a walk-through of the facility unaccompanied. During the visit, I discussed the information with Gabby Engsrtand, who was left in charge in the absence of the administrator this week. I spoke to each and every staff member here today about the incident. I reviewed the visit summary with the person in charge today, however there was not a legal designee on site to sign the visit summary. I will leave a printed copy on-site today and email a copy to the administrator for her to sign upon her return. Limited monitoring of child care requirements was conducted today to include supervision of children. There is a concern of inadequate supervision. Based on information obtained, the following was determined. Child was left alone for approximately five (5) minutes unattended in the locked office on 5/12/26 from 8:36 am to 8:41 am. This child and another child had reportedly been running up and down the hall during the hour of the morning. According to the self-report and staff interviews, a child ran inside the office and closed the door which automatically locked. Five (5) staff members were interviewed today. A breakdown of what occurred the morning of the incident is as follows: • The center opens at 7:30 am. • There were two (2) staff and five (5) children ages 2 to 5 years of age. • The third teacher arrived at 7:45 with eight (8) children ages 3 months to 5 years of age. • At 8am there were thirteen (13) children ages 3 months to five years of age still with only three (3) teachers. • At 8:20 two (2) staff arrived. One stated that she went to the bathroom after putting her things away and the other teacher stated that she went to the infant classroom to set it up for the day. • The sixth teacher came in at 8:30 when their were fourteen (14) children ages 3 months to 5 years of age. • At 8:30 teachers take their children to their classrooms and prepare to eat breakfast. • When Ms. J. took her children to her classroom, she informed the director that child (WC) was not in her classroom. The director looked in the hallway for him and in the preschool classroom where the children love to go, but he wasn’t there. She noticed the office door was closed and went to the office, but the door was locked. She retrieved the spare key and unlocked the door and found child (WC) in the office. She reviewed the camera footage and reported he was in the office for 5 minutes. Per the operator’s self-report and staff interviews the concern regarding supervision is confirmed. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Per self-report made on 5/13/2026, a three-year-old child was left alone for approximately 5 minutes unattended in the locked office on 5/12/2026. .1801(a)(1-5) 1844 The staff/child ratio for the youngest child was not maintained when children of all ages were cared for together in groups for the first and last operating hour of the day. Based on the sign-in sheets for children and staff and staff interviews, the center was out of ratio between 8 am and 8:30 the morning of 5/12/26. Staff interviews also verified that the center is out of ratio three (3) out of five (5) days a week. .0713(a)(2) Technical assistance was provided as follows: Item #303 Per self-report made on 5/13/2026, a three-year-old child was left alone for approximately 5 minutes unattended in the locked office on 5/12/2026. We discussed the importance of maintaining adequate supervision, especially during transition times. Staff must communicate clearly complete head counts multiple times, based on the sign-in sheets. Supervision zones should remain flexible and shift as needed inside and outside to always maintain full visibility of all children. Rule Reference: 10A NCAC 09 .1801(a)(1-5) Item #1844 Based on the sign-in sheets for children and staff and staff interviews, the center was out of ratio between 8 am and 8:30 the morning of the incident. Staff interviews also verified that the center is out of ratio three (3) out of five (5) days a week. I know the center is currently hiring and is having a hard time finding staff. It is my strong suggestion that children be split up sooner with the infants and one year old children going to their own room. There wasn’t a staff member that came in at 8am on this day, which could have helped as well. Fourteen (14) children are too many to have in the hallway playing. It would be much less chaotic to meet in a classroom where there are more things for children to do and less running space. Rule Reference: 10A NCAC 09 .0713 (a) (1-2) The facility received a violation regarding supervision and ratio today. A follow-up visit may be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by June 2, 2026. Email the compliance letter on signed letterhead to [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected] , if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed having staff complete Active Supervision Counts for Home-Based and Center-Based Facilities through Southwestern Child Commission. • We discussed reviewing and updating your supervision procedures for staff to follow that address how to actively supervise all children throughout the day as needed to ensure the staff are following the current procedures. • We discussed not using the hallway for the morning meeting time, but instead use a classroom that will accommodate the ages that you will have during that time. For example, don’t meet in the infant room where children ages 2-5 will not have developmentally appropriate activities/toys and will most likely break things. • We discussed splitting the group earlier than 8:30 by taking the youngest children 1 year and younger to their own classroom when you see that you will be over ratio. • There are several children in the “Tweeny” room that I have concerns about. Not only were they bushing and hitting each other, but during rest time they were climbing on tables, running around the room and screaming. I can tell the teachers are getting burned out. I have reached out to Natasha Peterson from the Healthy Social Behavior Program. I feel like the administrator could also reach out to the CDSA to see of there can be some Early Intervention started with some of these children. • There is also a child in the infant room that is 1 year 8 months that isn’t talking and I feel like a referral to CDSA should be made as well. Talk to parents to see how they feel. Talk to the Children’s Council to get guidance on how to make a referral. • I have also contacted Alicia Shell, Birth to Three Specialist, to see if she can assist in any way. I think the more help you can get, the better off you will be. During today’s visit adequate supervision was monitored in all spaces. You stated in the self-report that the following corrective measures have been implemented. • The office door will remain closed or unlocked during the hours from 7:30 a.m. to 8:30 am. ***Staff confirmed that this is occurring every day now. • Children will no longer remain in the hallway area during the 7:30 a.m. to 8:30 a.m. transition period, if staffing allows while maintaining proper ratios. ***Staff reported that they are still doing this. • Staff members will receive additional reminders regarding active supervision during transitions and monitoring children who are known to run from designated areas. ***Staff confirmed this to be true. • Transition procedures and supervision practices will be reviewed with all staff to ensure children are accounted for at all times. ***Staff confirmed this to be true. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236 or Bonnie Mathis, Licensing Supervisor, at [email protected] 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 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: 0526-199L Visit Date: 5/19/2026 Number Present: 20 Completed Date: 5/19/2026 Age: From 0 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information related to a self-report received by the Division. During today’s visit, administrator, Skylar Stout, was not on site. I conducted a walk-through of the facility unaccompanied. During the visit, I discussed the information with Gabby Engsrtand, who was left in charge in the absence of the administrator this week. I spoke to each and every staff member here today about the incident. I reviewed the visit summary with the person in charge today, however there was not a legal designee on site to sign the visit summary. I will leave a printed copy on-site today and email a copy to the administrator for her to sign upon her return. Limited monitoring of child care requirements was conducted today to include supervision of children. There is a concern of inadequate supervision. Based on information obtained, the following was determined. Child was left alone for approximately five (5) minutes unattended in the locked office on 5/12/26 from 8:36 am to 8:41 am. This child and another child had reportedly been running up and down the hall during the hour of the morning. According to the self-report and staff interviews, a child ran inside the office and closed the door which automatically locked. Five (5) staff members were interviewed today. A breakdown of what occurred the morning of the incident is as follows: • The center opens at 7:30 am. • There were two (2) staff and five (5) children ages 2 to 5 years of age. • The third teacher arrived at 7:45 with eight (8) children ages 3 months to 5 years of age. • At 8am there were thirteen (13) children ages 3 months to five years of age still with only three (3) teachers. • At 8:20 two (2) staff arrived. One stated that she went to the bathroom after putting her things away and the other teacher stated that she went to the infant classroom to set it up for the day. • The sixth teacher came in at 8:30 when their were fourteen (14) children ages 3 months to 5 years of age. • At 8:30 teachers take their children to their classrooms and prepare to eat breakfast. • When Ms. J. took her children to her classroom, she informed the director that child (WC) was not in her classroom. The director looked in the hallway for him and in the preschool classroom where the children love to go, but he wasn’t there. She noticed the office door was closed and went to the office, but the door was locked. She retrieved the spare key and unlocked the door and found child (WC) in the office. She reviewed the camera footage and reported he was in the office for 5 minutes. Per the operator’s self-report and staff interviews the concern regarding supervision is confirmed. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Per self-report made on 5/13/2026, a three-year-old child was left alone for approximately 5 minutes unattended in the locked office on 5/12/2026. .1801(a)(1-5) 1844 The staff/child ratio for the youngest child was not maintained when children of all ages were cared for together in groups for the first and last operating hour of the day. Based on the sign-in sheets for children and staff and staff interviews, the center was out of ratio between 8 am and 8:30 the morning of 5/12/26. Staff interviews also verified that the center is out of ratio three (3) out of five (5) days a week. .0713(a)(2) Technical assistance was provided as follows: Item #303 Per self-report made on 5/13/2026, a three-year-old child was left alone for approximately 5 minutes unattended in the locked office on 5/12/2026. We discussed the importance of maintaining adequate supervision, especially during transition times. Staff must communicate clearly complete head counts multiple times, based on the sign-in sheets. Supervision zones should remain flexible and shift as needed inside and outside to always maintain full visibility of all children. Rule Reference: 10A NCAC 09 .1801(a)(1-5) Item #1844 Based on the sign-in sheets for children and staff and staff interviews, the center was out of ratio between 8 am and 8:30 the morning of the incident. Staff interviews also verified that the center is out of ratio three (3) out of five (5) days a week. I know the center is currently hiring and is having a hard time finding staff. It is my strong suggestion that children be split up sooner with the infants and one year old children going to their own room. There wasn’t a staff member that came in at 8am on this day, which could have helped as well. Fourteen (14) children are too many to have in the hallway playing. It would be much less chaotic to meet in a classroom where there are more things for children to do and less running space. Rule Reference: 10A NCAC 09 .0713 (a) (1-2) The facility received a violation regarding supervision and ratio today. A follow-up visit may be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by June 2, 2026. Email the compliance letter on signed letterhead to [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected] , if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed having staff complete Active Supervision Counts for Home-Based and Center-Based Facilities through Southwestern Child Commission. • We discussed reviewing and updating your supervision procedures for staff to follow that address how to actively supervise all children throughout the day as needed to ensure the staff are following the current procedures. • We discussed not using the hallway for the morning meeting time, but instead use a classroom that will accommodate the ages that you will have during that time. For example, don’t meet in the infant room where children ages 2-5 will not have developmentally appropriate activities/toys and will most likely break things. • We discussed splitting the group earlier than 8:30 by taking the youngest children 1 year and younger to their own classroom when you see that you will be over ratio. • There are several children in the “Tweeny” room that I have concerns about. Not only were they bushing and hitting each other, but during rest time they were climbing on tables, running around the room and screaming. I can tell the teachers are getting burned out. I have reached out to Natasha Peterson from the Healthy Social Behavior Program. I feel like the administrator could also reach out to the CDSA to see of there can be some Early Intervention started with some of these children. • There is also a child in the infant room that is 1 year 8 months that isn’t talking and I feel like a referral to CDSA should be made as well. Talk to parents to see how they feel. Talk to the Children’s Council to get guidance on how to make a referral. • I have also contacted Alicia Shell, Birth to Three Specialist, to see if she can assist in any way. I think the more help you can get, the better off you will be. During today’s visit adequate supervision was monitored in all spaces. You stated in the self-report that the following corrective measures have been implemented. • The office door will remain closed or unlocked during the hours from 7:30 a.m. to 8:30 am. ***Staff confirmed that this is occurring every day now. • Children will no longer remain in the hallway area during the 7:30 a.m. to 8:30 a.m. transition period, if staffing allows while maintaining proper ratios. ***Staff reported that they are still doing this. • Staff members will receive additional reminders regarding active supervision during transitions and monitoring children who are known to run from designated areas. ***Staff confirmed this to be true. • Transition procedures and supervision practices will be reviewed with all staff to ensure children are accounted for at all times. ***Staff confirmed this to be true. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236 or Bonnie Mathis, Licensing Supervisor, at [email protected] 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 .1801 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 26 Completed Date: 7/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Miranda Vaughn, an administrator, was available to answer my questions throughout today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 7/16/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Sugar Grove Developmental Day School, Inc., is current/active as of 7/16/25. Permit type – Five-star license, issued on 6/4/20. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/1/24. The last fire drill was practiced on 6/27/25. The last lock down drill was practiced on 6/27/25. The last playground inspection was documented on 5/22/25. The last fire inspection was approved on 11/7/24. The last sanitation inspection was conducted on 2/4/25 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum, Teaching Strategies Gold. Lead water testing was completed on 9/14/23, without hazards. Lead paint and asbestos testing was completed on 1/21/25. Upon my arrival, I was buzzed in by the administrator. I went to the office where I explained the reason for today’s visit. She explained that she was still updating the staff and training worksheet, so she stayed in the office to work on that while I conducted my walkthrough of the facility. Two children in space #1 were having floor play while one of the children took a morning nap. They were working on learning to crawl and to roll over. In space #2, the children were outside playing but came inside just as I arrived in their classroom, because it started raining. They all took their shoes off, washed their hands and sat down for a water break. In space #3, the children had also come in from being outside and were playing in centers. The teacher was sitting on the floor with them as they built towers and other structures. In space #4, children were sitting at the tables playing with playdough. They informed me that they were rolling out noodles. The teacher informed me that as a daily transition, she turned on a documentary about animals, plants or something else educational. The most that they watch is 15 minutes per day. By the time the playdough was cleaned up, lunch had arrived, so children washed their hands and sat down for lunch. After lunch, the children transitioned to rest time. Lunch today consisted of ham and cheese sandwiches, cucumber slices with ranch dressing, peaches and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. There was not a current activity plan posted in space #2, #3 or #4. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two children’s bottles were not labeled and dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One feeding plan was not signed by the parent or dated. .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2 had an expired diaper cream and space #4 had an expired sunscreen. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted in June 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff files that were monitored did not review the EMC plan annually. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff files that were monitored did not contain an annual staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) of the children’s files that I chose to monitor today did not have an immunization record. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The lock down drill was due in May but completed in June. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff files that were monitored did not an annual review of the EPR plan. .0607(f) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *Two children’s bottles were not labeled and dated. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *Space #2 had an expired diaper cream and space #4 had an expired sunscreen. Item #428 A current activity plan was not posted for each group of children for reference. *There was not a current activity plan posted in space #2, #3 or #4. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. *The lock down drill was due in May but completed in June. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. *One feeding plan was not signed by the parent or dated. #1321 Medical exam or health assessment was not on file before or within 30 days after admission. *Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. Item #1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. *One (1) of the children’s files that I chose to monitor today did not have an immunization record. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. *A playground inspection was not conducted in June 2025. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. *Staff files that were monitored did not review the EMC plan annually. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. * Staff files that were monitored did not contain an annual staff development plan. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. * Staff files that were monitored did not an annual review of the EPR plan. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by July 30, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Make sure staff know that even though an infant can and will roll over when laid down, they still must be placed on their back initially. • Make sure all children (not just infants) do not sleep with a blanket close to their face. Also make sure the classrooms are bright enough during rest time that children can be visually checked on. • Make sure that sun screen forms are renewed before they expire (12 months). • Make sure that children wash their hands before and after playing in sand, water and with playdough. • Make sure you have a room thermometer in the infant classroom. • There are several walls and areas in the foyer that needs to be repaired/repainted. • The large grey rug in the toddler classroom needs to be cleaned. It may be a good time to clean all the rugs. • In the toddler classroom, there is a felt board that is loose and has a loose nail. • The step stools need to be scrubbed. Especially the stools that are in the hallway. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 26 Completed Date: 7/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Miranda Vaughn, an administrator, was available to answer my questions throughout today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 7/16/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Sugar Grove Developmental Day School, Inc., is current/active as of 7/16/25. Permit type – Five-star license, issued on 6/4/20. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/1/24. The last fire drill was practiced on 6/27/25. The last lock down drill was practiced on 6/27/25. The last playground inspection was documented on 5/22/25. The last fire inspection was approved on 11/7/24. The last sanitation inspection was conducted on 2/4/25 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum, Teaching Strategies Gold. Lead water testing was completed on 9/14/23, without hazards. Lead paint and asbestos testing was completed on 1/21/25. Upon my arrival, I was buzzed in by the administrator. I went to the office where I explained the reason for today’s visit. She explained that she was still updating the staff and training worksheet, so she stayed in the office to work on that while I conducted my walkthrough of the facility. Two children in space #1 were having floor play while one of the children took a morning nap. They were working on learning to crawl and to roll over. In space #2, the children were outside playing but came inside just as I arrived in their classroom, because it started raining. They all took their shoes off, washed their hands and sat down for a water break. In space #3, the children had also come in from being outside and were playing in centers. The teacher was sitting on the floor with them as they built towers and other structures. In space #4, children were sitting at the tables playing with playdough. They informed me that they were rolling out noodles. The teacher informed me that as a daily transition, she turned on a documentary about animals, plants or something else educational. The most that they watch is 15 minutes per day. By the time the playdough was cleaned up, lunch had arrived, so children washed their hands and sat down for lunch. After lunch, the children transitioned to rest time. Lunch today consisted of ham and cheese sandwiches, cucumber slices with ranch dressing, peaches and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. There was not a current activity plan posted in space #2, #3 or #4. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two children’s bottles were not labeled and dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One feeding plan was not signed by the parent or dated. .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2 had an expired diaper cream and space #4 had an expired sunscreen. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted in June 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff files that were monitored did not review the EMC plan annually. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff files that were monitored did not contain an annual staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) of the children’s files that I chose to monitor today did not have an immunization record. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The lock down drill was due in May but completed in June. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff files that were monitored did not an annual review of the EPR plan. .0607(f) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *Two children’s bottles were not labeled and dated. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *Space #2 had an expired diaper cream and space #4 had an expired sunscreen. Item #428 A current activity plan was not posted for each group of children for reference. *There was not a current activity plan posted in space #2, #3 or #4. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. *The lock down drill was due in May but completed in June. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. *One feeding plan was not signed by the parent or dated. #1321 Medical exam or health assessment was not on file before or within 30 days after admission. *Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. Item #1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. *One (1) of the children’s files that I chose to monitor today did not have an immunization record. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. *A playground inspection was not conducted in June 2025. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. *Staff files that were monitored did not review the EMC plan annually. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. * Staff files that were monitored did not contain an annual staff development plan. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. * Staff files that were monitored did not an annual review of the EPR plan. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by July 30, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Make sure staff know that even though an infant can and will roll over when laid down, they still must be placed on their back initially. • Make sure all children (not just infants) do not sleep with a blanket close to their face. Also make sure the classrooms are bright enough during rest time that children can be visually checked on. • Make sure that sun screen forms are renewed before they expire (12 months). • Make sure that children wash their hands before and after playing in sand, water and with playdough. • Make sure you have a room thermometer in the infant classroom. • There are several walls and areas in the foyer that needs to be repaired/repainted. • The large grey rug in the toddler classroom needs to be cleaned. It may be a good time to clean all the rugs. • In the toddler classroom, there is a felt board that is loose and has a loose nail. • The step stools need to be scrubbed. Especially the stools that are in the hallway. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 26 Completed Date: 7/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Miranda Vaughn, an administrator, was available to answer my questions throughout today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 7/16/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Sugar Grove Developmental Day School, Inc., is current/active as of 7/16/25. Permit type – Five-star license, issued on 6/4/20. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/1/24. The last fire drill was practiced on 6/27/25. The last lock down drill was practiced on 6/27/25. The last playground inspection was documented on 5/22/25. The last fire inspection was approved on 11/7/24. The last sanitation inspection was conducted on 2/4/25 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum, Teaching Strategies Gold. Lead water testing was completed on 9/14/23, without hazards. Lead paint and asbestos testing was completed on 1/21/25. Upon my arrival, I was buzzed in by the administrator. I went to the office where I explained the reason for today’s visit. She explained that she was still updating the staff and training worksheet, so she stayed in the office to work on that while I conducted my walkthrough of the facility. Two children in space #1 were having floor play while one of the children took a morning nap. They were working on learning to crawl and to roll over. In space #2, the children were outside playing but came inside just as I arrived in their classroom, because it started raining. They all took their shoes off, washed their hands and sat down for a water break. In space #3, the children had also come in from being outside and were playing in centers. The teacher was sitting on the floor with them as they built towers and other structures. In space #4, children were sitting at the tables playing with playdough. They informed me that they were rolling out noodles. The teacher informed me that as a daily transition, she turned on a documentary about animals, plants or something else educational. The most that they watch is 15 minutes per day. By the time the playdough was cleaned up, lunch had arrived, so children washed their hands and sat down for lunch. After lunch, the children transitioned to rest time. Lunch today consisted of ham and cheese sandwiches, cucumber slices with ranch dressing, peaches and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. There was not a current activity plan posted in space #2, #3 or #4. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two children’s bottles were not labeled and dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One feeding plan was not signed by the parent or dated. .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2 had an expired diaper cream and space #4 had an expired sunscreen. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted in June 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff files that were monitored did not review the EMC plan annually. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff files that were monitored did not contain an annual staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) of the children’s files that I chose to monitor today did not have an immunization record. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The lock down drill was due in May but completed in June. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff files that were monitored did not an annual review of the EPR plan. .0607(f) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *Two children’s bottles were not labeled and dated. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *Space #2 had an expired diaper cream and space #4 had an expired sunscreen. Item #428 A current activity plan was not posted for each group of children for reference. *There was not a current activity plan posted in space #2, #3 or #4. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. *The lock down drill was due in May but completed in June. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. *One feeding plan was not signed by the parent or dated. #1321 Medical exam or health assessment was not on file before or within 30 days after admission. *Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. Item #1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. *One (1) of the children’s files that I chose to monitor today did not have an immunization record. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. *A playground inspection was not conducted in June 2025. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. *Staff files that were monitored did not review the EMC plan annually. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. * Staff files that were monitored did not contain an annual staff development plan. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. * Staff files that were monitored did not an annual review of the EPR plan. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by July 30, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Make sure staff know that even though an infant can and will roll over when laid down, they still must be placed on their back initially. • Make sure all children (not just infants) do not sleep with a blanket close to their face. Also make sure the classrooms are bright enough during rest time that children can be visually checked on. • Make sure that sun screen forms are renewed before they expire (12 months). • Make sure that children wash their hands before and after playing in sand, water and with playdough. • Make sure you have a room thermometer in the infant classroom. • There are several walls and areas in the foyer that needs to be repaired/repainted. • The large grey rug in the toddler classroom needs to be cleaned. It may be a good time to clean all the rugs. • In the toddler classroom, there is a felt board that is loose and has a loose nail. • The step stools need to be scrubbed. Especially the stools that are in the hallway. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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

GS110-91 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 26 Completed Date: 7/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Miranda Vaughn, an administrator, was available to answer my questions throughout today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 7/16/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Sugar Grove Developmental Day School, Inc., is current/active as of 7/16/25. Permit type – Five-star license, issued on 6/4/20. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/1/24. The last fire drill was practiced on 6/27/25. The last lock down drill was practiced on 6/27/25. The last playground inspection was documented on 5/22/25. The last fire inspection was approved on 11/7/24. The last sanitation inspection was conducted on 2/4/25 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum, Teaching Strategies Gold. Lead water testing was completed on 9/14/23, without hazards. Lead paint and asbestos testing was completed on 1/21/25. Upon my arrival, I was buzzed in by the administrator. I went to the office where I explained the reason for today’s visit. She explained that she was still updating the staff and training worksheet, so she stayed in the office to work on that while I conducted my walkthrough of the facility. Two children in space #1 were having floor play while one of the children took a morning nap. They were working on learning to crawl and to roll over. In space #2, the children were outside playing but came inside just as I arrived in their classroom, because it started raining. They all took their shoes off, washed their hands and sat down for a water break. In space #3, the children had also come in from being outside and were playing in centers. The teacher was sitting on the floor with them as they built towers and other structures. In space #4, children were sitting at the tables playing with playdough. They informed me that they were rolling out noodles. The teacher informed me that as a daily transition, she turned on a documentary about animals, plants or something else educational. The most that they watch is 15 minutes per day. By the time the playdough was cleaned up, lunch had arrived, so children washed their hands and sat down for lunch. After lunch, the children transitioned to rest time. Lunch today consisted of ham and cheese sandwiches, cucumber slices with ranch dressing, peaches and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. There was not a current activity plan posted in space #2, #3 or #4. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two children’s bottles were not labeled and dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One feeding plan was not signed by the parent or dated. .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2 had an expired diaper cream and space #4 had an expired sunscreen. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted in June 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff files that were monitored did not review the EMC plan annually. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff files that were monitored did not contain an annual staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) of the children’s files that I chose to monitor today did not have an immunization record. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The lock down drill was due in May but completed in June. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff files that were monitored did not an annual review of the EPR plan. .0607(f) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *Two children’s bottles were not labeled and dated. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *Space #2 had an expired diaper cream and space #4 had an expired sunscreen. Item #428 A current activity plan was not posted for each group of children for reference. *There was not a current activity plan posted in space #2, #3 or #4. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. *The lock down drill was due in May but completed in June. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. *One feeding plan was not signed by the parent or dated. #1321 Medical exam or health assessment was not on file before or within 30 days after admission. *Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. Item #1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. *One (1) of the children’s files that I chose to monitor today did not have an immunization record. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. *A playground inspection was not conducted in June 2025. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. *Staff files that were monitored did not review the EMC plan annually. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. * Staff files that were monitored did not contain an annual staff development plan. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. * Staff files that were monitored did not an annual review of the EPR plan. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by July 30, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Make sure staff know that even though an infant can and will roll over when laid down, they still must be placed on their back initially. • Make sure all children (not just infants) do not sleep with a blanket close to their face. Also make sure the classrooms are bright enough during rest time that children can be visually checked on. • Make sure that sun screen forms are renewed before they expire (12 months). • Make sure that children wash their hands before and after playing in sand, water and with playdough. • Make sure you have a room thermometer in the infant classroom. • There are several walls and areas in the foyer that needs to be repaired/repainted. • The large grey rug in the toddler classroom needs to be cleaned. It may be a good time to clean all the rugs. • In the toddler classroom, there is a felt board that is loose and has a loose nail. • The step stools need to be scrubbed. Especially the stools that are in the hallway. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 26 Completed Date: 7/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Miranda Vaughn, an administrator, was available to answer my questions throughout today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 7/16/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Sugar Grove Developmental Day School, Inc., is current/active as of 7/16/25. Permit type – Five-star license, issued on 6/4/20. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/1/24. The last fire drill was practiced on 6/27/25. The last lock down drill was practiced on 6/27/25. The last playground inspection was documented on 5/22/25. The last fire inspection was approved on 11/7/24. The last sanitation inspection was conducted on 2/4/25 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum, Teaching Strategies Gold. Lead water testing was completed on 9/14/23, without hazards. Lead paint and asbestos testing was completed on 1/21/25. Upon my arrival, I was buzzed in by the administrator. I went to the office where I explained the reason for today’s visit. She explained that she was still updating the staff and training worksheet, so she stayed in the office to work on that while I conducted my walkthrough of the facility. Two children in space #1 were having floor play while one of the children took a morning nap. They were working on learning to crawl and to roll over. In space #2, the children were outside playing but came inside just as I arrived in their classroom, because it started raining. They all took their shoes off, washed their hands and sat down for a water break. In space #3, the children had also come in from being outside and were playing in centers. The teacher was sitting on the floor with them as they built towers and other structures. In space #4, children were sitting at the tables playing with playdough. They informed me that they were rolling out noodles. The teacher informed me that as a daily transition, she turned on a documentary about animals, plants or something else educational. The most that they watch is 15 minutes per day. By the time the playdough was cleaned up, lunch had arrived, so children washed their hands and sat down for lunch. After lunch, the children transitioned to rest time. Lunch today consisted of ham and cheese sandwiches, cucumber slices with ranch dressing, peaches and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. There was not a current activity plan posted in space #2, #3 or #4. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two children’s bottles were not labeled and dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One feeding plan was not signed by the parent or dated. .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2 had an expired diaper cream and space #4 had an expired sunscreen. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted in June 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff files that were monitored did not review the EMC plan annually. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff files that were monitored did not contain an annual staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) of the children’s files that I chose to monitor today did not have an immunization record. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The lock down drill was due in May but completed in June. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff files that were monitored did not an annual review of the EPR plan. .0607(f) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *Two children’s bottles were not labeled and dated. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *Space #2 had an expired diaper cream and space #4 had an expired sunscreen. Item #428 A current activity plan was not posted for each group of children for reference. *There was not a current activity plan posted in space #2, #3 or #4. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. *The lock down drill was due in May but completed in June. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. *One feeding plan was not signed by the parent or dated. #1321 Medical exam or health assessment was not on file before or within 30 days after admission. *Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. Item #1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. *One (1) of the children’s files that I chose to monitor today did not have an immunization record. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. *A playground inspection was not conducted in June 2025. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. *Staff files that were monitored did not review the EMC plan annually. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. * Staff files that were monitored did not contain an annual staff development plan. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. * Staff files that were monitored did not an annual review of the EPR plan. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by July 30, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Make sure staff know that even though an infant can and will roll over when laid down, they still must be placed on their back initially. • Make sure all children (not just infants) do not sleep with a blanket close to their face. Also make sure the classrooms are bright enough during rest time that children can be visually checked on. • Make sure that sun screen forms are renewed before they expire (12 months). • Make sure that children wash their hands before and after playing in sand, water and with playdough. • Make sure you have a room thermometer in the infant classroom. • There are several walls and areas in the foyer that needs to be repaired/repainted. • The large grey rug in the toddler classroom needs to be cleaned. It may be a good time to clean all the rugs. • In the toddler classroom, there is a felt board that is loose and has a loose nail. • The step stools need to be scrubbed. Especially the stools that are in the hallway. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 .0514 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 26 Completed Date: 7/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Miranda Vaughn, an administrator, was available to answer my questions throughout today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 7/16/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Sugar Grove Developmental Day School, Inc., is current/active as of 7/16/25. Permit type – Five-star license, issued on 6/4/20. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/1/24. The last fire drill was practiced on 6/27/25. The last lock down drill was practiced on 6/27/25. The last playground inspection was documented on 5/22/25. The last fire inspection was approved on 11/7/24. The last sanitation inspection was conducted on 2/4/25 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum, Teaching Strategies Gold. Lead water testing was completed on 9/14/23, without hazards. Lead paint and asbestos testing was completed on 1/21/25. Upon my arrival, I was buzzed in by the administrator. I went to the office where I explained the reason for today’s visit. She explained that she was still updating the staff and training worksheet, so she stayed in the office to work on that while I conducted my walkthrough of the facility. Two children in space #1 were having floor play while one of the children took a morning nap. They were working on learning to crawl and to roll over. In space #2, the children were outside playing but came inside just as I arrived in their classroom, because it started raining. They all took their shoes off, washed their hands and sat down for a water break. In space #3, the children had also come in from being outside and were playing in centers. The teacher was sitting on the floor with them as they built towers and other structures. In space #4, children were sitting at the tables playing with playdough. They informed me that they were rolling out noodles. The teacher informed me that as a daily transition, she turned on a documentary about animals, plants or something else educational. The most that they watch is 15 minutes per day. By the time the playdough was cleaned up, lunch had arrived, so children washed their hands and sat down for lunch. After lunch, the children transitioned to rest time. Lunch today consisted of ham and cheese sandwiches, cucumber slices with ranch dressing, peaches and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. There was not a current activity plan posted in space #2, #3 or #4. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two children’s bottles were not labeled and dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One feeding plan was not signed by the parent or dated. .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2 had an expired diaper cream and space #4 had an expired sunscreen. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted in June 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff files that were monitored did not review the EMC plan annually. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff files that were monitored did not contain an annual staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) of the children’s files that I chose to monitor today did not have an immunization record. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The lock down drill was due in May but completed in June. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff files that were monitored did not an annual review of the EPR plan. .0607(f) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *Two children’s bottles were not labeled and dated. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *Space #2 had an expired diaper cream and space #4 had an expired sunscreen. Item #428 A current activity plan was not posted for each group of children for reference. *There was not a current activity plan posted in space #2, #3 or #4. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. *The lock down drill was due in May but completed in June. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. *One feeding plan was not signed by the parent or dated. #1321 Medical exam or health assessment was not on file before or within 30 days after admission. *Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. Item #1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. *One (1) of the children’s files that I chose to monitor today did not have an immunization record. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. *A playground inspection was not conducted in June 2025. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. *Staff files that were monitored did not review the EMC plan annually. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. * Staff files that were monitored did not contain an annual staff development plan. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. * Staff files that were monitored did not an annual review of the EPR plan. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by July 30, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Make sure staff know that even though an infant can and will roll over when laid down, they still must be placed on their back initially. • Make sure all children (not just infants) do not sleep with a blanket close to their face. Also make sure the classrooms are bright enough during rest time that children can be visually checked on. • Make sure that sun screen forms are renewed before they expire (12 months). • Make sure that children wash their hands before and after playing in sand, water and with playdough. • Make sure you have a room thermometer in the infant classroom. • There are several walls and areas in the foyer that needs to be repaired/repainted. • The large grey rug in the toddler classroom needs to be cleaned. It may be a good time to clean all the rugs. • In the toddler classroom, there is a felt board that is loose and has a loose nail. • The step stools need to be scrubbed. Especially the stools that are in the hallway. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 26 Completed Date: 7/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Miranda Vaughn, an administrator, was available to answer my questions throughout today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 7/16/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Sugar Grove Developmental Day School, Inc., is current/active as of 7/16/25. Permit type – Five-star license, issued on 6/4/20. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/1/24. The last fire drill was practiced on 6/27/25. The last lock down drill was practiced on 6/27/25. The last playground inspection was documented on 5/22/25. The last fire inspection was approved on 11/7/24. The last sanitation inspection was conducted on 2/4/25 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum, Teaching Strategies Gold. Lead water testing was completed on 9/14/23, without hazards. Lead paint and asbestos testing was completed on 1/21/25. Upon my arrival, I was buzzed in by the administrator. I went to the office where I explained the reason for today’s visit. She explained that she was still updating the staff and training worksheet, so she stayed in the office to work on that while I conducted my walkthrough of the facility. Two children in space #1 were having floor play while one of the children took a morning nap. They were working on learning to crawl and to roll over. In space #2, the children were outside playing but came inside just as I arrived in their classroom, because it started raining. They all took their shoes off, washed their hands and sat down for a water break. In space #3, the children had also come in from being outside and were playing in centers. The teacher was sitting on the floor with them as they built towers and other structures. In space #4, children were sitting at the tables playing with playdough. They informed me that they were rolling out noodles. The teacher informed me that as a daily transition, she turned on a documentary about animals, plants or something else educational. The most that they watch is 15 minutes per day. By the time the playdough was cleaned up, lunch had arrived, so children washed their hands and sat down for lunch. After lunch, the children transitioned to rest time. Lunch today consisted of ham and cheese sandwiches, cucumber slices with ranch dressing, peaches and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. There was not a current activity plan posted in space #2, #3 or #4. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two children’s bottles were not labeled and dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One feeding plan was not signed by the parent or dated. .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2 had an expired diaper cream and space #4 had an expired sunscreen. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted in June 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff files that were monitored did not review the EMC plan annually. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff files that were monitored did not contain an annual staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) of the children’s files that I chose to monitor today did not have an immunization record. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The lock down drill was due in May but completed in June. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff files that were monitored did not an annual review of the EPR plan. .0607(f) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *Two children’s bottles were not labeled and dated. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *Space #2 had an expired diaper cream and space #4 had an expired sunscreen. Item #428 A current activity plan was not posted for each group of children for reference. *There was not a current activity plan posted in space #2, #3 or #4. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. *The lock down drill was due in May but completed in June. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. *One feeding plan was not signed by the parent or dated. #1321 Medical exam or health assessment was not on file before or within 30 days after admission. *Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. Item #1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. *One (1) of the children’s files that I chose to monitor today did not have an immunization record. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. *A playground inspection was not conducted in June 2025. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. *Staff files that were monitored did not review the EMC plan annually. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. * Staff files that were monitored did not contain an annual staff development plan. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. * Staff files that were monitored did not an annual review of the EPR plan. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by July 30, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Make sure staff know that even though an infant can and will roll over when laid down, they still must be placed on their back initially. • Make sure all children (not just infants) do not sleep with a blanket close to their face. Also make sure the classrooms are bright enough during rest time that children can be visually checked on. • Make sure that sun screen forms are renewed before they expire (12 months). • Make sure that children wash their hands before and after playing in sand, water and with playdough. • Make sure you have a room thermometer in the infant classroom. • There are several walls and areas in the foyer that needs to be repaired/repainted. • The large grey rug in the toddler classroom needs to be cleaned. It may be a good time to clean all the rugs. • In the toddler classroom, there is a felt board that is loose and has a loose nail. • The step stools need to be scrubbed. Especially the stools that are in the hallway. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 26 Completed Date: 7/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Miranda Vaughn, an administrator, was available to answer my questions throughout today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 7/16/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Sugar Grove Developmental Day School, Inc., is current/active as of 7/16/25. Permit type – Five-star license, issued on 6/4/20. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/1/24. The last fire drill was practiced on 6/27/25. The last lock down drill was practiced on 6/27/25. The last playground inspection was documented on 5/22/25. The last fire inspection was approved on 11/7/24. The last sanitation inspection was conducted on 2/4/25 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum, Teaching Strategies Gold. Lead water testing was completed on 9/14/23, without hazards. Lead paint and asbestos testing was completed on 1/21/25. Upon my arrival, I was buzzed in by the administrator. I went to the office where I explained the reason for today’s visit. She explained that she was still updating the staff and training worksheet, so she stayed in the office to work on that while I conducted my walkthrough of the facility. Two children in space #1 were having floor play while one of the children took a morning nap. They were working on learning to crawl and to roll over. In space #2, the children were outside playing but came inside just as I arrived in their classroom, because it started raining. They all took their shoes off, washed their hands and sat down for a water break. In space #3, the children had also come in from being outside and were playing in centers. The teacher was sitting on the floor with them as they built towers and other structures. In space #4, children were sitting at the tables playing with playdough. They informed me that they were rolling out noodles. The teacher informed me that as a daily transition, she turned on a documentary about animals, plants or something else educational. The most that they watch is 15 minutes per day. By the time the playdough was cleaned up, lunch had arrived, so children washed their hands and sat down for lunch. After lunch, the children transitioned to rest time. Lunch today consisted of ham and cheese sandwiches, cucumber slices with ranch dressing, peaches and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. There was not a current activity plan posted in space #2, #3 or #4. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two children’s bottles were not labeled and dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One feeding plan was not signed by the parent or dated. .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2 had an expired diaper cream and space #4 had an expired sunscreen. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted in June 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff files that were monitored did not review the EMC plan annually. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff files that were monitored did not contain an annual staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) of the children’s files that I chose to monitor today did not have an immunization record. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The lock down drill was due in May but completed in June. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff files that were monitored did not an annual review of the EPR plan. .0607(f) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *Two children’s bottles were not labeled and dated. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *Space #2 had an expired diaper cream and space #4 had an expired sunscreen. Item #428 A current activity plan was not posted for each group of children for reference. *There was not a current activity plan posted in space #2, #3 or #4. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. *The lock down drill was due in May but completed in June. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. *One feeding plan was not signed by the parent or dated. #1321 Medical exam or health assessment was not on file before or within 30 days after admission. *Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. Item #1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. *One (1) of the children’s files that I chose to monitor today did not have an immunization record. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. *A playground inspection was not conducted in June 2025. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. *Staff files that were monitored did not review the EMC plan annually. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. * Staff files that were monitored did not contain an annual staff development plan. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. * Staff files that were monitored did not an annual review of the EPR plan. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by July 30, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Make sure staff know that even though an infant can and will roll over when laid down, they still must be placed on their back initially. • Make sure all children (not just infants) do not sleep with a blanket close to their face. Also make sure the classrooms are bright enough during rest time that children can be visually checked on. • Make sure that sun screen forms are renewed before they expire (12 months). • Make sure that children wash their hands before and after playing in sand, water and with playdough. • Make sure you have a room thermometer in the infant classroom. • There are several walls and areas in the foyer that needs to be repaired/repainted. • The large grey rug in the toddler classroom needs to be cleaned. It may be a good time to clean all the rugs. • In the toddler classroom, there is a felt board that is loose and has a loose nail. • The step stools need to be scrubbed. Especially the stools that are in the hallway. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 26 Completed Date: 7/16/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Miranda Vaughn, an administrator, was available to answer my questions throughout today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 7/16/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Sugar Grove Developmental Day School, Inc., is current/active as of 7/16/25. Permit type – Five-star license, issued on 6/4/20. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/1/24. The last fire drill was practiced on 6/27/25. The last lock down drill was practiced on 6/27/25. The last playground inspection was documented on 5/22/25. The last fire inspection was approved on 11/7/24. The last sanitation inspection was conducted on 2/4/25 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum, Teaching Strategies Gold. Lead water testing was completed on 9/14/23, without hazards. Lead paint and asbestos testing was completed on 1/21/25. Upon my arrival, I was buzzed in by the administrator. I went to the office where I explained the reason for today’s visit. She explained that she was still updating the staff and training worksheet, so she stayed in the office to work on that while I conducted my walkthrough of the facility. Two children in space #1 were having floor play while one of the children took a morning nap. They were working on learning to crawl and to roll over. In space #2, the children were outside playing but came inside just as I arrived in their classroom, because it started raining. They all took their shoes off, washed their hands and sat down for a water break. In space #3, the children had also come in from being outside and were playing in centers. The teacher was sitting on the floor with them as they built towers and other structures. In space #4, children were sitting at the tables playing with playdough. They informed me that they were rolling out noodles. The teacher informed me that as a daily transition, she turned on a documentary about animals, plants or something else educational. The most that they watch is 15 minutes per day. By the time the playdough was cleaned up, lunch had arrived, so children washed their hands and sat down for lunch. After lunch, the children transitioned to rest time. Lunch today consisted of ham and cheese sandwiches, cucumber slices with ranch dressing, peaches and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. There was not a current activity plan posted in space #2, #3 or #4. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two children’s bottles were not labeled and dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One feeding plan was not signed by the parent or dated. .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2 had an expired diaper cream and space #4 had an expired sunscreen. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted in June 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff files that were monitored did not review the EMC plan annually. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff files that were monitored did not contain an annual staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) of the children’s files that I chose to monitor today did not have an immunization record. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The lock down drill was due in May but completed in June. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff files that were monitored did not an annual review of the EPR plan. .0607(f) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *Two children’s bottles were not labeled and dated. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *Space #2 had an expired diaper cream and space #4 had an expired sunscreen. Item #428 A current activity plan was not posted for each group of children for reference. *There was not a current activity plan posted in space #2, #3 or #4. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. *The lock down drill was due in May but completed in June. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. *One feeding plan was not signed by the parent or dated. #1321 Medical exam or health assessment was not on file before or within 30 days after admission. *Two (2) of the children’s files that I chose to monitor today, did not have a medical examination. Item #1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. *One (1) of the children’s files that I chose to monitor today did not have an immunization record. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. *A playground inspection was not conducted in June 2025. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. *Staff files that were monitored did not review the EMC plan annually. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. * Staff files that were monitored did not contain an annual staff development plan. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. * Staff files that were monitored did not an annual review of the EPR plan. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by July 30, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Make sure staff know that even though an infant can and will roll over when laid down, they still must be placed on their back initially. • Make sure all children (not just infants) do not sleep with a blanket close to their face. Also make sure the classrooms are bright enough during rest time that children can be visually checked on. • Make sure that sun screen forms are renewed before they expire (12 months). • Make sure that children wash their hands before and after playing in sand, water and with playdough. • Make sure you have a room thermometer in the infant classroom. • There are several walls and areas in the foyer that needs to be repaired/repainted. • The large grey rug in the toddler classroom needs to be cleaned. It may be a good time to clean all the rugs. • In the toddler classroom, there is a felt board that is loose and has a loose nail. • The step stools need to be scrubbed. Especially the stools that are in the hallway. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/6/2025 Number Present: 20 Completed Date: 2/6/2025 Age: From 0 To 6 Total Minutes: 285 Time In: 10:45 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Vaughn and I explained the reason for my visit. A group of children were preparing to go outside to play. Since Tropical Storm Helene brought flood waters close to the door of the center but didn’t enter the building. Environmental Health is requiring that children and adults change or remove shoes at the door. This group of children were taking off their inside shoes and putting on their outside shoes. In space #1, there were three (3) infants sitting on the floor with their caregiver. She was feeding one a bottle while sitting with the group. A floater came in to give the teacher a break. She began feeding a child in a high chair. In space #2, there was two groups combined due to low attendance. Children were outside playing with riding toys, balls and other materials. They were riding on riding toys and playing with other materials. They went inside, washed hands and sat down for lunch. Space #3 was not in use today. In space #4, children were outside playing with riding toys, running, skipping and playing pretend games. When it began to rain the group went inside, washed hands and sat down for lunch. Lunch today consisted of cheesy beef-a-roni, peas, orange wedges and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83%) percentage as of 2/6/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, Sugar Grove Developmental Day School, Inc, is current/active as of 2/6/25. However, the registered agent resigned effective 5/6/24 and there is no registered agent listed. To update this go to https://www.sosnc.gov/online_services/search/by_title/search_Business_Registration There were four (4) new teachers at this facility today. These four (4) files were monitored today. There are thirty (30) children enrolled and twenty (20) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 8/1/24. During Tropical Storm Helene, this facility sustained damage to the HVAC and septic system. This facility was temporarily relocated to the High-Country United Church of Christ from 10/15/24 to 1/8/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 6/4/20. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 1/31/25. An emergency drill was conducted on 8/2/24. Due to Tropical Storm Helene, and the facility having a temporary emergency relocation, there are flexibilities in place to allow the program to get back on track now that they are back in their building. The last fire inspection was 11/7/24. The last sanitation inspection was completed on 2/4/25 with twelve (12) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #1, there was a laminator (unplugged) on a cabinet that was lower than five (5) feet. The bottle warmer was on top of the mini fridge on the cabinet but was not up five (5) feet. .0604(e) 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. Two staff that have been employed longer that 90 days has not completed pediatric first aid. .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. One teacher who has been employed longer than 90 days had not completed CPR certification. .1102(d) Technical assistance: • In space #1, there was a laminator (unplugged) on a cabinet that was lover than five (5) feet. The bottle warmer was on top of the mini fridge on the cabinet but was not up five (5) feet. Both of these items were corrected during the visit. • Two (2) teachers did not have an orientation form filled out in their file. The administrator stated that she knows she did orientation with both employees, but that was during the time when they were housed in the church as an emergency location and the form didn’t get filled out. Due to Tropical Storm Helene, and the facility having a temporary emergency relocation, there are flexibilities in place to allow the program to get back on track now that they are back in their building. Therefor a violation was not cited for this today. • One teacher had BLS CPR but not Pediatric First Aid. We discussed trying to see if she could get enrolled in the class this Saturday for the pediatric first aid portion. • One teacher that has been employed longer than 90 days does not have CPR or pediatric first aid. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by February 20, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Please be reminded that when the ground is frozen, children should not be on the climbers due to the surfacing being compromised. • There are 2 gates (double gated) to enter the playground/center. The first gate is not latching properly and needs to be repaired. • There is still mulch on the toddler playground that needs to be removed due to the flood water contamination. • Go around and hammer down the bolts that are in the boarder on the playground. If any of the boarder pieces are cracked (there is one on the toddler playground) those should be replaced. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/6/2025 Number Present: 20 Completed Date: 2/6/2025 Age: From 0 To 6 Total Minutes: 285 Time In: 10:45 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Vaughn and I explained the reason for my visit. A group of children were preparing to go outside to play. Since Tropical Storm Helene brought flood waters close to the door of the center but didn’t enter the building. Environmental Health is requiring that children and adults change or remove shoes at the door. This group of children were taking off their inside shoes and putting on their outside shoes. In space #1, there were three (3) infants sitting on the floor with their caregiver. She was feeding one a bottle while sitting with the group. A floater came in to give the teacher a break. She began feeding a child in a high chair. In space #2, there was two groups combined due to low attendance. Children were outside playing with riding toys, balls and other materials. They were riding on riding toys and playing with other materials. They went inside, washed hands and sat down for lunch. Space #3 was not in use today. In space #4, children were outside playing with riding toys, running, skipping and playing pretend games. When it began to rain the group went inside, washed hands and sat down for lunch. Lunch today consisted of cheesy beef-a-roni, peas, orange wedges and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83%) percentage as of 2/6/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, Sugar Grove Developmental Day School, Inc, is current/active as of 2/6/25. However, the registered agent resigned effective 5/6/24 and there is no registered agent listed. To update this go to https://www.sosnc.gov/online_services/search/by_title/search_Business_Registration There were four (4) new teachers at this facility today. These four (4) files were monitored today. There are thirty (30) children enrolled and twenty (20) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 8/1/24. During Tropical Storm Helene, this facility sustained damage to the HVAC and septic system. This facility was temporarily relocated to the High-Country United Church of Christ from 10/15/24 to 1/8/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 6/4/20. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 1/31/25. An emergency drill was conducted on 8/2/24. Due to Tropical Storm Helene, and the facility having a temporary emergency relocation, there are flexibilities in place to allow the program to get back on track now that they are back in their building. The last fire inspection was 11/7/24. The last sanitation inspection was completed on 2/4/25 with twelve (12) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #1, there was a laminator (unplugged) on a cabinet that was lower than five (5) feet. The bottle warmer was on top of the mini fridge on the cabinet but was not up five (5) feet. .0604(e) 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. Two staff that have been employed longer that 90 days has not completed pediatric first aid. .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. One teacher who has been employed longer than 90 days had not completed CPR certification. .1102(d) Technical assistance: • In space #1, there was a laminator (unplugged) on a cabinet that was lover than five (5) feet. The bottle warmer was on top of the mini fridge on the cabinet but was not up five (5) feet. Both of these items were corrected during the visit. • Two (2) teachers did not have an orientation form filled out in their file. The administrator stated that she knows she did orientation with both employees, but that was during the time when they were housed in the church as an emergency location and the form didn’t get filled out. Due to Tropical Storm Helene, and the facility having a temporary emergency relocation, there are flexibilities in place to allow the program to get back on track now that they are back in their building. Therefor a violation was not cited for this today. • One teacher had BLS CPR but not Pediatric First Aid. We discussed trying to see if she could get enrolled in the class this Saturday for the pediatric first aid portion. • One teacher that has been employed longer than 90 days does not have CPR or pediatric first aid. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by February 20, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Please be reminded that when the ground is frozen, children should not be on the climbers due to the surfacing being compromised. • There are 2 gates (double gated) to enter the playground/center. The first gate is not latching properly and needs to be repaired. • There is still mulch on the toddler playground that needs to be removed due to the flood water contamination. • Go around and hammer down the bolts that are in the boarder on the playground. If any of the boarder pieces are cracked (there is one on the toddler playground) those should be replaced. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/6/2025 Number Present: 20 Completed Date: 2/6/2025 Age: From 0 To 6 Total Minutes: 285 Time In: 10:45 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Vaughn and I explained the reason for my visit. A group of children were preparing to go outside to play. Since Tropical Storm Helene brought flood waters close to the door of the center but didn’t enter the building. Environmental Health is requiring that children and adults change or remove shoes at the door. This group of children were taking off their inside shoes and putting on their outside shoes. In space #1, there were three (3) infants sitting on the floor with their caregiver. She was feeding one a bottle while sitting with the group. A floater came in to give the teacher a break. She began feeding a child in a high chair. In space #2, there was two groups combined due to low attendance. Children were outside playing with riding toys, balls and other materials. They were riding on riding toys and playing with other materials. They went inside, washed hands and sat down for lunch. Space #3 was not in use today. In space #4, children were outside playing with riding toys, running, skipping and playing pretend games. When it began to rain the group went inside, washed hands and sat down for lunch. Lunch today consisted of cheesy beef-a-roni, peas, orange wedges and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83%) percentage as of 2/6/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, Sugar Grove Developmental Day School, Inc, is current/active as of 2/6/25. However, the registered agent resigned effective 5/6/24 and there is no registered agent listed. To update this go to https://www.sosnc.gov/online_services/search/by_title/search_Business_Registration There were four (4) new teachers at this facility today. These four (4) files were monitored today. There are thirty (30) children enrolled and twenty (20) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 8/1/24. During Tropical Storm Helene, this facility sustained damage to the HVAC and septic system. This facility was temporarily relocated to the High-Country United Church of Christ from 10/15/24 to 1/8/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 6/4/20. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 1/31/25. An emergency drill was conducted on 8/2/24. Due to Tropical Storm Helene, and the facility having a temporary emergency relocation, there are flexibilities in place to allow the program to get back on track now that they are back in their building. The last fire inspection was 11/7/24. The last sanitation inspection was completed on 2/4/25 with twelve (12) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #1, there was a laminator (unplugged) on a cabinet that was lower than five (5) feet. The bottle warmer was on top of the mini fridge on the cabinet but was not up five (5) feet. .0604(e) 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. Two staff that have been employed longer that 90 days has not completed pediatric first aid. .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. One teacher who has been employed longer than 90 days had not completed CPR certification. .1102(d) Technical assistance: • In space #1, there was a laminator (unplugged) on a cabinet that was lover than five (5) feet. The bottle warmer was on top of the mini fridge on the cabinet but was not up five (5) feet. Both of these items were corrected during the visit. • Two (2) teachers did not have an orientation form filled out in their file. The administrator stated that she knows she did orientation with both employees, but that was during the time when they were housed in the church as an emergency location and the form didn’t get filled out. Due to Tropical Storm Helene, and the facility having a temporary emergency relocation, there are flexibilities in place to allow the program to get back on track now that they are back in their building. Therefor a violation was not cited for this today. • One teacher had BLS CPR but not Pediatric First Aid. We discussed trying to see if she could get enrolled in the class this Saturday for the pediatric first aid portion. • One teacher that has been employed longer than 90 days does not have CPR or pediatric first aid. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by February 20, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Please be reminded that when the ground is frozen, children should not be on the climbers due to the surfacing being compromised. • There are 2 gates (double gated) to enter the playground/center. The first gate is not latching properly and needs to be repaired. • There is still mulch on the toddler playground that needs to be removed due to the flood water contamination. • Go around and hammer down the bolts that are in the boarder on the playground. If any of the boarder pieces are cracked (there is one on the toddler playground) those should be replaced. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/6/2025 Number Present: 20 Completed Date: 2/6/2025 Age: From 0 To 6 Total Minutes: 285 Time In: 10:45 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Vaughn and I explained the reason for my visit. A group of children were preparing to go outside to play. Since Tropical Storm Helene brought flood waters close to the door of the center but didn’t enter the building. Environmental Health is requiring that children and adults change or remove shoes at the door. This group of children were taking off their inside shoes and putting on their outside shoes. In space #1, there were three (3) infants sitting on the floor with their caregiver. She was feeding one a bottle while sitting with the group. A floater came in to give the teacher a break. She began feeding a child in a high chair. In space #2, there was two groups combined due to low attendance. Children were outside playing with riding toys, balls and other materials. They were riding on riding toys and playing with other materials. They went inside, washed hands and sat down for lunch. Space #3 was not in use today. In space #4, children were outside playing with riding toys, running, skipping and playing pretend games. When it began to rain the group went inside, washed hands and sat down for lunch. Lunch today consisted of cheesy beef-a-roni, peas, orange wedges and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83%) percentage as of 2/6/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, Sugar Grove Developmental Day School, Inc, is current/active as of 2/6/25. However, the registered agent resigned effective 5/6/24 and there is no registered agent listed. To update this go to https://www.sosnc.gov/online_services/search/by_title/search_Business_Registration There were four (4) new teachers at this facility today. These four (4) files were monitored today. There are thirty (30) children enrolled and twenty (20) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 8/1/24. During Tropical Storm Helene, this facility sustained damage to the HVAC and septic system. This facility was temporarily relocated to the High-Country United Church of Christ from 10/15/24 to 1/8/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 6/4/20. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 1/31/25. An emergency drill was conducted on 8/2/24. Due to Tropical Storm Helene, and the facility having a temporary emergency relocation, there are flexibilities in place to allow the program to get back on track now that they are back in their building. The last fire inspection was 11/7/24. The last sanitation inspection was completed on 2/4/25 with twelve (12) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #1, there was a laminator (unplugged) on a cabinet that was lower than five (5) feet. The bottle warmer was on top of the mini fridge on the cabinet but was not up five (5) feet. .0604(e) 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. Two staff that have been employed longer that 90 days has not completed pediatric first aid. .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. One teacher who has been employed longer than 90 days had not completed CPR certification. .1102(d) Technical assistance: • In space #1, there was a laminator (unplugged) on a cabinet that was lover than five (5) feet. The bottle warmer was on top of the mini fridge on the cabinet but was not up five (5) feet. Both of these items were corrected during the visit. • Two (2) teachers did not have an orientation form filled out in their file. The administrator stated that she knows she did orientation with both employees, but that was during the time when they were housed in the church as an emergency location and the form didn’t get filled out. Due to Tropical Storm Helene, and the facility having a temporary emergency relocation, there are flexibilities in place to allow the program to get back on track now that they are back in their building. Therefor a violation was not cited for this today. • One teacher had BLS CPR but not Pediatric First Aid. We discussed trying to see if she could get enrolled in the class this Saturday for the pediatric first aid portion. • One teacher that has been employed longer than 90 days does not have CPR or pediatric first aid. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by February 20, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Please be reminded that when the ground is frozen, children should not be on the climbers due to the surfacing being compromised. • There are 2 gates (double gated) to enter the playground/center. The first gate is not latching properly and needs to be repaired. • There is still mulch on the toddler playground that needs to be removed due to the flood water contamination. • Go around and hammer down the bolts that are in the boarder on the playground. If any of the boarder pieces are cracked (there is one on the toddler playground) those should be replaced. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/1/2024 Number Present: 24 Completed Date: 8/1/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Miranda Vaughn, administrator was available during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) percentage as of 8/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the registered agent has resigned and there isn’t a registered agent listed for Sugar Grove Developmental Day School Inc., this facility is active, however the website information is not current as of 8/1/24. Permit type – Five Star License issued June 4, 2020. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/23/23. The last fire drill was practiced on 6/28/24. The last lock down drill was practiced on 12/22/24. The last playground inspection was documented on 7/19/24. The last fire inspection was approved on 10/25/23. The last sanitation inspection was conducted on 2/16/24 with seven (7) demerits for a superior type of classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is When I arrived, three out of four classrooms were outside on the playground playing with a variety of materials. Children were playing in sand and the water from the morning rain. Children were running and playing with blocks and riding toys, climbing the steps up the hill and walking back down. Children came inside for lunch which was tuna salad with crackers, celery, honeydew melon and milk. Children and teachers cleaned up from lunch and children settled down for rest time. After rest time children were served a snack of string cheese and watermelon. Children played inside in centers for a bit after snack due to the mowers arriving to trim the grass. When they were finished, children went outside to play until parent picked children up for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. All four (4) classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles for the infant in care were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. A feeding plan was not signed and dated by the parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in space #2 did not wash hands when coming inside from the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill did not occur in July. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Prescription diaper cream was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Prescription diaper cream did not have the pharmacy label. .0803(2)(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. .0604(q) 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. Staff G.E. did not renew first aid prior to its expiration. .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. Staff G.E. did not renew CPR prior to its expiration. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill had not occurred since 12/2023. .0604(u);.0302(d)(8) 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. Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. .0701(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The plan had not been updated after alternates were not employed any longer. .0802(b)(1-2) Technical assistance was provided as follows: Item #.541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: A feeding plan was not signed and dated by the parent. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Note: All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. Item #.1890 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Tuberculin (TB) Test or Screening -The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months Note: Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. Item #.844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Note: Prescription diaper cream did not have the pharmacy label. Item #.2802 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: Prescription diaper cream was not stored in a locked cabinet or container. Item #.428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: All four (4) classrooms did not have a current activity plan posted. Item #.1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Note: The plan had not been updated after alternates were not employed any longer. Items #.805 & #.1811 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website. Note: A fire drill did not occur in July. (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. Note: An emergency drill had not occurred since 12/2023. Item #.533 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Note: Bottles for the infant in care were not dated. Item #.861 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. Item #.608 15A NCAC 18A .2803 HANDWASHING (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Children in space #2 did not wash hands when coming inside from the playground. Items #.1048 & #.1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: Staff G.E. did not renew first aid and CPR prior to its expiration. Staff S.B. will need first aid and CPR on or before 8/11/24 (within 90 days of hire). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Rated License: We discussed options to renew the Rated License. With the extension of Hold Harmless bill, you do not have to renew the Rated License during this school year unless you choose to. Currently, new QRIS modernization projects is in the works. We discussed what it will look like when the new QRIS system is implemented. • Paint in space #3 around the observation window is peeling and flaking. Since this isn’t low enough for children to access it, it wasn’t a violation today, however it does need immediate attention. • The baseboard under the handwashing sink in space #4, needs to be replaced. • The handwashing sink in space #4 needs a deep clean. Make sure each classroom is cleaning the sinks well and getting the dirt from around the faucet and handles. • Make sure that the staff and even children help to clean up trash from off the playgrounds. • Be sure to update your EPR plan and go through emergency bags to make sure they are well stocked and cleaned out. We went over the steps to update your plan today. • If mats are used for rest time, store them without touching the side the child sleeps on to anything. Store sheets in cubby. • Make sure that the registered agent is corrected on the Secretary of State Website. I printed the form for you today and explained the process. • Make sure the infants go outside each day for a minimum of one (1) hour. Today there was only one infant, however s/he had just had shots, so the day was off, and s/he got picked up early. • We discussed the children’s toilets and you stated that the plumber was scheduled to come tonight after closing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 .0508 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/1/2024 Number Present: 24 Completed Date: 8/1/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Miranda Vaughn, administrator was available during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) percentage as of 8/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the registered agent has resigned and there isn’t a registered agent listed for Sugar Grove Developmental Day School Inc., this facility is active, however the website information is not current as of 8/1/24. Permit type – Five Star License issued June 4, 2020. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/23/23. The last fire drill was practiced on 6/28/24. The last lock down drill was practiced on 12/22/24. The last playground inspection was documented on 7/19/24. The last fire inspection was approved on 10/25/23. The last sanitation inspection was conducted on 2/16/24 with seven (7) demerits for a superior type of classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is When I arrived, three out of four classrooms were outside on the playground playing with a variety of materials. Children were playing in sand and the water from the morning rain. Children were running and playing with blocks and riding toys, climbing the steps up the hill and walking back down. Children came inside for lunch which was tuna salad with crackers, celery, honeydew melon and milk. Children and teachers cleaned up from lunch and children settled down for rest time. After rest time children were served a snack of string cheese and watermelon. Children played inside in centers for a bit after snack due to the mowers arriving to trim the grass. When they were finished, children went outside to play until parent picked children up for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. All four (4) classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles for the infant in care were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. A feeding plan was not signed and dated by the parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in space #2 did not wash hands when coming inside from the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill did not occur in July. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Prescription diaper cream was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Prescription diaper cream did not have the pharmacy label. .0803(2)(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. .0604(q) 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. Staff G.E. did not renew first aid prior to its expiration. .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. Staff G.E. did not renew CPR prior to its expiration. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill had not occurred since 12/2023. .0604(u);.0302(d)(8) 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. Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. .0701(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The plan had not been updated after alternates were not employed any longer. .0802(b)(1-2) Technical assistance was provided as follows: Item #.541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: A feeding plan was not signed and dated by the parent. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Note: All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. Item #.1890 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Tuberculin (TB) Test or Screening -The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months Note: Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. Item #.844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Note: Prescription diaper cream did not have the pharmacy label. Item #.2802 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: Prescription diaper cream was not stored in a locked cabinet or container. Item #.428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: All four (4) classrooms did not have a current activity plan posted. Item #.1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Note: The plan had not been updated after alternates were not employed any longer. Items #.805 & #.1811 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website. Note: A fire drill did not occur in July. (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. Note: An emergency drill had not occurred since 12/2023. Item #.533 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Note: Bottles for the infant in care were not dated. Item #.861 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. Item #.608 15A NCAC 18A .2803 HANDWASHING (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Children in space #2 did not wash hands when coming inside from the playground. Items #.1048 & #.1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: Staff G.E. did not renew first aid and CPR prior to its expiration. Staff S.B. will need first aid and CPR on or before 8/11/24 (within 90 days of hire). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Rated License: We discussed options to renew the Rated License. With the extension of Hold Harmless bill, you do not have to renew the Rated License during this school year unless you choose to. Currently, new QRIS modernization projects is in the works. We discussed what it will look like when the new QRIS system is implemented. • Paint in space #3 around the observation window is peeling and flaking. Since this isn’t low enough for children to access it, it wasn’t a violation today, however it does need immediate attention. • The baseboard under the handwashing sink in space #4, needs to be replaced. • The handwashing sink in space #4 needs a deep clean. Make sure each classroom is cleaning the sinks well and getting the dirt from around the faucet and handles. • Make sure that the staff and even children help to clean up trash from off the playgrounds. • Be sure to update your EPR plan and go through emergency bags to make sure they are well stocked and cleaned out. We went over the steps to update your plan today. • If mats are used for rest time, store them without touching the side the child sleeps on to anything. Store sheets in cubby. • Make sure that the registered agent is corrected on the Secretary of State Website. I printed the form for you today and explained the process. • Make sure the infants go outside each day for a minimum of one (1) hour. Today there was only one infant, however s/he had just had shots, so the day was off, and s/he got picked up early. • We discussed the children’s toilets and you stated that the plumber was scheduled to come tonight after closing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/1/2024 Number Present: 24 Completed Date: 8/1/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Miranda Vaughn, administrator was available during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) percentage as of 8/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the registered agent has resigned and there isn’t a registered agent listed for Sugar Grove Developmental Day School Inc., this facility is active, however the website information is not current as of 8/1/24. Permit type – Five Star License issued June 4, 2020. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/23/23. The last fire drill was practiced on 6/28/24. The last lock down drill was practiced on 12/22/24. The last playground inspection was documented on 7/19/24. The last fire inspection was approved on 10/25/23. The last sanitation inspection was conducted on 2/16/24 with seven (7) demerits for a superior type of classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is When I arrived, three out of four classrooms were outside on the playground playing with a variety of materials. Children were playing in sand and the water from the morning rain. Children were running and playing with blocks and riding toys, climbing the steps up the hill and walking back down. Children came inside for lunch which was tuna salad with crackers, celery, honeydew melon and milk. Children and teachers cleaned up from lunch and children settled down for rest time. After rest time children were served a snack of string cheese and watermelon. Children played inside in centers for a bit after snack due to the mowers arriving to trim the grass. When they were finished, children went outside to play until parent picked children up for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. All four (4) classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles for the infant in care were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. A feeding plan was not signed and dated by the parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in space #2 did not wash hands when coming inside from the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill did not occur in July. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Prescription diaper cream was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Prescription diaper cream did not have the pharmacy label. .0803(2)(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. .0604(q) 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. Staff G.E. did not renew first aid prior to its expiration. .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. Staff G.E. did not renew CPR prior to its expiration. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill had not occurred since 12/2023. .0604(u);.0302(d)(8) 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. Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. .0701(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The plan had not been updated after alternates were not employed any longer. .0802(b)(1-2) Technical assistance was provided as follows: Item #.541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: A feeding plan was not signed and dated by the parent. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Note: All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. Item #.1890 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Tuberculin (TB) Test or Screening -The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months Note: Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. Item #.844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Note: Prescription diaper cream did not have the pharmacy label. Item #.2802 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: Prescription diaper cream was not stored in a locked cabinet or container. Item #.428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: All four (4) classrooms did not have a current activity plan posted. Item #.1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Note: The plan had not been updated after alternates were not employed any longer. Items #.805 & #.1811 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website. Note: A fire drill did not occur in July. (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. Note: An emergency drill had not occurred since 12/2023. Item #.533 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Note: Bottles for the infant in care were not dated. Item #.861 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. Item #.608 15A NCAC 18A .2803 HANDWASHING (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Children in space #2 did not wash hands when coming inside from the playground. Items #.1048 & #.1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: Staff G.E. did not renew first aid and CPR prior to its expiration. Staff S.B. will need first aid and CPR on or before 8/11/24 (within 90 days of hire). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Rated License: We discussed options to renew the Rated License. With the extension of Hold Harmless bill, you do not have to renew the Rated License during this school year unless you choose to. Currently, new QRIS modernization projects is in the works. We discussed what it will look like when the new QRIS system is implemented. • Paint in space #3 around the observation window is peeling and flaking. Since this isn’t low enough for children to access it, it wasn’t a violation today, however it does need immediate attention. • The baseboard under the handwashing sink in space #4, needs to be replaced. • The handwashing sink in space #4 needs a deep clean. Make sure each classroom is cleaning the sinks well and getting the dirt from around the faucet and handles. • Make sure that the staff and even children help to clean up trash from off the playgrounds. • Be sure to update your EPR plan and go through emergency bags to make sure they are well stocked and cleaned out. We went over the steps to update your plan today. • If mats are used for rest time, store them without touching the side the child sleeps on to anything. Store sheets in cubby. • Make sure that the registered agent is corrected on the Secretary of State Website. I printed the form for you today and explained the process. • Make sure the infants go outside each day for a minimum of one (1) hour. Today there was only one infant, however s/he had just had shots, so the day was off, and s/he got picked up early. • We discussed the children’s toilets and you stated that the plumber was scheduled to come tonight after closing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/1/2024 Number Present: 24 Completed Date: 8/1/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Miranda Vaughn, administrator was available during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) percentage as of 8/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the registered agent has resigned and there isn’t a registered agent listed for Sugar Grove Developmental Day School Inc., this facility is active, however the website information is not current as of 8/1/24. Permit type – Five Star License issued June 4, 2020. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/23/23. The last fire drill was practiced on 6/28/24. The last lock down drill was practiced on 12/22/24. The last playground inspection was documented on 7/19/24. The last fire inspection was approved on 10/25/23. The last sanitation inspection was conducted on 2/16/24 with seven (7) demerits for a superior type of classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is When I arrived, three out of four classrooms were outside on the playground playing with a variety of materials. Children were playing in sand and the water from the morning rain. Children were running and playing with blocks and riding toys, climbing the steps up the hill and walking back down. Children came inside for lunch which was tuna salad with crackers, celery, honeydew melon and milk. Children and teachers cleaned up from lunch and children settled down for rest time. After rest time children were served a snack of string cheese and watermelon. Children played inside in centers for a bit after snack due to the mowers arriving to trim the grass. When they were finished, children went outside to play until parent picked children up for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. All four (4) classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles for the infant in care were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. A feeding plan was not signed and dated by the parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in space #2 did not wash hands when coming inside from the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill did not occur in July. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Prescription diaper cream was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Prescription diaper cream did not have the pharmacy label. .0803(2)(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. .0604(q) 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. Staff G.E. did not renew first aid prior to its expiration. .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. Staff G.E. did not renew CPR prior to its expiration. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill had not occurred since 12/2023. .0604(u);.0302(d)(8) 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. Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. .0701(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The plan had not been updated after alternates were not employed any longer. .0802(b)(1-2) Technical assistance was provided as follows: Item #.541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: A feeding plan was not signed and dated by the parent. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Note: All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. Item #.1890 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Tuberculin (TB) Test or Screening -The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months Note: Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. Item #.844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Note: Prescription diaper cream did not have the pharmacy label. Item #.2802 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: Prescription diaper cream was not stored in a locked cabinet or container. Item #.428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: All four (4) classrooms did not have a current activity plan posted. Item #.1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Note: The plan had not been updated after alternates were not employed any longer. Items #.805 & #.1811 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website. Note: A fire drill did not occur in July. (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. Note: An emergency drill had not occurred since 12/2023. Item #.533 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Note: Bottles for the infant in care were not dated. Item #.861 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. Item #.608 15A NCAC 18A .2803 HANDWASHING (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Children in space #2 did not wash hands when coming inside from the playground. Items #.1048 & #.1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: Staff G.E. did not renew first aid and CPR prior to its expiration. Staff S.B. will need first aid and CPR on or before 8/11/24 (within 90 days of hire). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Rated License: We discussed options to renew the Rated License. With the extension of Hold Harmless bill, you do not have to renew the Rated License during this school year unless you choose to. Currently, new QRIS modernization projects is in the works. We discussed what it will look like when the new QRIS system is implemented. • Paint in space #3 around the observation window is peeling and flaking. Since this isn’t low enough for children to access it, it wasn’t a violation today, however it does need immediate attention. • The baseboard under the handwashing sink in space #4, needs to be replaced. • The handwashing sink in space #4 needs a deep clean. Make sure each classroom is cleaning the sinks well and getting the dirt from around the faucet and handles. • Make sure that the staff and even children help to clean up trash from off the playgrounds. • Be sure to update your EPR plan and go through emergency bags to make sure they are well stocked and cleaned out. We went over the steps to update your plan today. • If mats are used for rest time, store them without touching the side the child sleeps on to anything. Store sheets in cubby. • Make sure that the registered agent is corrected on the Secretary of State Website. I printed the form for you today and explained the process. • Make sure the infants go outside each day for a minimum of one (1) hour. Today there was only one infant, however s/he had just had shots, so the day was off, and s/he got picked up early. • We discussed the children’s toilets and you stated that the plumber was scheduled to come tonight after closing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/1/2024 Number Present: 24 Completed Date: 8/1/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Miranda Vaughn, administrator was available during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) percentage as of 8/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the registered agent has resigned and there isn’t a registered agent listed for Sugar Grove Developmental Day School Inc., this facility is active, however the website information is not current as of 8/1/24. Permit type – Five Star License issued June 4, 2020. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/23/23. The last fire drill was practiced on 6/28/24. The last lock down drill was practiced on 12/22/24. The last playground inspection was documented on 7/19/24. The last fire inspection was approved on 10/25/23. The last sanitation inspection was conducted on 2/16/24 with seven (7) demerits for a superior type of classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is When I arrived, three out of four classrooms were outside on the playground playing with a variety of materials. Children were playing in sand and the water from the morning rain. Children were running and playing with blocks and riding toys, climbing the steps up the hill and walking back down. Children came inside for lunch which was tuna salad with crackers, celery, honeydew melon and milk. Children and teachers cleaned up from lunch and children settled down for rest time. After rest time children were served a snack of string cheese and watermelon. Children played inside in centers for a bit after snack due to the mowers arriving to trim the grass. When they were finished, children went outside to play until parent picked children up for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. All four (4) classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles for the infant in care were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. A feeding plan was not signed and dated by the parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in space #2 did not wash hands when coming inside from the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill did not occur in July. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Prescription diaper cream was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Prescription diaper cream did not have the pharmacy label. .0803(2)(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. .0604(q) 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. Staff G.E. did not renew first aid prior to its expiration. .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. Staff G.E. did not renew CPR prior to its expiration. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill had not occurred since 12/2023. .0604(u);.0302(d)(8) 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. Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. .0701(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The plan had not been updated after alternates were not employed any longer. .0802(b)(1-2) Technical assistance was provided as follows: Item #.541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: A feeding plan was not signed and dated by the parent. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Note: All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. Item #.1890 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Tuberculin (TB) Test or Screening -The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months Note: Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. Item #.844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Note: Prescription diaper cream did not have the pharmacy label. Item #.2802 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: Prescription diaper cream was not stored in a locked cabinet or container. Item #.428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: All four (4) classrooms did not have a current activity plan posted. Item #.1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Note: The plan had not been updated after alternates were not employed any longer. Items #.805 & #.1811 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website. Note: A fire drill did not occur in July. (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. Note: An emergency drill had not occurred since 12/2023. Item #.533 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Note: Bottles for the infant in care were not dated. Item #.861 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. Item #.608 15A NCAC 18A .2803 HANDWASHING (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Children in space #2 did not wash hands when coming inside from the playground. Items #.1048 & #.1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: Staff G.E. did not renew first aid and CPR prior to its expiration. Staff S.B. will need first aid and CPR on or before 8/11/24 (within 90 days of hire). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Rated License: We discussed options to renew the Rated License. With the extension of Hold Harmless bill, you do not have to renew the Rated License during this school year unless you choose to. Currently, new QRIS modernization projects is in the works. We discussed what it will look like when the new QRIS system is implemented. • Paint in space #3 around the observation window is peeling and flaking. Since this isn’t low enough for children to access it, it wasn’t a violation today, however it does need immediate attention. • The baseboard under the handwashing sink in space #4, needs to be replaced. • The handwashing sink in space #4 needs a deep clean. Make sure each classroom is cleaning the sinks well and getting the dirt from around the faucet and handles. • Make sure that the staff and even children help to clean up trash from off the playgrounds. • Be sure to update your EPR plan and go through emergency bags to make sure they are well stocked and cleaned out. We went over the steps to update your plan today. • If mats are used for rest time, store them without touching the side the child sleeps on to anything. Store sheets in cubby. • Make sure that the registered agent is corrected on the Secretary of State Website. I printed the form for you today and explained the process. • Make sure the infants go outside each day for a minimum of one (1) hour. Today there was only one infant, however s/he had just had shots, so the day was off, and s/he got picked up early. • We discussed the children’s toilets and you stated that the plumber was scheduled to come tonight after closing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 .0102 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/1/2024 Number Present: 24 Completed Date: 8/1/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Miranda Vaughn, administrator was available during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) percentage as of 8/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the registered agent has resigned and there isn’t a registered agent listed for Sugar Grove Developmental Day School Inc., this facility is active, however the website information is not current as of 8/1/24. Permit type – Five Star License issued June 4, 2020. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/23/23. The last fire drill was practiced on 6/28/24. The last lock down drill was practiced on 12/22/24. The last playground inspection was documented on 7/19/24. The last fire inspection was approved on 10/25/23. The last sanitation inspection was conducted on 2/16/24 with seven (7) demerits for a superior type of classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is When I arrived, three out of four classrooms were outside on the playground playing with a variety of materials. Children were playing in sand and the water from the morning rain. Children were running and playing with blocks and riding toys, climbing the steps up the hill and walking back down. Children came inside for lunch which was tuna salad with crackers, celery, honeydew melon and milk. Children and teachers cleaned up from lunch and children settled down for rest time. After rest time children were served a snack of string cheese and watermelon. Children played inside in centers for a bit after snack due to the mowers arriving to trim the grass. When they were finished, children went outside to play until parent picked children up for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. All four (4) classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles for the infant in care were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. A feeding plan was not signed and dated by the parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in space #2 did not wash hands when coming inside from the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill did not occur in July. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Prescription diaper cream was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Prescription diaper cream did not have the pharmacy label. .0803(2)(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. .0604(q) 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. Staff G.E. did not renew first aid prior to its expiration. .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. Staff G.E. did not renew CPR prior to its expiration. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill had not occurred since 12/2023. .0604(u);.0302(d)(8) 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. Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. .0701(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The plan had not been updated after alternates were not employed any longer. .0802(b)(1-2) Technical assistance was provided as follows: Item #.541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: A feeding plan was not signed and dated by the parent. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Note: All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. Item #.1890 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Tuberculin (TB) Test or Screening -The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months Note: Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. Item #.844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Note: Prescription diaper cream did not have the pharmacy label. Item #.2802 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: Prescription diaper cream was not stored in a locked cabinet or container. Item #.428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: All four (4) classrooms did not have a current activity plan posted. Item #.1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Note: The plan had not been updated after alternates were not employed any longer. Items #.805 & #.1811 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website. Note: A fire drill did not occur in July. (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. Note: An emergency drill had not occurred since 12/2023. Item #.533 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Note: Bottles for the infant in care were not dated. Item #.861 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. Item #.608 15A NCAC 18A .2803 HANDWASHING (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Children in space #2 did not wash hands when coming inside from the playground. Items #.1048 & #.1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: Staff G.E. did not renew first aid and CPR prior to its expiration. Staff S.B. will need first aid and CPR on or before 8/11/24 (within 90 days of hire). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Rated License: We discussed options to renew the Rated License. With the extension of Hold Harmless bill, you do not have to renew the Rated License during this school year unless you choose to. Currently, new QRIS modernization projects is in the works. We discussed what it will look like when the new QRIS system is implemented. • Paint in space #3 around the observation window is peeling and flaking. Since this isn’t low enough for children to access it, it wasn’t a violation today, however it does need immediate attention. • The baseboard under the handwashing sink in space #4, needs to be replaced. • The handwashing sink in space #4 needs a deep clean. Make sure each classroom is cleaning the sinks well and getting the dirt from around the faucet and handles. • Make sure that the staff and even children help to clean up trash from off the playgrounds. • Be sure to update your EPR plan and go through emergency bags to make sure they are well stocked and cleaned out. We went over the steps to update your plan today. • If mats are used for rest time, store them without touching the side the child sleeps on to anything. Store sheets in cubby. • Make sure that the registered agent is corrected on the Secretary of State Website. I printed the form for you today and explained the process. • Make sure the infants go outside each day for a minimum of one (1) hour. Today there was only one infant, however s/he had just had shots, so the day was off, and s/he got picked up early. • We discussed the children’s toilets and you stated that the plumber was scheduled to come tonight after closing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/1/2024 Number Present: 24 Completed Date: 8/1/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Miranda Vaughn, administrator was available during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) percentage as of 8/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the registered agent has resigned and there isn’t a registered agent listed for Sugar Grove Developmental Day School Inc., this facility is active, however the website information is not current as of 8/1/24. Permit type – Five Star License issued June 4, 2020. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/23/23. The last fire drill was practiced on 6/28/24. The last lock down drill was practiced on 12/22/24. The last playground inspection was documented on 7/19/24. The last fire inspection was approved on 10/25/23. The last sanitation inspection was conducted on 2/16/24 with seven (7) demerits for a superior type of classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is When I arrived, three out of four classrooms were outside on the playground playing with a variety of materials. Children were playing in sand and the water from the morning rain. Children were running and playing with blocks and riding toys, climbing the steps up the hill and walking back down. Children came inside for lunch which was tuna salad with crackers, celery, honeydew melon and milk. Children and teachers cleaned up from lunch and children settled down for rest time. After rest time children were served a snack of string cheese and watermelon. Children played inside in centers for a bit after snack due to the mowers arriving to trim the grass. When they were finished, children went outside to play until parent picked children up for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. All four (4) classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles for the infant in care were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. A feeding plan was not signed and dated by the parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in space #2 did not wash hands when coming inside from the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill did not occur in July. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Prescription diaper cream was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Prescription diaper cream did not have the pharmacy label. .0803(2)(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. .0604(q) 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. Staff G.E. did not renew first aid prior to its expiration. .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. Staff G.E. did not renew CPR prior to its expiration. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill had not occurred since 12/2023. .0604(u);.0302(d)(8) 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. Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. .0701(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The plan had not been updated after alternates were not employed any longer. .0802(b)(1-2) Technical assistance was provided as follows: Item #.541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: A feeding plan was not signed and dated by the parent. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Note: All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. Item #.1890 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Tuberculin (TB) Test or Screening -The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months Note: Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. Item #.844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Note: Prescription diaper cream did not have the pharmacy label. Item #.2802 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: Prescription diaper cream was not stored in a locked cabinet or container. Item #.428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: All four (4) classrooms did not have a current activity plan posted. Item #.1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Note: The plan had not been updated after alternates were not employed any longer. Items #.805 & #.1811 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website. Note: A fire drill did not occur in July. (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. Note: An emergency drill had not occurred since 12/2023. Item #.533 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Note: Bottles for the infant in care were not dated. Item #.861 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. Item #.608 15A NCAC 18A .2803 HANDWASHING (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Children in space #2 did not wash hands when coming inside from the playground. Items #.1048 & #.1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: Staff G.E. did not renew first aid and CPR prior to its expiration. Staff S.B. will need first aid and CPR on or before 8/11/24 (within 90 days of hire). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Rated License: We discussed options to renew the Rated License. With the extension of Hold Harmless bill, you do not have to renew the Rated License during this school year unless you choose to. Currently, new QRIS modernization projects is in the works. We discussed what it will look like when the new QRIS system is implemented. • Paint in space #3 around the observation window is peeling and flaking. Since this isn’t low enough for children to access it, it wasn’t a violation today, however it does need immediate attention. • The baseboard under the handwashing sink in space #4, needs to be replaced. • The handwashing sink in space #4 needs a deep clean. Make sure each classroom is cleaning the sinks well and getting the dirt from around the faucet and handles. • Make sure that the staff and even children help to clean up trash from off the playgrounds. • Be sure to update your EPR plan and go through emergency bags to make sure they are well stocked and cleaned out. We went over the steps to update your plan today. • If mats are used for rest time, store them without touching the side the child sleeps on to anything. Store sheets in cubby. • Make sure that the registered agent is corrected on the Secretary of State Website. I printed the form for you today and explained the process. • Make sure the infants go outside each day for a minimum of one (1) hour. Today there was only one infant, however s/he had just had shots, so the day was off, and s/he got picked up early. • We discussed the children’s toilets and you stated that the plumber was scheduled to come tonight after closing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/1/2024 Number Present: 24 Completed Date: 8/1/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Miranda Vaughn, administrator was available during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) percentage as of 8/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the registered agent has resigned and there isn’t a registered agent listed for Sugar Grove Developmental Day School Inc., this facility is active, however the website information is not current as of 8/1/24. Permit type – Five Star License issued June 4, 2020. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/23/23. The last fire drill was practiced on 6/28/24. The last lock down drill was practiced on 12/22/24. The last playground inspection was documented on 7/19/24. The last fire inspection was approved on 10/25/23. The last sanitation inspection was conducted on 2/16/24 with seven (7) demerits for a superior type of classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is When I arrived, three out of four classrooms were outside on the playground playing with a variety of materials. Children were playing in sand and the water from the morning rain. Children were running and playing with blocks and riding toys, climbing the steps up the hill and walking back down. Children came inside for lunch which was tuna salad with crackers, celery, honeydew melon and milk. Children and teachers cleaned up from lunch and children settled down for rest time. After rest time children were served a snack of string cheese and watermelon. Children played inside in centers for a bit after snack due to the mowers arriving to trim the grass. When they were finished, children went outside to play until parent picked children up for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. All four (4) classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles for the infant in care were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. A feeding plan was not signed and dated by the parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in space #2 did not wash hands when coming inside from the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill did not occur in July. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Prescription diaper cream was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Prescription diaper cream did not have the pharmacy label. .0803(2)(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. .0604(q) 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. Staff G.E. did not renew first aid prior to its expiration. .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. Staff G.E. did not renew CPR prior to its expiration. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill had not occurred since 12/2023. .0604(u);.0302(d)(8) 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. Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. .0701(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The plan had not been updated after alternates were not employed any longer. .0802(b)(1-2) Technical assistance was provided as follows: Item #.541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: A feeding plan was not signed and dated by the parent. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Note: All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. Item #.1890 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Tuberculin (TB) Test or Screening -The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months Note: Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. Item #.844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Note: Prescription diaper cream did not have the pharmacy label. Item #.2802 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: Prescription diaper cream was not stored in a locked cabinet or container. Item #.428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: All four (4) classrooms did not have a current activity plan posted. Item #.1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Note: The plan had not been updated after alternates were not employed any longer. Items #.805 & #.1811 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website. Note: A fire drill did not occur in July. (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. Note: An emergency drill had not occurred since 12/2023. Item #.533 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Note: Bottles for the infant in care were not dated. Item #.861 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. Item #.608 15A NCAC 18A .2803 HANDWASHING (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Children in space #2 did not wash hands when coming inside from the playground. Items #.1048 & #.1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: Staff G.E. did not renew first aid and CPR prior to its expiration. Staff S.B. will need first aid and CPR on or before 8/11/24 (within 90 days of hire). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Rated License: We discussed options to renew the Rated License. With the extension of Hold Harmless bill, you do not have to renew the Rated License during this school year unless you choose to. Currently, new QRIS modernization projects is in the works. We discussed what it will look like when the new QRIS system is implemented. • Paint in space #3 around the observation window is peeling and flaking. Since this isn’t low enough for children to access it, it wasn’t a violation today, however it does need immediate attention. • The baseboard under the handwashing sink in space #4, needs to be replaced. • The handwashing sink in space #4 needs a deep clean. Make sure each classroom is cleaning the sinks well and getting the dirt from around the faucet and handles. • Make sure that the staff and even children help to clean up trash from off the playgrounds. • Be sure to update your EPR plan and go through emergency bags to make sure they are well stocked and cleaned out. We went over the steps to update your plan today. • If mats are used for rest time, store them without touching the side the child sleeps on to anything. Store sheets in cubby. • Make sure that the registered agent is corrected on the Secretary of State Website. I printed the form for you today and explained the process. • Make sure the infants go outside each day for a minimum of one (1) hour. Today there was only one infant, however s/he had just had shots, so the day was off, and s/he got picked up early. • We discussed the children’s toilets and you stated that the plumber was scheduled to come tonight after closing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/1/2024 Number Present: 24 Completed Date: 8/1/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Miranda Vaughn, administrator was available during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) percentage as of 8/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the registered agent has resigned and there isn’t a registered agent listed for Sugar Grove Developmental Day School Inc., this facility is active, however the website information is not current as of 8/1/24. Permit type – Five Star License issued June 4, 2020. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/23/23. The last fire drill was practiced on 6/28/24. The last lock down drill was practiced on 12/22/24. The last playground inspection was documented on 7/19/24. The last fire inspection was approved on 10/25/23. The last sanitation inspection was conducted on 2/16/24 with seven (7) demerits for a superior type of classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is When I arrived, three out of four classrooms were outside on the playground playing with a variety of materials. Children were playing in sand and the water from the morning rain. Children were running and playing with blocks and riding toys, climbing the steps up the hill and walking back down. Children came inside for lunch which was tuna salad with crackers, celery, honeydew melon and milk. Children and teachers cleaned up from lunch and children settled down for rest time. After rest time children were served a snack of string cheese and watermelon. Children played inside in centers for a bit after snack due to the mowers arriving to trim the grass. When they were finished, children went outside to play until parent picked children up for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. All four (4) classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles for the infant in care were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. A feeding plan was not signed and dated by the parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in space #2 did not wash hands when coming inside from the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill did not occur in July. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Prescription diaper cream was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Prescription diaper cream did not have the pharmacy label. .0803(2)(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. .0604(q) 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. Staff G.E. did not renew first aid prior to its expiration. .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. Staff G.E. did not renew CPR prior to its expiration. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill had not occurred since 12/2023. .0604(u);.0302(d)(8) 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. Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. .0701(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The plan had not been updated after alternates were not employed any longer. .0802(b)(1-2) Technical assistance was provided as follows: Item #.541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: A feeding plan was not signed and dated by the parent. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Note: All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. Item #.1890 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Tuberculin (TB) Test or Screening -The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months Note: Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. Item #.844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Note: Prescription diaper cream did not have the pharmacy label. Item #.2802 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: Prescription diaper cream was not stored in a locked cabinet or container. Item #.428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: All four (4) classrooms did not have a current activity plan posted. Item #.1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Note: The plan had not been updated after alternates were not employed any longer. Items #.805 & #.1811 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website. Note: A fire drill did not occur in July. (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. Note: An emergency drill had not occurred since 12/2023. Item #.533 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Note: Bottles for the infant in care were not dated. Item #.861 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. Item #.608 15A NCAC 18A .2803 HANDWASHING (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Children in space #2 did not wash hands when coming inside from the playground. Items #.1048 & #.1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: Staff G.E. did not renew first aid and CPR prior to its expiration. Staff S.B. will need first aid and CPR on or before 8/11/24 (within 90 days of hire). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Rated License: We discussed options to renew the Rated License. With the extension of Hold Harmless bill, you do not have to renew the Rated License during this school year unless you choose to. Currently, new QRIS modernization projects is in the works. We discussed what it will look like when the new QRIS system is implemented. • Paint in space #3 around the observation window is peeling and flaking. Since this isn’t low enough for children to access it, it wasn’t a violation today, however it does need immediate attention. • The baseboard under the handwashing sink in space #4, needs to be replaced. • The handwashing sink in space #4 needs a deep clean. Make sure each classroom is cleaning the sinks well and getting the dirt from around the faucet and handles. • Make sure that the staff and even children help to clean up trash from off the playgrounds. • Be sure to update your EPR plan and go through emergency bags to make sure they are well stocked and cleaned out. We went over the steps to update your plan today. • If mats are used for rest time, store them without touching the side the child sleeps on to anything. Store sheets in cubby. • Make sure that the registered agent is corrected on the Secretary of State Website. I printed the form for you today and explained the process. • Make sure the infants go outside each day for a minimum of one (1) hour. Today there was only one infant, however s/he had just had shots, so the day was off, and s/he got picked up early. • We discussed the children’s toilets and you stated that the plumber was scheduled to come tonight after closing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/1/2024 Number Present: 24 Completed Date: 8/1/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Miranda Vaughn, administrator was available during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) percentage as of 8/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the registered agent has resigned and there isn’t a registered agent listed for Sugar Grove Developmental Day School Inc., this facility is active, however the website information is not current as of 8/1/24. Permit type – Five Star License issued June 4, 2020. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/23/23. The last fire drill was practiced on 6/28/24. The last lock down drill was practiced on 12/22/24. The last playground inspection was documented on 7/19/24. The last fire inspection was approved on 10/25/23. The last sanitation inspection was conducted on 2/16/24 with seven (7) demerits for a superior type of classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is When I arrived, three out of four classrooms were outside on the playground playing with a variety of materials. Children were playing in sand and the water from the morning rain. Children were running and playing with blocks and riding toys, climbing the steps up the hill and walking back down. Children came inside for lunch which was tuna salad with crackers, celery, honeydew melon and milk. Children and teachers cleaned up from lunch and children settled down for rest time. After rest time children were served a snack of string cheese and watermelon. Children played inside in centers for a bit after snack due to the mowers arriving to trim the grass. When they were finished, children went outside to play until parent picked children up for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. All four (4) classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles for the infant in care were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. A feeding plan was not signed and dated by the parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in space #2 did not wash hands when coming inside from the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill did not occur in July. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Prescription diaper cream was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Prescription diaper cream did not have the pharmacy label. .0803(2)(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. .0604(q) 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. Staff G.E. did not renew first aid prior to its expiration. .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. Staff G.E. did not renew CPR prior to its expiration. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill had not occurred since 12/2023. .0604(u);.0302(d)(8) 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. Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. .0701(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The plan had not been updated after alternates were not employed any longer. .0802(b)(1-2) Technical assistance was provided as follows: Item #.541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: A feeding plan was not signed and dated by the parent. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Note: All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. Item #.1890 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Tuberculin (TB) Test or Screening -The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months Note: Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. Item #.844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Note: Prescription diaper cream did not have the pharmacy label. Item #.2802 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: Prescription diaper cream was not stored in a locked cabinet or container. Item #.428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: All four (4) classrooms did not have a current activity plan posted. Item #.1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Note: The plan had not been updated after alternates were not employed any longer. Items #.805 & #.1811 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website. Note: A fire drill did not occur in July. (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. Note: An emergency drill had not occurred since 12/2023. Item #.533 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Note: Bottles for the infant in care were not dated. Item #.861 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. Item #.608 15A NCAC 18A .2803 HANDWASHING (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Children in space #2 did not wash hands when coming inside from the playground. Items #.1048 & #.1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: Staff G.E. did not renew first aid and CPR prior to its expiration. Staff S.B. will need first aid and CPR on or before 8/11/24 (within 90 days of hire). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Rated License: We discussed options to renew the Rated License. With the extension of Hold Harmless bill, you do not have to renew the Rated License during this school year unless you choose to. Currently, new QRIS modernization projects is in the works. We discussed what it will look like when the new QRIS system is implemented. • Paint in space #3 around the observation window is peeling and flaking. Since this isn’t low enough for children to access it, it wasn’t a violation today, however it does need immediate attention. • The baseboard under the handwashing sink in space #4, needs to be replaced. • The handwashing sink in space #4 needs a deep clean. Make sure each classroom is cleaning the sinks well and getting the dirt from around the faucet and handles. • Make sure that the staff and even children help to clean up trash from off the playgrounds. • Be sure to update your EPR plan and go through emergency bags to make sure they are well stocked and cleaned out. We went over the steps to update your plan today. • If mats are used for rest time, store them without touching the side the child sleeps on to anything. Store sheets in cubby. • Make sure that the registered agent is corrected on the Secretary of State Website. I printed the form for you today and explained the process. • Make sure the infants go outside each day for a minimum of one (1) hour. Today there was only one infant, however s/he had just had shots, so the day was off, and s/he got picked up early. • We discussed the children’s toilets and you stated that the plumber was scheduled to come tonight after closing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/1/2024 Number Present: 24 Completed Date: 8/1/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Miranda Vaughn, administrator was available during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) percentage as of 8/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the registered agent has resigned and there isn’t a registered agent listed for Sugar Grove Developmental Day School Inc., this facility is active, however the website information is not current as of 8/1/24. Permit type – Five Star License issued June 4, 2020. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/23/23. The last fire drill was practiced on 6/28/24. The last lock down drill was practiced on 12/22/24. The last playground inspection was documented on 7/19/24. The last fire inspection was approved on 10/25/23. The last sanitation inspection was conducted on 2/16/24 with seven (7) demerits for a superior type of classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is When I arrived, three out of four classrooms were outside on the playground playing with a variety of materials. Children were playing in sand and the water from the morning rain. Children were running and playing with blocks and riding toys, climbing the steps up the hill and walking back down. Children came inside for lunch which was tuna salad with crackers, celery, honeydew melon and milk. Children and teachers cleaned up from lunch and children settled down for rest time. After rest time children were served a snack of string cheese and watermelon. Children played inside in centers for a bit after snack due to the mowers arriving to trim the grass. When they were finished, children went outside to play until parent picked children up for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. All four (4) classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles for the infant in care were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. A feeding plan was not signed and dated by the parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in space #2 did not wash hands when coming inside from the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill did not occur in July. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Prescription diaper cream was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Prescription diaper cream did not have the pharmacy label. .0803(2)(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. .0604(q) 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. Staff G.E. did not renew first aid prior to its expiration. .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. Staff G.E. did not renew CPR prior to its expiration. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill had not occurred since 12/2023. .0604(u);.0302(d)(8) 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. Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. .0701(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The plan had not been updated after alternates were not employed any longer. .0802(b)(1-2) Technical assistance was provided as follows: Item #.541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: A feeding plan was not signed and dated by the parent. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Note: All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. Item #.1890 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Tuberculin (TB) Test or Screening -The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months Note: Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. Item #.844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Note: Prescription diaper cream did not have the pharmacy label. Item #.2802 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: Prescription diaper cream was not stored in a locked cabinet or container. Item #.428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: All four (4) classrooms did not have a current activity plan posted. Item #.1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Note: The plan had not been updated after alternates were not employed any longer. Items #.805 & #.1811 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website. Note: A fire drill did not occur in July. (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. Note: An emergency drill had not occurred since 12/2023. Item #.533 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Note: Bottles for the infant in care were not dated. Item #.861 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. Item #.608 15A NCAC 18A .2803 HANDWASHING (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Children in space #2 did not wash hands when coming inside from the playground. Items #.1048 & #.1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: Staff G.E. did not renew first aid and CPR prior to its expiration. Staff S.B. will need first aid and CPR on or before 8/11/24 (within 90 days of hire). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Rated License: We discussed options to renew the Rated License. With the extension of Hold Harmless bill, you do not have to renew the Rated License during this school year unless you choose to. Currently, new QRIS modernization projects is in the works. We discussed what it will look like when the new QRIS system is implemented. • Paint in space #3 around the observation window is peeling and flaking. Since this isn’t low enough for children to access it, it wasn’t a violation today, however it does need immediate attention. • The baseboard under the handwashing sink in space #4, needs to be replaced. • The handwashing sink in space #4 needs a deep clean. Make sure each classroom is cleaning the sinks well and getting the dirt from around the faucet and handles. • Make sure that the staff and even children help to clean up trash from off the playgrounds. • Be sure to update your EPR plan and go through emergency bags to make sure they are well stocked and cleaned out. We went over the steps to update your plan today. • If mats are used for rest time, store them without touching the side the child sleeps on to anything. Store sheets in cubby. • Make sure that the registered agent is corrected on the Secretary of State Website. I printed the form for you today and explained the process. • Make sure the infants go outside each day for a minimum of one (1) hour. Today there was only one infant, however s/he had just had shots, so the day was off, and s/he got picked up early. • We discussed the children’s toilets and you stated that the plumber was scheduled to come tonight after closing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/1/2024 Number Present: 24 Completed Date: 8/1/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Miranda Vaughn, administrator was available during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) percentage as of 8/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the registered agent has resigned and there isn’t a registered agent listed for Sugar Grove Developmental Day School Inc., this facility is active, however the website information is not current as of 8/1/24. Permit type – Five Star License issued June 4, 2020. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/23/23. The last fire drill was practiced on 6/28/24. The last lock down drill was practiced on 12/22/24. The last playground inspection was documented on 7/19/24. The last fire inspection was approved on 10/25/23. The last sanitation inspection was conducted on 2/16/24 with seven (7) demerits for a superior type of classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is When I arrived, three out of four classrooms were outside on the playground playing with a variety of materials. Children were playing in sand and the water from the morning rain. Children were running and playing with blocks and riding toys, climbing the steps up the hill and walking back down. Children came inside for lunch which was tuna salad with crackers, celery, honeydew melon and milk. Children and teachers cleaned up from lunch and children settled down for rest time. After rest time children were served a snack of string cheese and watermelon. Children played inside in centers for a bit after snack due to the mowers arriving to trim the grass. When they were finished, children went outside to play until parent picked children up for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. All four (4) classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles for the infant in care were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. A feeding plan was not signed and dated by the parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in space #2 did not wash hands when coming inside from the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill did not occur in July. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Prescription diaper cream was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Prescription diaper cream did not have the pharmacy label. .0803(2)(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. .0604(q) 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. Staff G.E. did not renew first aid prior to its expiration. .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. Staff G.E. did not renew CPR prior to its expiration. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill had not occurred since 12/2023. .0604(u);.0302(d)(8) 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. Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. .0701(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The plan had not been updated after alternates were not employed any longer. .0802(b)(1-2) Technical assistance was provided as follows: Item #.541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: A feeding plan was not signed and dated by the parent. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Note: All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. Item #.1890 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Tuberculin (TB) Test or Screening -The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months Note: Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. Item #.844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Note: Prescription diaper cream did not have the pharmacy label. Item #.2802 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: Prescription diaper cream was not stored in a locked cabinet or container. Item #.428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: All four (4) classrooms did not have a current activity plan posted. Item #.1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Note: The plan had not been updated after alternates were not employed any longer. Items #.805 & #.1811 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website. Note: A fire drill did not occur in July. (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. Note: An emergency drill had not occurred since 12/2023. Item #.533 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Note: Bottles for the infant in care were not dated. Item #.861 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. Item #.608 15A NCAC 18A .2803 HANDWASHING (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Children in space #2 did not wash hands when coming inside from the playground. Items #.1048 & #.1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: Staff G.E. did not renew first aid and CPR prior to its expiration. Staff S.B. will need first aid and CPR on or before 8/11/24 (within 90 days of hire). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Rated License: We discussed options to renew the Rated License. With the extension of Hold Harmless bill, you do not have to renew the Rated License during this school year unless you choose to. Currently, new QRIS modernization projects is in the works. We discussed what it will look like when the new QRIS system is implemented. • Paint in space #3 around the observation window is peeling and flaking. Since this isn’t low enough for children to access it, it wasn’t a violation today, however it does need immediate attention. • The baseboard under the handwashing sink in space #4, needs to be replaced. • The handwashing sink in space #4 needs a deep clean. Make sure each classroom is cleaning the sinks well and getting the dirt from around the faucet and handles. • Make sure that the staff and even children help to clean up trash from off the playgrounds. • Be sure to update your EPR plan and go through emergency bags to make sure they are well stocked and cleaned out. We went over the steps to update your plan today. • If mats are used for rest time, store them without touching the side the child sleeps on to anything. Store sheets in cubby. • Make sure that the registered agent is corrected on the Secretary of State Website. I printed the form for you today and explained the process. • Make sure the infants go outside each day for a minimum of one (1) hour. Today there was only one infant, however s/he had just had shots, so the day was off, and s/he got picked up early. • We discussed the children’s toilets and you stated that the plumber was scheduled to come tonight after closing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/1/2024 Number Present: 24 Completed Date: 8/1/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Miranda Vaughn, administrator was available during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) percentage as of 8/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the registered agent has resigned and there isn’t a registered agent listed for Sugar Grove Developmental Day School Inc., this facility is active, however the website information is not current as of 8/1/24. Permit type – Five Star License issued June 4, 2020. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/23/23. The last fire drill was practiced on 6/28/24. The last lock down drill was practiced on 12/22/24. The last playground inspection was documented on 7/19/24. The last fire inspection was approved on 10/25/23. The last sanitation inspection was conducted on 2/16/24 with seven (7) demerits for a superior type of classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is When I arrived, three out of four classrooms were outside on the playground playing with a variety of materials. Children were playing in sand and the water from the morning rain. Children were running and playing with blocks and riding toys, climbing the steps up the hill and walking back down. Children came inside for lunch which was tuna salad with crackers, celery, honeydew melon and milk. Children and teachers cleaned up from lunch and children settled down for rest time. After rest time children were served a snack of string cheese and watermelon. Children played inside in centers for a bit after snack due to the mowers arriving to trim the grass. When they were finished, children went outside to play until parent picked children up for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. All four (4) classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles for the infant in care were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. A feeding plan was not signed and dated by the parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in space #2 did not wash hands when coming inside from the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill did not occur in July. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Prescription diaper cream was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Prescription diaper cream did not have the pharmacy label. .0803(2)(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. .0604(q) 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. Staff G.E. did not renew first aid prior to its expiration. .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. Staff G.E. did not renew CPR prior to its expiration. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill had not occurred since 12/2023. .0604(u);.0302(d)(8) 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. Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. .0701(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The plan had not been updated after alternates were not employed any longer. .0802(b)(1-2) Technical assistance was provided as follows: Item #.541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: A feeding plan was not signed and dated by the parent. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Note: All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. Item #.1890 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Tuberculin (TB) Test or Screening -The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months Note: Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. Item #.844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Note: Prescription diaper cream did not have the pharmacy label. Item #.2802 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: Prescription diaper cream was not stored in a locked cabinet or container. Item #.428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: All four (4) classrooms did not have a current activity plan posted. Item #.1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Note: The plan had not been updated after alternates were not employed any longer. Items #.805 & #.1811 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website. Note: A fire drill did not occur in July. (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. Note: An emergency drill had not occurred since 12/2023. Item #.533 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Note: Bottles for the infant in care were not dated. Item #.861 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. Item #.608 15A NCAC 18A .2803 HANDWASHING (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Children in space #2 did not wash hands when coming inside from the playground. Items #.1048 & #.1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: Staff G.E. did not renew first aid and CPR prior to its expiration. Staff S.B. will need first aid and CPR on or before 8/11/24 (within 90 days of hire). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Rated License: We discussed options to renew the Rated License. With the extension of Hold Harmless bill, you do not have to renew the Rated License during this school year unless you choose to. Currently, new QRIS modernization projects is in the works. We discussed what it will look like when the new QRIS system is implemented. • Paint in space #3 around the observation window is peeling and flaking. Since this isn’t low enough for children to access it, it wasn’t a violation today, however it does need immediate attention. • The baseboard under the handwashing sink in space #4, needs to be replaced. • The handwashing sink in space #4 needs a deep clean. Make sure each classroom is cleaning the sinks well and getting the dirt from around the faucet and handles. • Make sure that the staff and even children help to clean up trash from off the playgrounds. • Be sure to update your EPR plan and go through emergency bags to make sure they are well stocked and cleaned out. We went over the steps to update your plan today. • If mats are used for rest time, store them without touching the side the child sleeps on to anything. Store sheets in cubby. • Make sure that the registered agent is corrected on the Secretary of State Website. I printed the form for you today and explained the process. • Make sure the infants go outside each day for a minimum of one (1) hour. Today there was only one infant, however s/he had just had shots, so the day was off, and s/he got picked up early. • We discussed the children’s toilets and you stated that the plumber was scheduled to come tonight after closing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 .0902 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/1/2024 Number Present: 24 Completed Date: 8/1/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Miranda Vaughn, administrator was available during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) percentage as of 8/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the registered agent has resigned and there isn’t a registered agent listed for Sugar Grove Developmental Day School Inc., this facility is active, however the website information is not current as of 8/1/24. Permit type – Five Star License issued June 4, 2020. Special Services/Restrictions – Daytime care only, meeting reduced ratios, meeting enhanced space. The last annual compliance visit was conducted on 8/23/23. The last fire drill was practiced on 6/28/24. The last lock down drill was practiced on 12/22/24. The last playground inspection was documented on 7/19/24. The last fire inspection was approved on 10/25/23. The last sanitation inspection was conducted on 2/16/24 with seven (7) demerits for a superior type of classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is When I arrived, three out of four classrooms were outside on the playground playing with a variety of materials. Children were playing in sand and the water from the morning rain. Children were running and playing with blocks and riding toys, climbing the steps up the hill and walking back down. Children came inside for lunch which was tuna salad with crackers, celery, honeydew melon and milk. Children and teachers cleaned up from lunch and children settled down for rest time. After rest time children were served a snack of string cheese and watermelon. Children played inside in centers for a bit after snack due to the mowers arriving to trim the grass. When they were finished, children went outside to play until parent picked children up for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. All four (4) classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles for the infant in care were not dated. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. A feeding plan was not signed and dated by the parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in space #2 did not wash hands when coming inside from the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill did not occur in July. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Prescription diaper cream was not stored in a locked cabinet or container. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Prescription diaper cream did not have the pharmacy label. .0803(2)(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. .0604(q) 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. Staff G.E. did not renew first aid prior to its expiration. .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. Staff G.E. did not renew CPR prior to its expiration. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill had not occurred since 12/2023. .0604(u);.0302(d)(8) 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. Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. .0701(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The plan had not been updated after alternates were not employed any longer. .0802(b)(1-2) Technical assistance was provided as follows: Item #.541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: A feeding plan was not signed and dated by the parent. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Note: All staff files monitored today did not have six (6) hours of orientation the first two (2) weeks of employment. Item #.1890 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Tuberculin (TB) Test or Screening -The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months Note: Staff S.S. had a medical statement and a TB screening/test on file, however, they was over a year old when she was hired. Item #.844 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Note: Prescription diaper cream did not have the pharmacy label. Item #.2802 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: Prescription diaper cream was not stored in a locked cabinet or container. Item #.428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: All four (4) classrooms did not have a current activity plan posted. Item #.1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Note: The plan had not been updated after alternates were not employed any longer. Items #.805 & #.1811 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website. Note: A fire drill did not occur in July. (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. Note: An emergency drill had not occurred since 12/2023. Item #.533 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Note: Bottles for the infant in care were not dated. Item #.861 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Styrofoam cups were being used to give children water on the playground while children two-years of age were in care. Children were ripping up the cups and throwing it on the ground. There was also Styrofoam on the toddler playground as a bumper for the posts. One had been ripped off and was laying on the playground. Item #.608 15A NCAC 18A .2803 HANDWASHING (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Children in space #2 did not wash hands when coming inside from the playground. Items #.1048 & #.1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: Staff G.E. did not renew first aid and CPR prior to its expiration. Staff S.B. will need first aid and CPR on or before 8/11/24 (within 90 days of hire). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Rated License: We discussed options to renew the Rated License. With the extension of Hold Harmless bill, you do not have to renew the Rated License during this school year unless you choose to. Currently, new QRIS modernization projects is in the works. We discussed what it will look like when the new QRIS system is implemented. • Paint in space #3 around the observation window is peeling and flaking. Since this isn’t low enough for children to access it, it wasn’t a violation today, however it does need immediate attention. • The baseboard under the handwashing sink in space #4, needs to be replaced. • The handwashing sink in space #4 needs a deep clean. Make sure each classroom is cleaning the sinks well and getting the dirt from around the faucet and handles. • Make sure that the staff and even children help to clean up trash from off the playgrounds. • Be sure to update your EPR plan and go through emergency bags to make sure they are well stocked and cleaned out. We went over the steps to update your plan today. • If mats are used for rest time, store them without touching the side the child sleeps on to anything. Store sheets in cubby. • Make sure that the registered agent is corrected on the Secretary of State Website. I printed the form for you today and explained the process. • Make sure the infants go outside each day for a minimum of one (1) hour. Today there was only one infant, however s/he had just had shots, so the day was off, and s/he got picked up early. • We discussed the children’s toilets and you stated that the plumber was scheduled to come tonight after closing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 .1101 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 26 Completed Date: 2/20/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn. The computerized generated report of today’s visit was completed on site and electronically emailed to Ms. Vaughn. Upon my arrival I greeted the teachers and children on the playground. Ms. Vaughn, administrator, was in a classroom today counting in ratio since a teacher was out sick. I joined her on the playground and explained the reason for my visit. Children were observed climbing the big hill, walking on the path, riding trikes and playing with other outdoor materials. When children came inside, they washed hands to sit down for lunch. Lunch today consisted of lasagna, baby carrot sticks, apple wedges and milk. After lunch, children were cleaned up and diapers changed, to prepare for rest time. There was one emergency medication that was monitored today. There was one new teacher at this facility today, so that staff file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued 6/4/2020. Permit Restrictions- Daytime care only, meeting reduced ratios and enhanced space. The playground inspection was completed on The last fire drill was practiced on 1/31/24. The last playground inspection was on 8/4/23. Currently, there isn’t anyone that is trained to conduct the monthly inspections. Ms. Vaughn is going to contact the Children’s Council for that training and to see if anyone can help do the monthly inspections until someone is trained. An emergency drill was conducted on 12/22/23. The last fire inspection was 10/25/23. The last sanitation inspection was completed on 2/16/24 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A prescription diaper cream was not locked in space #2. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Prescription diaper cream was expired. Emergency medication permission was expired as well as the prescription was expired in space #4. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground safety check hasn’t been completed in the past six (6) months. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. New staff SF, did not complete a health questionnaire on or before the fist day of work .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. New staff SF, did not get orientation within two (2) weeks or six (6) weeks. .1101(a) 1061 One staff member had not completed training in playground safety. Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. .1102(e) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. New staff SF, did not get orientation within two (2) weeks of employment. .1101(a)(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A monster drink was located in space #2 on a shelf. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance: Items #1882 and 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Note: Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Emergency medication permission was expired as well as the prescription was expired in space #4. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: A prescription diaper cream was not locked in space #2. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A monster drink was located in space #2 on a shelf. Items #826 and 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: A playground safety check hasn’t been completed in the past six (6) months. Items # 1045 and 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment New staff orientation within first six (6) weeks of employment Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 Firsthand observation of the center's daily operations Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan Instruction in the employee's assigned duties Adequate supervision of children in accordance with 10A NCAC 09 .1801 Instruction in the maintenance of a safe and healthy environment Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 Prevention and control of infectious diseases, including immunization Review of the center's purposes and goals Review of the child care licensing law and rules Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Prevention of and response to emergencies due to food and allergic reactions Review of the center's handling and storage of New staff orientation within first six (6) weeks of employment New staff orientation within first two (2) weeks of employment hazardous materials and the appropriate disposal of biocontaminants Note: New staff SF, did not get orientation within two (2) weeks or six (6) weeks. Item #1061 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. Note: Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. Item #1034 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. Note: New staff SF, did not fill out a health questionnaire on or before the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 5, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • The Summary of the Law posters need to be updated (they were printed during today’s visit. • Make sure the emergency medical care plan is updated and reviewed with new staff. • Get teachers into a foundations class (it is offered on Moodle or contact the Children’s Council) so that activities can be tied to the goals. • We discussed the transition to being the new director and how the center has been in survival mode for the past few months due to not having an administrator. • There is a learning curve to the administrator piece, and you are doing a great job. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 26 Completed Date: 2/20/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn. The computerized generated report of today’s visit was completed on site and electronically emailed to Ms. Vaughn. Upon my arrival I greeted the teachers and children on the playground. Ms. Vaughn, administrator, was in a classroom today counting in ratio since a teacher was out sick. I joined her on the playground and explained the reason for my visit. Children were observed climbing the big hill, walking on the path, riding trikes and playing with other outdoor materials. When children came inside, they washed hands to sit down for lunch. Lunch today consisted of lasagna, baby carrot sticks, apple wedges and milk. After lunch, children were cleaned up and diapers changed, to prepare for rest time. There was one emergency medication that was monitored today. There was one new teacher at this facility today, so that staff file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued 6/4/2020. Permit Restrictions- Daytime care only, meeting reduced ratios and enhanced space. The playground inspection was completed on The last fire drill was practiced on 1/31/24. The last playground inspection was on 8/4/23. Currently, there isn’t anyone that is trained to conduct the monthly inspections. Ms. Vaughn is going to contact the Children’s Council for that training and to see if anyone can help do the monthly inspections until someone is trained. An emergency drill was conducted on 12/22/23. The last fire inspection was 10/25/23. The last sanitation inspection was completed on 2/16/24 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A prescription diaper cream was not locked in space #2. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Prescription diaper cream was expired. Emergency medication permission was expired as well as the prescription was expired in space #4. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground safety check hasn’t been completed in the past six (6) months. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. New staff SF, did not complete a health questionnaire on or before the fist day of work .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. New staff SF, did not get orientation within two (2) weeks or six (6) weeks. .1101(a) 1061 One staff member had not completed training in playground safety. Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. .1102(e) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. New staff SF, did not get orientation within two (2) weeks of employment. .1101(a)(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A monster drink was located in space #2 on a shelf. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance: Items #1882 and 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Note: Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Emergency medication permission was expired as well as the prescription was expired in space #4. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: A prescription diaper cream was not locked in space #2. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A monster drink was located in space #2 on a shelf. Items #826 and 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: A playground safety check hasn’t been completed in the past six (6) months. Items # 1045 and 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment New staff orientation within first six (6) weeks of employment Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 Firsthand observation of the center's daily operations Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan Instruction in the employee's assigned duties Adequate supervision of children in accordance with 10A NCAC 09 .1801 Instruction in the maintenance of a safe and healthy environment Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 Prevention and control of infectious diseases, including immunization Review of the center's purposes and goals Review of the child care licensing law and rules Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Prevention of and response to emergencies due to food and allergic reactions Review of the center's handling and storage of New staff orientation within first six (6) weeks of employment New staff orientation within first two (2) weeks of employment hazardous materials and the appropriate disposal of biocontaminants Note: New staff SF, did not get orientation within two (2) weeks or six (6) weeks. Item #1061 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. Note: Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. Item #1034 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. Note: New staff SF, did not fill out a health questionnaire on or before the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 5, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • The Summary of the Law posters need to be updated (they were printed during today’s visit. • Make sure the emergency medical care plan is updated and reviewed with new staff. • Get teachers into a foundations class (it is offered on Moodle or contact the Children’s Council) so that activities can be tied to the goals. • We discussed the transition to being the new director and how the center has been in survival mode for the past few months due to not having an administrator. • There is a learning curve to the administrator piece, and you are doing a great job. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 .0901 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 26 Completed Date: 2/20/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn. The computerized generated report of today’s visit was completed on site and electronically emailed to Ms. Vaughn. Upon my arrival I greeted the teachers and children on the playground. Ms. Vaughn, administrator, was in a classroom today counting in ratio since a teacher was out sick. I joined her on the playground and explained the reason for my visit. Children were observed climbing the big hill, walking on the path, riding trikes and playing with other outdoor materials. When children came inside, they washed hands to sit down for lunch. Lunch today consisted of lasagna, baby carrot sticks, apple wedges and milk. After lunch, children were cleaned up and diapers changed, to prepare for rest time. There was one emergency medication that was monitored today. There was one new teacher at this facility today, so that staff file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued 6/4/2020. Permit Restrictions- Daytime care only, meeting reduced ratios and enhanced space. The playground inspection was completed on The last fire drill was practiced on 1/31/24. The last playground inspection was on 8/4/23. Currently, there isn’t anyone that is trained to conduct the monthly inspections. Ms. Vaughn is going to contact the Children’s Council for that training and to see if anyone can help do the monthly inspections until someone is trained. An emergency drill was conducted on 12/22/23. The last fire inspection was 10/25/23. The last sanitation inspection was completed on 2/16/24 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A prescription diaper cream was not locked in space #2. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Prescription diaper cream was expired. Emergency medication permission was expired as well as the prescription was expired in space #4. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground safety check hasn’t been completed in the past six (6) months. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. New staff SF, did not complete a health questionnaire on or before the fist day of work .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. New staff SF, did not get orientation within two (2) weeks or six (6) weeks. .1101(a) 1061 One staff member had not completed training in playground safety. Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. .1102(e) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. New staff SF, did not get orientation within two (2) weeks of employment. .1101(a)(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A monster drink was located in space #2 on a shelf. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance: Items #1882 and 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Note: Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Emergency medication permission was expired as well as the prescription was expired in space #4. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: A prescription diaper cream was not locked in space #2. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A monster drink was located in space #2 on a shelf. Items #826 and 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: A playground safety check hasn’t been completed in the past six (6) months. Items # 1045 and 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment New staff orientation within first six (6) weeks of employment Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 Firsthand observation of the center's daily operations Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan Instruction in the employee's assigned duties Adequate supervision of children in accordance with 10A NCAC 09 .1801 Instruction in the maintenance of a safe and healthy environment Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 Prevention and control of infectious diseases, including immunization Review of the center's purposes and goals Review of the child care licensing law and rules Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Prevention of and response to emergencies due to food and allergic reactions Review of the center's handling and storage of New staff orientation within first six (6) weeks of employment New staff orientation within first two (2) weeks of employment hazardous materials and the appropriate disposal of biocontaminants Note: New staff SF, did not get orientation within two (2) weeks or six (6) weeks. Item #1061 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. Note: Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. Item #1034 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. Note: New staff SF, did not fill out a health questionnaire on or before the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 5, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • The Summary of the Law posters need to be updated (they were printed during today’s visit. • Make sure the emergency medical care plan is updated and reviewed with new staff. • Get teachers into a foundations class (it is offered on Moodle or contact the Children’s Council) so that activities can be tied to the goals. • We discussed the transition to being the new director and how the center has been in survival mode for the past few months due to not having an administrator. • There is a learning curve to the administrator piece, and you are doing a great job. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 .1101 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 26 Completed Date: 2/20/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn. The computerized generated report of today’s visit was completed on site and electronically emailed to Ms. Vaughn. Upon my arrival I greeted the teachers and children on the playground. Ms. Vaughn, administrator, was in a classroom today counting in ratio since a teacher was out sick. I joined her on the playground and explained the reason for my visit. Children were observed climbing the big hill, walking on the path, riding trikes and playing with other outdoor materials. When children came inside, they washed hands to sit down for lunch. Lunch today consisted of lasagna, baby carrot sticks, apple wedges and milk. After lunch, children were cleaned up and diapers changed, to prepare for rest time. There was one emergency medication that was monitored today. There was one new teacher at this facility today, so that staff file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued 6/4/2020. Permit Restrictions- Daytime care only, meeting reduced ratios and enhanced space. The playground inspection was completed on The last fire drill was practiced on 1/31/24. The last playground inspection was on 8/4/23. Currently, there isn’t anyone that is trained to conduct the monthly inspections. Ms. Vaughn is going to contact the Children’s Council for that training and to see if anyone can help do the monthly inspections until someone is trained. An emergency drill was conducted on 12/22/23. The last fire inspection was 10/25/23. The last sanitation inspection was completed on 2/16/24 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A prescription diaper cream was not locked in space #2. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Prescription diaper cream was expired. Emergency medication permission was expired as well as the prescription was expired in space #4. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground safety check hasn’t been completed in the past six (6) months. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. New staff SF, did not complete a health questionnaire on or before the fist day of work .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. New staff SF, did not get orientation within two (2) weeks or six (6) weeks. .1101(a) 1061 One staff member had not completed training in playground safety. Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. .1102(e) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. New staff SF, did not get orientation within two (2) weeks of employment. .1101(a)(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A monster drink was located in space #2 on a shelf. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance: Items #1882 and 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Note: Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Emergency medication permission was expired as well as the prescription was expired in space #4. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: A prescription diaper cream was not locked in space #2. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A monster drink was located in space #2 on a shelf. Items #826 and 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: A playground safety check hasn’t been completed in the past six (6) months. Items # 1045 and 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment New staff orientation within first six (6) weeks of employment Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 Firsthand observation of the center's daily operations Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan Instruction in the employee's assigned duties Adequate supervision of children in accordance with 10A NCAC 09 .1801 Instruction in the maintenance of a safe and healthy environment Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 Prevention and control of infectious diseases, including immunization Review of the center's purposes and goals Review of the child care licensing law and rules Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Prevention of and response to emergencies due to food and allergic reactions Review of the center's handling and storage of New staff orientation within first six (6) weeks of employment New staff orientation within first two (2) weeks of employment hazardous materials and the appropriate disposal of biocontaminants Note: New staff SF, did not get orientation within two (2) weeks or six (6) weeks. Item #1061 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. Note: Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. Item #1034 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. Note: New staff SF, did not fill out a health questionnaire on or before the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 5, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • The Summary of the Law posters need to be updated (they were printed during today’s visit. • Make sure the emergency medical care plan is updated and reviewed with new staff. • Get teachers into a foundations class (it is offered on Moodle or contact the Children’s Council) so that activities can be tied to the goals. • We discussed the transition to being the new director and how the center has been in survival mode for the past few months due to not having an administrator. • There is a learning curve to the administrator piece, and you are doing a great job. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 26 Completed Date: 2/20/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn. The computerized generated report of today’s visit was completed on site and electronically emailed to Ms. Vaughn. Upon my arrival I greeted the teachers and children on the playground. Ms. Vaughn, administrator, was in a classroom today counting in ratio since a teacher was out sick. I joined her on the playground and explained the reason for my visit. Children were observed climbing the big hill, walking on the path, riding trikes and playing with other outdoor materials. When children came inside, they washed hands to sit down for lunch. Lunch today consisted of lasagna, baby carrot sticks, apple wedges and milk. After lunch, children were cleaned up and diapers changed, to prepare for rest time. There was one emergency medication that was monitored today. There was one new teacher at this facility today, so that staff file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued 6/4/2020. Permit Restrictions- Daytime care only, meeting reduced ratios and enhanced space. The playground inspection was completed on The last fire drill was practiced on 1/31/24. The last playground inspection was on 8/4/23. Currently, there isn’t anyone that is trained to conduct the monthly inspections. Ms. Vaughn is going to contact the Children’s Council for that training and to see if anyone can help do the monthly inspections until someone is trained. An emergency drill was conducted on 12/22/23. The last fire inspection was 10/25/23. The last sanitation inspection was completed on 2/16/24 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A prescription diaper cream was not locked in space #2. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Prescription diaper cream was expired. Emergency medication permission was expired as well as the prescription was expired in space #4. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground safety check hasn’t been completed in the past six (6) months. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. New staff SF, did not complete a health questionnaire on or before the fist day of work .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. New staff SF, did not get orientation within two (2) weeks or six (6) weeks. .1101(a) 1061 One staff member had not completed training in playground safety. Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. .1102(e) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. New staff SF, did not get orientation within two (2) weeks of employment. .1101(a)(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A monster drink was located in space #2 on a shelf. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance: Items #1882 and 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Note: Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Emergency medication permission was expired as well as the prescription was expired in space #4. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: A prescription diaper cream was not locked in space #2. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A monster drink was located in space #2 on a shelf. Items #826 and 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: A playground safety check hasn’t been completed in the past six (6) months. Items # 1045 and 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment New staff orientation within first six (6) weeks of employment Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 Firsthand observation of the center's daily operations Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan Instruction in the employee's assigned duties Adequate supervision of children in accordance with 10A NCAC 09 .1801 Instruction in the maintenance of a safe and healthy environment Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 Prevention and control of infectious diseases, including immunization Review of the center's purposes and goals Review of the child care licensing law and rules Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Prevention of and response to emergencies due to food and allergic reactions Review of the center's handling and storage of New staff orientation within first six (6) weeks of employment New staff orientation within first two (2) weeks of employment hazardous materials and the appropriate disposal of biocontaminants Note: New staff SF, did not get orientation within two (2) weeks or six (6) weeks. Item #1061 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. Note: Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. Item #1034 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. Note: New staff SF, did not fill out a health questionnaire on or before the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 5, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • The Summary of the Law posters need to be updated (they were printed during today’s visit. • Make sure the emergency medical care plan is updated and reviewed with new staff. • Get teachers into a foundations class (it is offered on Moodle or contact the Children’s Council) so that activities can be tied to the goals. • We discussed the transition to being the new director and how the center has been in survival mode for the past few months due to not having an administrator. • There is a learning curve to the administrator piece, and you are doing a great job. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 26 Completed Date: 2/20/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn. The computerized generated report of today’s visit was completed on site and electronically emailed to Ms. Vaughn. Upon my arrival I greeted the teachers and children on the playground. Ms. Vaughn, administrator, was in a classroom today counting in ratio since a teacher was out sick. I joined her on the playground and explained the reason for my visit. Children were observed climbing the big hill, walking on the path, riding trikes and playing with other outdoor materials. When children came inside, they washed hands to sit down for lunch. Lunch today consisted of lasagna, baby carrot sticks, apple wedges and milk. After lunch, children were cleaned up and diapers changed, to prepare for rest time. There was one emergency medication that was monitored today. There was one new teacher at this facility today, so that staff file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued 6/4/2020. Permit Restrictions- Daytime care only, meeting reduced ratios and enhanced space. The playground inspection was completed on The last fire drill was practiced on 1/31/24. The last playground inspection was on 8/4/23. Currently, there isn’t anyone that is trained to conduct the monthly inspections. Ms. Vaughn is going to contact the Children’s Council for that training and to see if anyone can help do the monthly inspections until someone is trained. An emergency drill was conducted on 12/22/23. The last fire inspection was 10/25/23. The last sanitation inspection was completed on 2/16/24 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A prescription diaper cream was not locked in space #2. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Prescription diaper cream was expired. Emergency medication permission was expired as well as the prescription was expired in space #4. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground safety check hasn’t been completed in the past six (6) months. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. New staff SF, did not complete a health questionnaire on or before the fist day of work .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. New staff SF, did not get orientation within two (2) weeks or six (6) weeks. .1101(a) 1061 One staff member had not completed training in playground safety. Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. .1102(e) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. New staff SF, did not get orientation within two (2) weeks of employment. .1101(a)(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A monster drink was located in space #2 on a shelf. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance: Items #1882 and 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Note: Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Emergency medication permission was expired as well as the prescription was expired in space #4. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: A prescription diaper cream was not locked in space #2. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A monster drink was located in space #2 on a shelf. Items #826 and 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: A playground safety check hasn’t been completed in the past six (6) months. Items # 1045 and 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment New staff orientation within first six (6) weeks of employment Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 Firsthand observation of the center's daily operations Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan Instruction in the employee's assigned duties Adequate supervision of children in accordance with 10A NCAC 09 .1801 Instruction in the maintenance of a safe and healthy environment Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 Prevention and control of infectious diseases, including immunization Review of the center's purposes and goals Review of the child care licensing law and rules Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Prevention of and response to emergencies due to food and allergic reactions Review of the center's handling and storage of New staff orientation within first six (6) weeks of employment New staff orientation within first two (2) weeks of employment hazardous materials and the appropriate disposal of biocontaminants Note: New staff SF, did not get orientation within two (2) weeks or six (6) weeks. Item #1061 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. Note: Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. Item #1034 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. Note: New staff SF, did not fill out a health questionnaire on or before the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 5, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • The Summary of the Law posters need to be updated (they were printed during today’s visit. • Make sure the emergency medical care plan is updated and reviewed with new staff. • Get teachers into a foundations class (it is offered on Moodle or contact the Children’s Council) so that activities can be tied to the goals. • We discussed the transition to being the new director and how the center has been in survival mode for the past few months due to not having an administrator. • There is a learning curve to the administrator piece, and you are doing a great job. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 26 Completed Date: 2/20/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn. The computerized generated report of today’s visit was completed on site and electronically emailed to Ms. Vaughn. Upon my arrival I greeted the teachers and children on the playground. Ms. Vaughn, administrator, was in a classroom today counting in ratio since a teacher was out sick. I joined her on the playground and explained the reason for my visit. Children were observed climbing the big hill, walking on the path, riding trikes and playing with other outdoor materials. When children came inside, they washed hands to sit down for lunch. Lunch today consisted of lasagna, baby carrot sticks, apple wedges and milk. After lunch, children were cleaned up and diapers changed, to prepare for rest time. There was one emergency medication that was monitored today. There was one new teacher at this facility today, so that staff file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued 6/4/2020. Permit Restrictions- Daytime care only, meeting reduced ratios and enhanced space. The playground inspection was completed on The last fire drill was practiced on 1/31/24. The last playground inspection was on 8/4/23. Currently, there isn’t anyone that is trained to conduct the monthly inspections. Ms. Vaughn is going to contact the Children’s Council for that training and to see if anyone can help do the monthly inspections until someone is trained. An emergency drill was conducted on 12/22/23. The last fire inspection was 10/25/23. The last sanitation inspection was completed on 2/16/24 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A prescription diaper cream was not locked in space #2. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Prescription diaper cream was expired. Emergency medication permission was expired as well as the prescription was expired in space #4. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground safety check hasn’t been completed in the past six (6) months. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. New staff SF, did not complete a health questionnaire on or before the fist day of work .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. New staff SF, did not get orientation within two (2) weeks or six (6) weeks. .1101(a) 1061 One staff member had not completed training in playground safety. Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. .1102(e) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. New staff SF, did not get orientation within two (2) weeks of employment. .1101(a)(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A monster drink was located in space #2 on a shelf. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance: Items #1882 and 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Note: Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Emergency medication permission was expired as well as the prescription was expired in space #4. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: A prescription diaper cream was not locked in space #2. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A monster drink was located in space #2 on a shelf. Items #826 and 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: A playground safety check hasn’t been completed in the past six (6) months. Items # 1045 and 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment New staff orientation within first six (6) weeks of employment Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 Firsthand observation of the center's daily operations Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan Instruction in the employee's assigned duties Adequate supervision of children in accordance with 10A NCAC 09 .1801 Instruction in the maintenance of a safe and healthy environment Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 Prevention and control of infectious diseases, including immunization Review of the center's purposes and goals Review of the child care licensing law and rules Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Prevention of and response to emergencies due to food and allergic reactions Review of the center's handling and storage of New staff orientation within first six (6) weeks of employment New staff orientation within first two (2) weeks of employment hazardous materials and the appropriate disposal of biocontaminants Note: New staff SF, did not get orientation within two (2) weeks or six (6) weeks. Item #1061 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. Note: Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. Item #1034 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. Note: New staff SF, did not fill out a health questionnaire on or before the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 5, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • The Summary of the Law posters need to be updated (they were printed during today’s visit. • Make sure the emergency medical care plan is updated and reviewed with new staff. • Get teachers into a foundations class (it is offered on Moodle or contact the Children’s Council) so that activities can be tied to the goals. • We discussed the transition to being the new director and how the center has been in survival mode for the past few months due to not having an administrator. • There is a learning curve to the administrator piece, and you are doing a great job. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-105 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 26 Completed Date: 2/20/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn. The computerized generated report of today’s visit was completed on site and electronically emailed to Ms. Vaughn. Upon my arrival I greeted the teachers and children on the playground. Ms. Vaughn, administrator, was in a classroom today counting in ratio since a teacher was out sick. I joined her on the playground and explained the reason for my visit. Children were observed climbing the big hill, walking on the path, riding trikes and playing with other outdoor materials. When children came inside, they washed hands to sit down for lunch. Lunch today consisted of lasagna, baby carrot sticks, apple wedges and milk. After lunch, children were cleaned up and diapers changed, to prepare for rest time. There was one emergency medication that was monitored today. There was one new teacher at this facility today, so that staff file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued 6/4/2020. Permit Restrictions- Daytime care only, meeting reduced ratios and enhanced space. The playground inspection was completed on The last fire drill was practiced on 1/31/24. The last playground inspection was on 8/4/23. Currently, there isn’t anyone that is trained to conduct the monthly inspections. Ms. Vaughn is going to contact the Children’s Council for that training and to see if anyone can help do the monthly inspections until someone is trained. An emergency drill was conducted on 12/22/23. The last fire inspection was 10/25/23. The last sanitation inspection was completed on 2/16/24 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A prescription diaper cream was not locked in space #2. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Prescription diaper cream was expired. Emergency medication permission was expired as well as the prescription was expired in space #4. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground safety check hasn’t been completed in the past six (6) months. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. New staff SF, did not complete a health questionnaire on or before the fist day of work .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. New staff SF, did not get orientation within two (2) weeks or six (6) weeks. .1101(a) 1061 One staff member had not completed training in playground safety. Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. .1102(e) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. New staff SF, did not get orientation within two (2) weeks of employment. .1101(a)(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A monster drink was located in space #2 on a shelf. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance: Items #1882 and 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Note: Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Emergency medication permission was expired as well as the prescription was expired in space #4. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: A prescription diaper cream was not locked in space #2. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A monster drink was located in space #2 on a shelf. Items #826 and 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: A playground safety check hasn’t been completed in the past six (6) months. Items # 1045 and 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment New staff orientation within first six (6) weeks of employment Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 Firsthand observation of the center's daily operations Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan Instruction in the employee's assigned duties Adequate supervision of children in accordance with 10A NCAC 09 .1801 Instruction in the maintenance of a safe and healthy environment Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 Prevention and control of infectious diseases, including immunization Review of the center's purposes and goals Review of the child care licensing law and rules Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Prevention of and response to emergencies due to food and allergic reactions Review of the center's handling and storage of New staff orientation within first six (6) weeks of employment New staff orientation within first two (2) weeks of employment hazardous materials and the appropriate disposal of biocontaminants Note: New staff SF, did not get orientation within two (2) weeks or six (6) weeks. Item #1061 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. Note: Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. Item #1034 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. Note: New staff SF, did not fill out a health questionnaire on or before the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 5, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • The Summary of the Law posters need to be updated (they were printed during today’s visit. • Make sure the emergency medical care plan is updated and reviewed with new staff. • Get teachers into a foundations class (it is offered on Moodle or contact the Children’s Council) so that activities can be tied to the goals. • We discussed the transition to being the new director and how the center has been in survival mode for the past few months due to not having an administrator. • There is a learning curve to the administrator piece, and you are doing a great job. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 26 Completed Date: 2/20/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn. The computerized generated report of today’s visit was completed on site and electronically emailed to Ms. Vaughn. Upon my arrival I greeted the teachers and children on the playground. Ms. Vaughn, administrator, was in a classroom today counting in ratio since a teacher was out sick. I joined her on the playground and explained the reason for my visit. Children were observed climbing the big hill, walking on the path, riding trikes and playing with other outdoor materials. When children came inside, they washed hands to sit down for lunch. Lunch today consisted of lasagna, baby carrot sticks, apple wedges and milk. After lunch, children were cleaned up and diapers changed, to prepare for rest time. There was one emergency medication that was monitored today. There was one new teacher at this facility today, so that staff file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued 6/4/2020. Permit Restrictions- Daytime care only, meeting reduced ratios and enhanced space. The playground inspection was completed on The last fire drill was practiced on 1/31/24. The last playground inspection was on 8/4/23. Currently, there isn’t anyone that is trained to conduct the monthly inspections. Ms. Vaughn is going to contact the Children’s Council for that training and to see if anyone can help do the monthly inspections until someone is trained. An emergency drill was conducted on 12/22/23. The last fire inspection was 10/25/23. The last sanitation inspection was completed on 2/16/24 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A prescription diaper cream was not locked in space #2. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Prescription diaper cream was expired. Emergency medication permission was expired as well as the prescription was expired in space #4. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground safety check hasn’t been completed in the past six (6) months. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. New staff SF, did not complete a health questionnaire on or before the fist day of work .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. New staff SF, did not get orientation within two (2) weeks or six (6) weeks. .1101(a) 1061 One staff member had not completed training in playground safety. Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. .1102(e) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. New staff SF, did not get orientation within two (2) weeks of employment. .1101(a)(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A monster drink was located in space #2 on a shelf. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance: Items #1882 and 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Note: Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Emergency medication permission was expired as well as the prescription was expired in space #4. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: A prescription diaper cream was not locked in space #2. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A monster drink was located in space #2 on a shelf. Items #826 and 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: A playground safety check hasn’t been completed in the past six (6) months. Items # 1045 and 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment New staff orientation within first six (6) weeks of employment Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 Firsthand observation of the center's daily operations Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan Instruction in the employee's assigned duties Adequate supervision of children in accordance with 10A NCAC 09 .1801 Instruction in the maintenance of a safe and healthy environment Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 Prevention and control of infectious diseases, including immunization Review of the center's purposes and goals Review of the child care licensing law and rules Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Prevention of and response to emergencies due to food and allergic reactions Review of the center's handling and storage of New staff orientation within first six (6) weeks of employment New staff orientation within first two (2) weeks of employment hazardous materials and the appropriate disposal of biocontaminants Note: New staff SF, did not get orientation within two (2) weeks or six (6) weeks. Item #1061 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. Note: Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. Item #1034 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. Note: New staff SF, did not fill out a health questionnaire on or before the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 5, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • The Summary of the Law posters need to be updated (they were printed during today’s visit. • Make sure the emergency medical care plan is updated and reviewed with new staff. • Get teachers into a foundations class (it is offered on Moodle or contact the Children’s Council) so that activities can be tied to the goals. • We discussed the transition to being the new director and how the center has been in survival mode for the past few months due to not having an administrator. • There is a learning curve to the administrator piece, and you are doing a great job. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 26 Completed Date: 2/20/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn. The computerized generated report of today’s visit was completed on site and electronically emailed to Ms. Vaughn. Upon my arrival I greeted the teachers and children on the playground. Ms. Vaughn, administrator, was in a classroom today counting in ratio since a teacher was out sick. I joined her on the playground and explained the reason for my visit. Children were observed climbing the big hill, walking on the path, riding trikes and playing with other outdoor materials. When children came inside, they washed hands to sit down for lunch. Lunch today consisted of lasagna, baby carrot sticks, apple wedges and milk. After lunch, children were cleaned up and diapers changed, to prepare for rest time. There was one emergency medication that was monitored today. There was one new teacher at this facility today, so that staff file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued 6/4/2020. Permit Restrictions- Daytime care only, meeting reduced ratios and enhanced space. The playground inspection was completed on The last fire drill was practiced on 1/31/24. The last playground inspection was on 8/4/23. Currently, there isn’t anyone that is trained to conduct the monthly inspections. Ms. Vaughn is going to contact the Children’s Council for that training and to see if anyone can help do the monthly inspections until someone is trained. An emergency drill was conducted on 12/22/23. The last fire inspection was 10/25/23. The last sanitation inspection was completed on 2/16/24 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A prescription diaper cream was not locked in space #2. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Prescription diaper cream was expired. Emergency medication permission was expired as well as the prescription was expired in space #4. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground safety check hasn’t been completed in the past six (6) months. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. New staff SF, did not complete a health questionnaire on or before the fist day of work .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. New staff SF, did not get orientation within two (2) weeks or six (6) weeks. .1101(a) 1061 One staff member had not completed training in playground safety. Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. .1102(e) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. New staff SF, did not get orientation within two (2) weeks of employment. .1101(a)(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A monster drink was located in space #2 on a shelf. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance: Items #1882 and 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Note: Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Emergency medication permission was expired as well as the prescription was expired in space #4. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: A prescription diaper cream was not locked in space #2. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A monster drink was located in space #2 on a shelf. Items #826 and 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: A playground safety check hasn’t been completed in the past six (6) months. Items # 1045 and 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment New staff orientation within first six (6) weeks of employment Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 Firsthand observation of the center's daily operations Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan Instruction in the employee's assigned duties Adequate supervision of children in accordance with 10A NCAC 09 .1801 Instruction in the maintenance of a safe and healthy environment Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 Prevention and control of infectious diseases, including immunization Review of the center's purposes and goals Review of the child care licensing law and rules Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Prevention of and response to emergencies due to food and allergic reactions Review of the center's handling and storage of New staff orientation within first six (6) weeks of employment New staff orientation within first two (2) weeks of employment hazardous materials and the appropriate disposal of biocontaminants Note: New staff SF, did not get orientation within two (2) weeks or six (6) weeks. Item #1061 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. Note: Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. Item #1034 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. Note: New staff SF, did not fill out a health questionnaire on or before the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 5, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • The Summary of the Law posters need to be updated (they were printed during today’s visit. • Make sure the emergency medical care plan is updated and reviewed with new staff. • Get teachers into a foundations class (it is offered on Moodle or contact the Children’s Council) so that activities can be tied to the goals. • We discussed the transition to being the new director and how the center has been in survival mode for the past few months due to not having an administrator. • There is a learning curve to the administrator piece, and you are doing a great job. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/20/2024 Number Present: 26 Completed Date: 2/20/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Miranda Vaughn. The computerized generated report of today’s visit was completed on site and electronically emailed to Ms. Vaughn. Upon my arrival I greeted the teachers and children on the playground. Ms. Vaughn, administrator, was in a classroom today counting in ratio since a teacher was out sick. I joined her on the playground and explained the reason for my visit. Children were observed climbing the big hill, walking on the path, riding trikes and playing with other outdoor materials. When children came inside, they washed hands to sit down for lunch. Lunch today consisted of lasagna, baby carrot sticks, apple wedges and milk. After lunch, children were cleaned up and diapers changed, to prepare for rest time. There was one emergency medication that was monitored today. There was one new teacher at this facility today, so that staff file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued 6/4/2020. Permit Restrictions- Daytime care only, meeting reduced ratios and enhanced space. The playground inspection was completed on The last fire drill was practiced on 1/31/24. The last playground inspection was on 8/4/23. Currently, there isn’t anyone that is trained to conduct the monthly inspections. Ms. Vaughn is going to contact the Children’s Council for that training and to see if anyone can help do the monthly inspections until someone is trained. An emergency drill was conducted on 12/22/23. The last fire inspection was 10/25/23. The last sanitation inspection was completed on 2/16/24 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A prescription diaper cream was not locked in space #2. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Prescription diaper cream was expired. Emergency medication permission was expired as well as the prescription was expired in space #4. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground safety check hasn’t been completed in the past six (6) months. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. New staff SF, did not complete a health questionnaire on or before the fist day of work .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. New staff SF, did not get orientation within two (2) weeks or six (6) weeks. .1101(a) 1061 One staff member had not completed training in playground safety. Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. .1102(e) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. New staff SF, did not get orientation within two (2) weeks of employment. .1101(a)(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A monster drink was located in space #2 on a shelf. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance: Items #1882 and 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Note: Some diaper creams were expired, didn’t have a specific amount to apply and not dated in space #2 and #3. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: Emergency medication permission was expired as well as the prescription was expired in space #4. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: A prescription diaper cream was not locked in space #2. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A monster drink was located in space #2 on a shelf. Items #826 and 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate on the preschool playground would not close appropriately. The administrator has a plan in place to get this repaired. (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: A playground safety check hasn’t been completed in the past six (6) months. Items # 1045 and 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment New staff orientation within first six (6) weeks of employment Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 Firsthand observation of the center's daily operations Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan Instruction in the employee's assigned duties Adequate supervision of children in accordance with 10A NCAC 09 .1801 Instruction in the maintenance of a safe and healthy environment Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 Prevention and control of infectious diseases, including immunization Review of the center's purposes and goals Review of the child care licensing law and rules Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Prevention of and response to emergencies due to food and allergic reactions Review of the center's handling and storage of New staff orientation within first six (6) weeks of employment New staff orientation within first two (2) weeks of employment hazardous materials and the appropriate disposal of biocontaminants Note: New staff SF, did not get orientation within two (2) weeks or six (6) weeks. Item #1061 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. Note: Nobody at the facility has been trained in Playground Safety. The person that was trained left six (6) months ago. Item #1034 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. Note: New staff SF, did not fill out a health questionnaire on or before the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 5, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • The Summary of the Law posters need to be updated (they were printed during today’s visit. • Make sure the emergency medical care plan is updated and reviewed with new staff. • Get teachers into a foundations class (it is offered on Moodle or contact the Children’s Council) so that activities can be tied to the goals. • We discussed the transition to being the new director and how the center has been in survival mode for the past few months due to not having an administrator. • There is a learning curve to the administrator piece, and you are doing a great job. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/23/2023 Number Present: 34 Completed Date: 8/23/2023 Age: From 0 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by India Taylor, center administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, India Taylor, center administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84%) percentage as of 08/23/23. The North Carolina Secretary of State website was viewed prior to today’s visit as Sugar Grove Developmental Day School, Inc., and is current/active as of 08/23/23. However, Ms. Taylor stated that the registered agent just resigned as the finance officer. The registered agent will need to be updated as soon as possible. Permit type – five-star (5) license Special Services/Restrictions – Meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 09/22/22. The last fire drill was practiced on 07/31/23. The last lock down drill was practiced on 06/02/23. The last playground inspection was documented on 08/04/23. The last fire inspection was approved on 11/16/22. The last sanitation inspection was conducted on 08/15/23 with ten (10) demerits for a superior rating. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 05/30/23. Upon arrival I introduced my presence to the Administrator. I observed all four (4) groups of children outside in their playground spaces. The infants were being taken inside for diaper changes, feedings/preparing for lunch and rest. The toddlers were on the front playground area engaged in various activities. The “tweenies”, which is the group of two and three-year-old children, and the preschool children, were combined on the back play ground area. Children were digging and “cooking” in the sand box, riding on riding toys and one child was working hard to change her baby’s diaper. When children came inside, they washed hands and prepared for lunch. Lunch today consisted of chicken patty on a bun, peas, cantaloupe and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. An infant feeding plan was not signed by the parent. .0902(a) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the back-playground area will not close unless it is forced and then it is really had to open. .0605(i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. .2820(b) 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. Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One employee started yesterday and does not have a TB on file. Another new employee started work prior to obtaining a TB screening. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One employee started yesterday and does not have a medical on file. Another new employee started work prior to obtaining a medical assessment. .0701(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. .0605(k)(1-4) Technical assistance was provided as follows: Item # .0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. Item #.0541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: An infant feeding plan was not signed by the parent. Item: #.0840 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. Item #.0826 and #.1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate to the back-playground area will not close unless it is forced and then it is really had to open. (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. Items #.1032 and .#1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: One employee stated yesterday and does not have a medical or TB on file. Another new employee started work prior to obtaining the medical and TB screening. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 09/06/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: leemarshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • This facility uses rubber mulch, but it needs to be swept back onto the back playground where it has gone outside of the gate. The mulch is needed since there is very little grass on the playground and when it rains it becomes extremely muddy. It is also needed where the wall/walkway has been built and it is 20 inches high. If a child were to jump or fall, there is no surfacing for them to land on. It was indicated on the playground inspections for the past year or longer that more mulch is needed. • Go through all rooms that has children under three (3) years old and remove all plastic hazards. • Make sure that Lysol wipes are locked up instead of five (5) feet up. And hand sanitizer (even outside) is stored five (5) feet up. • Assure that employees that start work have completed their medical and TB information. • The gate on the back playground will not close and/or open. This is a safety concern. • Assure that feeding plans are signed by the parents and updated as changes occur. • When laying an infant on their back to sleep, that is what you always document, even if they turn over on their own. Then when completing sleep checks, the change in sleep position can be documented. • Encourage parents that bring in food from home to also provide some kind of milk. He has an opt-out form filled out, so he is fine if they choose not to. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 .0902 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/23/2023 Number Present: 34 Completed Date: 8/23/2023 Age: From 0 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by India Taylor, center administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, India Taylor, center administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84%) percentage as of 08/23/23. The North Carolina Secretary of State website was viewed prior to today’s visit as Sugar Grove Developmental Day School, Inc., and is current/active as of 08/23/23. However, Ms. Taylor stated that the registered agent just resigned as the finance officer. The registered agent will need to be updated as soon as possible. Permit type – five-star (5) license Special Services/Restrictions – Meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 09/22/22. The last fire drill was practiced on 07/31/23. The last lock down drill was practiced on 06/02/23. The last playground inspection was documented on 08/04/23. The last fire inspection was approved on 11/16/22. The last sanitation inspection was conducted on 08/15/23 with ten (10) demerits for a superior rating. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 05/30/23. Upon arrival I introduced my presence to the Administrator. I observed all four (4) groups of children outside in their playground spaces. The infants were being taken inside for diaper changes, feedings/preparing for lunch and rest. The toddlers were on the front playground area engaged in various activities. The “tweenies”, which is the group of two and three-year-old children, and the preschool children, were combined on the back play ground area. Children were digging and “cooking” in the sand box, riding on riding toys and one child was working hard to change her baby’s diaper. When children came inside, they washed hands and prepared for lunch. Lunch today consisted of chicken patty on a bun, peas, cantaloupe and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. An infant feeding plan was not signed by the parent. .0902(a) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the back-playground area will not close unless it is forced and then it is really had to open. .0605(i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. .2820(b) 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. Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One employee started yesterday and does not have a TB on file. Another new employee started work prior to obtaining a TB screening. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One employee started yesterday and does not have a medical on file. Another new employee started work prior to obtaining a medical assessment. .0701(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. .0605(k)(1-4) Technical assistance was provided as follows: Item # .0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. Item #.0541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: An infant feeding plan was not signed by the parent. Item: #.0840 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. Item #.0826 and #.1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate to the back-playground area will not close unless it is forced and then it is really had to open. (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. Items #.1032 and .#1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: One employee stated yesterday and does not have a medical or TB on file. Another new employee started work prior to obtaining the medical and TB screening. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 09/06/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: leemarshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • This facility uses rubber mulch, but it needs to be swept back onto the back playground where it has gone outside of the gate. The mulch is needed since there is very little grass on the playground and when it rains it becomes extremely muddy. It is also needed where the wall/walkway has been built and it is 20 inches high. If a child were to jump or fall, there is no surfacing for them to land on. It was indicated on the playground inspections for the past year or longer that more mulch is needed. • Go through all rooms that has children under three (3) years old and remove all plastic hazards. • Make sure that Lysol wipes are locked up instead of five (5) feet up. And hand sanitizer (even outside) is stored five (5) feet up. • Assure that employees that start work have completed their medical and TB information. • The gate on the back playground will not close and/or open. This is a safety concern. • Assure that feeding plans are signed by the parents and updated as changes occur. • When laying an infant on their back to sleep, that is what you always document, even if they turn over on their own. Then when completing sleep checks, the change in sleep position can be documented. • Encourage parents that bring in food from home to also provide some kind of milk. He has an opt-out form filled out, so he is fine if they choose not to. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/23/2023 Number Present: 34 Completed Date: 8/23/2023 Age: From 0 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by India Taylor, center administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, India Taylor, center administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84%) percentage as of 08/23/23. The North Carolina Secretary of State website was viewed prior to today’s visit as Sugar Grove Developmental Day School, Inc., and is current/active as of 08/23/23. However, Ms. Taylor stated that the registered agent just resigned as the finance officer. The registered agent will need to be updated as soon as possible. Permit type – five-star (5) license Special Services/Restrictions – Meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 09/22/22. The last fire drill was practiced on 07/31/23. The last lock down drill was practiced on 06/02/23. The last playground inspection was documented on 08/04/23. The last fire inspection was approved on 11/16/22. The last sanitation inspection was conducted on 08/15/23 with ten (10) demerits for a superior rating. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 05/30/23. Upon arrival I introduced my presence to the Administrator. I observed all four (4) groups of children outside in their playground spaces. The infants were being taken inside for diaper changes, feedings/preparing for lunch and rest. The toddlers were on the front playground area engaged in various activities. The “tweenies”, which is the group of two and three-year-old children, and the preschool children, were combined on the back play ground area. Children were digging and “cooking” in the sand box, riding on riding toys and one child was working hard to change her baby’s diaper. When children came inside, they washed hands and prepared for lunch. Lunch today consisted of chicken patty on a bun, peas, cantaloupe and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. An infant feeding plan was not signed by the parent. .0902(a) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the back-playground area will not close unless it is forced and then it is really had to open. .0605(i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. .2820(b) 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. Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One employee started yesterday and does not have a TB on file. Another new employee started work prior to obtaining a TB screening. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One employee started yesterday and does not have a medical on file. Another new employee started work prior to obtaining a medical assessment. .0701(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. .0605(k)(1-4) Technical assistance was provided as follows: Item # .0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. Item #.0541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: An infant feeding plan was not signed by the parent. Item: #.0840 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. Item #.0826 and #.1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate to the back-playground area will not close unless it is forced and then it is really had to open. (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. Items #.1032 and .#1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: One employee stated yesterday and does not have a medical or TB on file. Another new employee started work prior to obtaining the medical and TB screening. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 09/06/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: leemarshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • This facility uses rubber mulch, but it needs to be swept back onto the back playground where it has gone outside of the gate. The mulch is needed since there is very little grass on the playground and when it rains it becomes extremely muddy. It is also needed where the wall/walkway has been built and it is 20 inches high. If a child were to jump or fall, there is no surfacing for them to land on. It was indicated on the playground inspections for the past year or longer that more mulch is needed. • Go through all rooms that has children under three (3) years old and remove all plastic hazards. • Make sure that Lysol wipes are locked up instead of five (5) feet up. And hand sanitizer (even outside) is stored five (5) feet up. • Assure that employees that start work have completed their medical and TB information. • The gate on the back playground will not close and/or open. This is a safety concern. • Assure that feeding plans are signed by the parents and updated as changes occur. • When laying an infant on their back to sleep, that is what you always document, even if they turn over on their own. Then when completing sleep checks, the change in sleep position can be documented. • Encourage parents that bring in food from home to also provide some kind of milk. He has an opt-out form filled out, so he is fine if they choose not to. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/23/2023 Number Present: 34 Completed Date: 8/23/2023 Age: From 0 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by India Taylor, center administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, India Taylor, center administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84%) percentage as of 08/23/23. The North Carolina Secretary of State website was viewed prior to today’s visit as Sugar Grove Developmental Day School, Inc., and is current/active as of 08/23/23. However, Ms. Taylor stated that the registered agent just resigned as the finance officer. The registered agent will need to be updated as soon as possible. Permit type – five-star (5) license Special Services/Restrictions – Meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 09/22/22. The last fire drill was practiced on 07/31/23. The last lock down drill was practiced on 06/02/23. The last playground inspection was documented on 08/04/23. The last fire inspection was approved on 11/16/22. The last sanitation inspection was conducted on 08/15/23 with ten (10) demerits for a superior rating. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 05/30/23. Upon arrival I introduced my presence to the Administrator. I observed all four (4) groups of children outside in their playground spaces. The infants were being taken inside for diaper changes, feedings/preparing for lunch and rest. The toddlers were on the front playground area engaged in various activities. The “tweenies”, which is the group of two and three-year-old children, and the preschool children, were combined on the back play ground area. Children were digging and “cooking” in the sand box, riding on riding toys and one child was working hard to change her baby’s diaper. When children came inside, they washed hands and prepared for lunch. Lunch today consisted of chicken patty on a bun, peas, cantaloupe and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. An infant feeding plan was not signed by the parent. .0902(a) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the back-playground area will not close unless it is forced and then it is really had to open. .0605(i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. .2820(b) 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. Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One employee started yesterday and does not have a TB on file. Another new employee started work prior to obtaining a TB screening. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One employee started yesterday and does not have a medical on file. Another new employee started work prior to obtaining a medical assessment. .0701(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. .0605(k)(1-4) Technical assistance was provided as follows: Item # .0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. Item #.0541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: An infant feeding plan was not signed by the parent. Item: #.0840 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. Item #.0826 and #.1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate to the back-playground area will not close unless it is forced and then it is really had to open. (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. Items #.1032 and .#1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: One employee stated yesterday and does not have a medical or TB on file. Another new employee started work prior to obtaining the medical and TB screening. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 09/06/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: leemarshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • This facility uses rubber mulch, but it needs to be swept back onto the back playground where it has gone outside of the gate. The mulch is needed since there is very little grass on the playground and when it rains it becomes extremely muddy. It is also needed where the wall/walkway has been built and it is 20 inches high. If a child were to jump or fall, there is no surfacing for them to land on. It was indicated on the playground inspections for the past year or longer that more mulch is needed. • Go through all rooms that has children under three (3) years old and remove all plastic hazards. • Make sure that Lysol wipes are locked up instead of five (5) feet up. And hand sanitizer (even outside) is stored five (5) feet up. • Assure that employees that start work have completed their medical and TB information. • The gate on the back playground will not close and/or open. This is a safety concern. • Assure that feeding plans are signed by the parents and updated as changes occur. • When laying an infant on their back to sleep, that is what you always document, even if they turn over on their own. Then when completing sleep checks, the change in sleep position can be documented. • Encourage parents that bring in food from home to also provide some kind of milk. He has an opt-out form filled out, so he is fine if they choose not to. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 .0102 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/23/2023 Number Present: 34 Completed Date: 8/23/2023 Age: From 0 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by India Taylor, center administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, India Taylor, center administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84%) percentage as of 08/23/23. The North Carolina Secretary of State website was viewed prior to today’s visit as Sugar Grove Developmental Day School, Inc., and is current/active as of 08/23/23. However, Ms. Taylor stated that the registered agent just resigned as the finance officer. The registered agent will need to be updated as soon as possible. Permit type – five-star (5) license Special Services/Restrictions – Meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 09/22/22. The last fire drill was practiced on 07/31/23. The last lock down drill was practiced on 06/02/23. The last playground inspection was documented on 08/04/23. The last fire inspection was approved on 11/16/22. The last sanitation inspection was conducted on 08/15/23 with ten (10) demerits for a superior rating. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 05/30/23. Upon arrival I introduced my presence to the Administrator. I observed all four (4) groups of children outside in their playground spaces. The infants were being taken inside for diaper changes, feedings/preparing for lunch and rest. The toddlers were on the front playground area engaged in various activities. The “tweenies”, which is the group of two and three-year-old children, and the preschool children, were combined on the back play ground area. Children were digging and “cooking” in the sand box, riding on riding toys and one child was working hard to change her baby’s diaper. When children came inside, they washed hands and prepared for lunch. Lunch today consisted of chicken patty on a bun, peas, cantaloupe and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. An infant feeding plan was not signed by the parent. .0902(a) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the back-playground area will not close unless it is forced and then it is really had to open. .0605(i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. .2820(b) 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. Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One employee started yesterday and does not have a TB on file. Another new employee started work prior to obtaining a TB screening. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One employee started yesterday and does not have a medical on file. Another new employee started work prior to obtaining a medical assessment. .0701(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. .0605(k)(1-4) Technical assistance was provided as follows: Item # .0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. Item #.0541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: An infant feeding plan was not signed by the parent. Item: #.0840 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. Item #.0826 and #.1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate to the back-playground area will not close unless it is forced and then it is really had to open. (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. Items #.1032 and .#1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: One employee stated yesterday and does not have a medical or TB on file. Another new employee started work prior to obtaining the medical and TB screening. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 09/06/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: leemarshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • This facility uses rubber mulch, but it needs to be swept back onto the back playground where it has gone outside of the gate. The mulch is needed since there is very little grass on the playground and when it rains it becomes extremely muddy. It is also needed where the wall/walkway has been built and it is 20 inches high. If a child were to jump or fall, there is no surfacing for them to land on. It was indicated on the playground inspections for the past year or longer that more mulch is needed. • Go through all rooms that has children under three (3) years old and remove all plastic hazards. • Make sure that Lysol wipes are locked up instead of five (5) feet up. And hand sanitizer (even outside) is stored five (5) feet up. • Assure that employees that start work have completed their medical and TB information. • The gate on the back playground will not close and/or open. This is a safety concern. • Assure that feeding plans are signed by the parents and updated as changes occur. • When laying an infant on their back to sleep, that is what you always document, even if they turn over on their own. Then when completing sleep checks, the change in sleep position can be documented. • Encourage parents that bring in food from home to also provide some kind of milk. He has an opt-out form filled out, so he is fine if they choose not to. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/23/2023 Number Present: 34 Completed Date: 8/23/2023 Age: From 0 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by India Taylor, center administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, India Taylor, center administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84%) percentage as of 08/23/23. The North Carolina Secretary of State website was viewed prior to today’s visit as Sugar Grove Developmental Day School, Inc., and is current/active as of 08/23/23. However, Ms. Taylor stated that the registered agent just resigned as the finance officer. The registered agent will need to be updated as soon as possible. Permit type – five-star (5) license Special Services/Restrictions – Meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 09/22/22. The last fire drill was practiced on 07/31/23. The last lock down drill was practiced on 06/02/23. The last playground inspection was documented on 08/04/23. The last fire inspection was approved on 11/16/22. The last sanitation inspection was conducted on 08/15/23 with ten (10) demerits for a superior rating. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 05/30/23. Upon arrival I introduced my presence to the Administrator. I observed all four (4) groups of children outside in their playground spaces. The infants were being taken inside for diaper changes, feedings/preparing for lunch and rest. The toddlers were on the front playground area engaged in various activities. The “tweenies”, which is the group of two and three-year-old children, and the preschool children, were combined on the back play ground area. Children were digging and “cooking” in the sand box, riding on riding toys and one child was working hard to change her baby’s diaper. When children came inside, they washed hands and prepared for lunch. Lunch today consisted of chicken patty on a bun, peas, cantaloupe and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. An infant feeding plan was not signed by the parent. .0902(a) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the back-playground area will not close unless it is forced and then it is really had to open. .0605(i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. .2820(b) 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. Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One employee started yesterday and does not have a TB on file. Another new employee started work prior to obtaining a TB screening. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One employee started yesterday and does not have a medical on file. Another new employee started work prior to obtaining a medical assessment. .0701(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. .0605(k)(1-4) Technical assistance was provided as follows: Item # .0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. Item #.0541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: An infant feeding plan was not signed by the parent. Item: #.0840 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. Item #.0826 and #.1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate to the back-playground area will not close unless it is forced and then it is really had to open. (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. Items #.1032 and .#1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: One employee stated yesterday and does not have a medical or TB on file. Another new employee started work prior to obtaining the medical and TB screening. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 09/06/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: leemarshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • This facility uses rubber mulch, but it needs to be swept back onto the back playground where it has gone outside of the gate. The mulch is needed since there is very little grass on the playground and when it rains it becomes extremely muddy. It is also needed where the wall/walkway has been built and it is 20 inches high. If a child were to jump or fall, there is no surfacing for them to land on. It was indicated on the playground inspections for the past year or longer that more mulch is needed. • Go through all rooms that has children under three (3) years old and remove all plastic hazards. • Make sure that Lysol wipes are locked up instead of five (5) feet up. And hand sanitizer (even outside) is stored five (5) feet up. • Assure that employees that start work have completed their medical and TB information. • The gate on the back playground will not close and/or open. This is a safety concern. • Assure that feeding plans are signed by the parents and updated as changes occur. • When laying an infant on their back to sleep, that is what you always document, even if they turn over on their own. Then when completing sleep checks, the change in sleep position can be documented. • Encourage parents that bring in food from home to also provide some kind of milk. He has an opt-out form filled out, so he is fine if they choose not to. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/23/2023 Number Present: 34 Completed Date: 8/23/2023 Age: From 0 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by India Taylor, center administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, India Taylor, center administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84%) percentage as of 08/23/23. The North Carolina Secretary of State website was viewed prior to today’s visit as Sugar Grove Developmental Day School, Inc., and is current/active as of 08/23/23. However, Ms. Taylor stated that the registered agent just resigned as the finance officer. The registered agent will need to be updated as soon as possible. Permit type – five-star (5) license Special Services/Restrictions – Meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 09/22/22. The last fire drill was practiced on 07/31/23. The last lock down drill was practiced on 06/02/23. The last playground inspection was documented on 08/04/23. The last fire inspection was approved on 11/16/22. The last sanitation inspection was conducted on 08/15/23 with ten (10) demerits for a superior rating. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 05/30/23. Upon arrival I introduced my presence to the Administrator. I observed all four (4) groups of children outside in their playground spaces. The infants were being taken inside for diaper changes, feedings/preparing for lunch and rest. The toddlers were on the front playground area engaged in various activities. The “tweenies”, which is the group of two and three-year-old children, and the preschool children, were combined on the back play ground area. Children were digging and “cooking” in the sand box, riding on riding toys and one child was working hard to change her baby’s diaper. When children came inside, they washed hands and prepared for lunch. Lunch today consisted of chicken patty on a bun, peas, cantaloupe and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. An infant feeding plan was not signed by the parent. .0902(a) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the back-playground area will not close unless it is forced and then it is really had to open. .0605(i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. .2820(b) 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. Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One employee started yesterday and does not have a TB on file. Another new employee started work prior to obtaining a TB screening. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One employee started yesterday and does not have a medical on file. Another new employee started work prior to obtaining a medical assessment. .0701(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. .0605(k)(1-4) Technical assistance was provided as follows: Item # .0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. Item #.0541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: An infant feeding plan was not signed by the parent. Item: #.0840 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. Item #.0826 and #.1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate to the back-playground area will not close unless it is forced and then it is really had to open. (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. Items #.1032 and .#1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: One employee stated yesterday and does not have a medical or TB on file. Another new employee started work prior to obtaining the medical and TB screening. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 09/06/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: leemarshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • This facility uses rubber mulch, but it needs to be swept back onto the back playground where it has gone outside of the gate. The mulch is needed since there is very little grass on the playground and when it rains it becomes extremely muddy. It is also needed where the wall/walkway has been built and it is 20 inches high. If a child were to jump or fall, there is no surfacing for them to land on. It was indicated on the playground inspections for the past year or longer that more mulch is needed. • Go through all rooms that has children under three (3) years old and remove all plastic hazards. • Make sure that Lysol wipes are locked up instead of five (5) feet up. And hand sanitizer (even outside) is stored five (5) feet up. • Assure that employees that start work have completed their medical and TB information. • The gate on the back playground will not close and/or open. This is a safety concern. • Assure that feeding plans are signed by the parents and updated as changes occur. • When laying an infant on their back to sleep, that is what you always document, even if they turn over on their own. Then when completing sleep checks, the change in sleep position can be documented. • Encourage parents that bring in food from home to also provide some kind of milk. He has an opt-out form filled out, so he is fine if they choose not to. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/23/2023 Number Present: 34 Completed Date: 8/23/2023 Age: From 0 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by India Taylor, center administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, India Taylor, center administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84%) percentage as of 08/23/23. The North Carolina Secretary of State website was viewed prior to today’s visit as Sugar Grove Developmental Day School, Inc., and is current/active as of 08/23/23. However, Ms. Taylor stated that the registered agent just resigned as the finance officer. The registered agent will need to be updated as soon as possible. Permit type – five-star (5) license Special Services/Restrictions – Meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 09/22/22. The last fire drill was practiced on 07/31/23. The last lock down drill was practiced on 06/02/23. The last playground inspection was documented on 08/04/23. The last fire inspection was approved on 11/16/22. The last sanitation inspection was conducted on 08/15/23 with ten (10) demerits for a superior rating. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 05/30/23. Upon arrival I introduced my presence to the Administrator. I observed all four (4) groups of children outside in their playground spaces. The infants were being taken inside for diaper changes, feedings/preparing for lunch and rest. The toddlers were on the front playground area engaged in various activities. The “tweenies”, which is the group of two and three-year-old children, and the preschool children, were combined on the back play ground area. Children were digging and “cooking” in the sand box, riding on riding toys and one child was working hard to change her baby’s diaper. When children came inside, they washed hands and prepared for lunch. Lunch today consisted of chicken patty on a bun, peas, cantaloupe and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. An infant feeding plan was not signed by the parent. .0902(a) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the back-playground area will not close unless it is forced and then it is really had to open. .0605(i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. .2820(b) 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. Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One employee started yesterday and does not have a TB on file. Another new employee started work prior to obtaining a TB screening. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One employee started yesterday and does not have a medical on file. Another new employee started work prior to obtaining a medical assessment. .0701(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. .0605(k)(1-4) Technical assistance was provided as follows: Item # .0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. Item #.0541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: An infant feeding plan was not signed by the parent. Item: #.0840 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. Item #.0826 and #.1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate to the back-playground area will not close unless it is forced and then it is really had to open. (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. Items #.1032 and .#1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: One employee stated yesterday and does not have a medical or TB on file. Another new employee started work prior to obtaining the medical and TB screening. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 09/06/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: leemarshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • This facility uses rubber mulch, but it needs to be swept back onto the back playground where it has gone outside of the gate. The mulch is needed since there is very little grass on the playground and when it rains it becomes extremely muddy. It is also needed where the wall/walkway has been built and it is 20 inches high. If a child were to jump or fall, there is no surfacing for them to land on. It was indicated on the playground inspections for the past year or longer that more mulch is needed. • Go through all rooms that has children under three (3) years old and remove all plastic hazards. • Make sure that Lysol wipes are locked up instead of five (5) feet up. And hand sanitizer (even outside) is stored five (5) feet up. • Assure that employees that start work have completed their medical and TB information. • The gate on the back playground will not close and/or open. This is a safety concern. • Assure that feeding plans are signed by the parents and updated as changes occur. • When laying an infant on their back to sleep, that is what you always document, even if they turn over on their own. Then when completing sleep checks, the change in sleep position can be documented. • Encourage parents that bring in food from home to also provide some kind of milk. He has an opt-out form filled out, so he is fine if they choose not to. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Correction status not published

Supervision

Name of Operation: SUGAR GROVE DEVELOPMENTAL DAY SCHOOL Facility ID: 95000085 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/23/2023 Number Present: 34 Completed Date: 8/23/2023 Age: From 0 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by India Taylor, center administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, India Taylor, center administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84%) percentage as of 08/23/23. The North Carolina Secretary of State website was viewed prior to today’s visit as Sugar Grove Developmental Day School, Inc., and is current/active as of 08/23/23. However, Ms. Taylor stated that the registered agent just resigned as the finance officer. The registered agent will need to be updated as soon as possible. Permit type – five-star (5) license Special Services/Restrictions – Meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 09/22/22. The last fire drill was practiced on 07/31/23. The last lock down drill was practiced on 06/02/23. The last playground inspection was documented on 08/04/23. The last fire inspection was approved on 11/16/22. The last sanitation inspection was conducted on 08/15/23 with ten (10) demerits for a superior rating. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 05/30/23. Upon arrival I introduced my presence to the Administrator. I observed all four (4) groups of children outside in their playground spaces. The infants were being taken inside for diaper changes, feedings/preparing for lunch and rest. The toddlers were on the front playground area engaged in various activities. The “tweenies”, which is the group of two and three-year-old children, and the preschool children, were combined on the back play ground area. Children were digging and “cooking” in the sand box, riding on riding toys and one child was working hard to change her baby’s diaper. When children came inside, they washed hands and prepared for lunch. Lunch today consisted of chicken patty on a bun, peas, cantaloupe and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. An infant feeding plan was not signed by the parent. .0902(a) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the back-playground area will not close unless it is forced and then it is really had to open. .0605(i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. .2820(b) 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. Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One employee started yesterday and does not have a TB on file. Another new employee started work prior to obtaining a TB screening. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One employee started yesterday and does not have a medical on file. Another new employee started work prior to obtaining a medical assessment. .0701(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. .0605(k)(1-4) Technical assistance was provided as follows: Item # .0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Lunch as brought in in zip lock bags and bread bags as well as plastic items were found in drawers in space 1 A/B. Item #.0541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: An infant feeding plan was not signed by the parent. Item: #.0840 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Lysol wipes have numerus warning on them and should be locked up rather that five (5) feet up, as well as hand sanitizer was sitting on a low storage unit outside. Item #.0826 and #.1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The gate to the back-playground area will not close unless it is forced and then it is really had to open. (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: A walkway was started at the top of the hill next to the fence in an effort to make the playground more natural. This project still hasn’t been completed leaving a drop off area 20 inches high with no surfacing if a child we to jump or fall. Teachers try to prevent children from going up there if possible. Items #.1032 and .#1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: One employee stated yesterday and does not have a medical or TB on file. Another new employee started work prior to obtaining the medical and TB screening. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 09/06/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: leemarshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • This facility uses rubber mulch, but it needs to be swept back onto the back playground where it has gone outside of the gate. The mulch is needed since there is very little grass on the playground and when it rains it becomes extremely muddy. It is also needed where the wall/walkway has been built and it is 20 inches high. If a child were to jump or fall, there is no surfacing for them to land on. It was indicated on the playground inspections for the past year or longer that more mulch is needed. • Go through all rooms that has children under three (3) years old and remove all plastic hazards. • Make sure that Lysol wipes are locked up instead of five (5) feet up. And hand sanitizer (even outside) is stored five (5) feet up. • Assure that employees that start work have completed their medical and TB information. • The gate on the back playground will not close and/or open. This is a safety concern. • Assure that feeding plans are signed by the parents and updated as changes occur. • When laying an infant on their back to sleep, that is what you always document, even if they turn over on their own. Then when completing sleep checks, the change in sleep position can be documented. • Encourage parents that bring in food from home to also provide some kind of milk. He has an opt-out form filled out, so he is fine if they choose not to. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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 · Correction status not published