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Home › NC › Cramerton › Life 4 Kidz
501 Cramer MT Road, Cramerton NC 28032 · License #36000326 · Center · Child Care Center
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10A NCAC 09 .0302 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 90 Completed Date: 4/28/2026 Age: From 0 To 11 Total Minutes: 435 Time In: 08:51 AM Time Out: 12:42 PM Time In: 01:26 PM Time Out: 04:50 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Amber Frady, Administrator, assisted with today’s visit. Tammy Mc Galliard, Licensing Supervisor, accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued July 13, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Your facility uses Abeka curriculum. The Secretary of State website was checked on April 28, 2026, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in breakfast, routines, lunch, group time, indoor gross motor play, nap, outdoor play, and free play during the visit. The last sanitation inspection was conducted on September 17, 2025. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on March 25, 2026. The last fire drill was conducted on March 10, 2026. The last emergency drill documented was conducted on September 15, 2025. The last playground inspection documented was conducted on November 7, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on September 26, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Twelve (12) children’s files were reviewed during the visit. Seven (7) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, one (1) child was not signed out on April 10, 2026, one (1) child was not signed out on April 16, 2026, one (1) child was not signed out on April 20, 2026, and one (1) child was not signed out on April 24, 2026. In Space #5a, one (1) child was not signed out on April 8, 2026, and one (1) child was not signed out on April 21, 2026. In Space #6, one (1) child was not signed out on April 14, 2026, one (1) child was not signed out on April 21, 2026, one (1) child was not signed out on April 24, 2026, and one (1) child was not signed out on April 27, 2026. In Space #7b, one (1) child was not signed out on April 2, 2026, and one (1) child was not signed out on April 22, 2026. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #5a, the activity plan posted was dated April 20-April 24, 2026. In Space #7b and Space #7c, the activity plan posted was dated April 13-April 17, 2026. GS 110-91(12); .0508(a) 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. In Space #3, one (1) aerosol can of Lysol Disinfectant Spray, and one (1) aerosol can of Seventh Generation Disinfectant Spray, both with multiple warnings, were in the unlocked cabinet above the handwashing sink, accessible to children. In Space #5a, one (1) aerosol can of Lysol Disinfectant Spray with multiple warnings was on the shelf above the diaper changing table, accessible to children. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report form dated March 23, 2026, for one (1) child, enrolled on February 20, 2026, and an incident report form dated March 24, 2025, for one (1) child, enrolled on January 6, 2025, did not include the date the parent was contacted, the time the parent was contacted, or who contacted the parent. An incident report form dated April 14, 2026, for one (1) child, enrolled on February 20, 2026, did not include the date or the time the parent was contacted. Two (2) incident report forms dated February 13, 2025, and September 12, 2024, for one (1) child, enrolled on October 9, 2023, did not include the witness to the incident. An incident report form dated September 23, for one (1) child, enrolled on October 9, 2023, did not include the year the incident occurred. An incident report form dated March 23, for one (1) child, enrolled on January 6, 2025, did not include the year the incident occurred, the time the incident occurred, who contacted the parent, or a signature of the staff member who completed the report. An incident report form dated March 6, 2024, for one (1) child, enrolled on April 11, 2023, did not include who contacted the parent or a signature of the staff member who completed the report. An incident report form dated February 4, 2026, for one (1) child, enrolled on April 11, 2023, did not include the time of the incident, the date the parent was notified, the time the parent was notified, who contacted the parent, or a signature of the staff member completing the report. An incident report form dated August 9, 2024, for one (1) child, enrolled on April 11, 2023, and an incident report form dated November 15, 2024, for one (1) child, enrolled on October 9, 2023, did not include how the parent was contacted, the date the parent was contacted, the time the parent was contacted, who contacted the parent, or the witness to the incident. An incident report form dated August 18, 2024, for one (1) child, enrolled on April 11, 2023, did not include the type of injury, the body part injured, the witness to the incident, how the parent was contacted, the date the parent was contacted, the time the parent was contacted, who contacted the parent, the parent signature, or the cause of the injury. An incident report form dated August 15, 2025, for one (1) child, enrolled on April 11, 2023, did not include the type of injury, the witness to the incident, the date the parents were contacted, or the parent signature. An incident report form dated July 17, 2025, for one (1) child, enrolled on April 11, 2023, did not include the time of the incident, the steps taken to prevent reoccurrence, the date the parent was contacted, the time the parent was contacted, who contacted the parent, or a signature of the staff member completing the report. An incident report form dated April 16, 2024, for one (1) child, enrolled on October 9, 2023, did not include the witness to the incident, who contacted the parent, a parent signature, or a signature of the staff member who completed the report. An incident report form dated March 30, 2026, for one (1) child, enrolled on January 6, 2025, did not include how the parent was contacted, the date the parent was contacted, the time the parent was contacted, who contacted the parent, or a signature of the staff member who completed the report. .0802 (e) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection documented was conducted on November 7, 2026. .0605(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. One (1) staff member, employed on November 18, 2025, did not complete first aid training. .1102(c) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for the Chevrolet van used to transport children expired on January 31, 2026. The temporary tag for the Ford van used to transport children expired on October 26, 2025. .1002(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation and staff development plans on file for one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on August 16, 2010, one (1) staff member, employed on February 26, 2018, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on February 27, 2017, one (1) staff member, employed on September 2, 2022, and one (1) staff member, employed on June 16, 2016, were dated September 13, 2024. The most recent staff evaluation and staff development plan on file for one (1) staff member, employed on February 13, 2023, was dated February 13, 2025. One (1) staff member, employed on March 24, 2025, and one (1) staff member, employed on September 30, 2024, did not have a staff evaluation or staff development plan on file. The most recent staff evaluation and staff development plan on file for one (1) staff member, employed on April 2, 2024, was dated April 2, 2025. The most recent staff evaluation and staff development plan on file for one (1) staff member, employed on November 15, 2023, was dated November 15, 2024. 10A NCAC 09 .0514(f) 1314 Emergency information did not name child's health care professional. The application for one (1) child, enrolled on February 9, 2026, did not include the phone numbers for the emergency contacts listed or the phone number for the healthcare provider. The application for one (1) child, enrolled on February 20, 2026, did not include the name or contact number for the healthcare provider. .0802(c)(2) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) staff member, employed on June 10, 2024, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on November 3, 2025, one (1) staff member, employed on August 16, 2010, one (1) staff member, employed on December 2, 2019, one (1) staff member, employed on February 26, 2018, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on February 27, 2017, one (1) staff member, employed on November 15, 2023, and one (1) staff member, employed on March 16, 2026, were not entered into the facility’s ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place/lockdown drill documented was conducted on September 15, 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for one (1) child, enrolled on October 16, 2023, diagnosed with a chronic illness, did not include a parent and/or physician signature or date the medical action plan was completed. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on March 24, 2025, did not complete Recognizing and Responding to Suspicions of Child Maltreatment Training. .1102(g) The violations documented must be corrected immediately. On or before May 12, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 79%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All centers must 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. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that a current activity plan and schedule must be posted at all times. Additionally, I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. I provided you with sample activity plans via email during the visit. 3. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous products that were accessible to children during the visit were removed from the classrooms and placed in locked storage during the visit. 4. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: facility identifying information; the child's name; date and time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; cause of injury, if applicable; type of injury, if applicable; body part injured, if applicable; where the child received medical treatment, if applicable; description of how and where the incident occurred, and the First Aid received; and steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. I suggested that you remind staff members to complete an incident report form at the time an incident occurs to ensure all required information is documented. I also suggested that the staff member documenting the incident report forms on the incident log review the incident report forms to ensure they are filled out completely. Additionally, I recommended that you review the information required to be documented on incident report forms with all staff members during an upcoming staff meeting. 5. A monthly playground inspection must be conducted by an individual trained in playground safety requirements. A trained administrator or staff person must make a record of each inspection using a playground inspection checklist provided by the Division. The checklist is to be signed by the person who conducts the inspection and must be maintained for 12 months in the center's files for review by a representative of the Division. Continue to use the playground inspection checklist provided by DCDEE. This checklist may also be accessed through the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Playground_Inspection_Checklist.pdf?ver=CxfeyCmo15O0_ztbu2--ng%3d%3d. I suggested you plan to conduct the playground inspections on the same day fire drills are conducted to ensure a month does not get skipped. After completion of the inspection, I suggested you immediately complete the documentation of the check on the checklist and place the inspection checklist in your playground inspection notebook to ensure it is on file and available for review at all times. 6. All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process. For existing staff, I suggested you schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. I suggested you review the Partnership for Children of Lincoln and Gaston County’s training calendar at https://www.eventbrite.com/o/partnership-for-children-of-lincoln-amp-gaston-counties-45331112 for upcoming CPR/First Aid Training Courses. I also suggested you review the North Carolina Division of Child Development and Early Education CPR and First Aid Training Information at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/CPR_FA_APPROVED_AGENCY_LIST.pdf?ver=NmVoyxfZmg0yqhLd66ZWEQ%3d%3d×tamp=1776711466051 to ensure trainings are approved by DCDEE. I provided you with a link to this document via email during the visit. 7. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations, including state inspections, registrations, and liability insurance. I suggested you set calendar reminders to ensure inspections and registrations are renewed in a timely manner. I also suggested you visually inspect all vehicles used to transport children on a regular basis to ensure the vehicle is safe and all regulations are met. 8. All employees must have an Annual Staff Evaluation and Staff Development Plan on file. I suggested you set a date each year to ensure staff evaluations and staff development plans are completed in a timely manner. I also suggested you create a document to track staff evaluations and staff development plans to ensure they are conducted at least annually. We reviewed the Individual Continuous Quality Improvement Plan during the visit. I suggested you begin to use this form in place of the previously used professional development plan to meet rated license requirements as well. 9. Emergency medical care information shall be on file for each child. That information shall include: the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; the responsible party's choice of health care professional; any chronic illness and any medication taken for that illness; and any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. I suggested you review all applications thoroughly when received to ensure all required information is completed. I also suggested you assign dates each year to update emergency information to ensure it is updated at least annually. 10. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. For assistance, please contact the Criminal Background Check Unit at (919) 814-6401. I suggested you add new staff members to your provider portal on their first day of employment to ensure compliance. I provided you with the ABCMS Provider Portal Technical Assistance Document via email during the visit. You have completed the Moodle training and started to add staff members to the portal. 11. Shelter-in-Place or Lockdown drills must be completed at least once every three (3) months. I suggested you create calendar reminders at least one year in advance to ensure drills are conducted at least once every three (3) months. I suggested you document the drill immediately after the drill is conducted to ensure required documentation is on file and available for review. Continue to document drills on the drill log form found on the DCDEE website. 12. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be attached to the application. The medical action plan is to be completed by the child's parent or a health care professional and may include the following: a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan is to be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. I provided you with sample medical action plans specific to asthma, allergies, diabetes, and seizures via email during today’s visit. These forms can also be found on the DCDEE website under the “Provider” tab. I reminded you that a medication for a chronic illness should not be accepted by the facility without an accompanying medical action plan. I suggested you have parents bring all new emergency medications into the office to be reviewed to ensure all information is accurate and complete prior to taking them to the classrooms. In addition to attaching a copy of the medical action plan to the child’s application, I also suggested you keep a copy of the medical action plans with the medications to ensure the correct response and care is given to any emergent situations. I suggested you review all medical action plans for children diagnosed with chronic illnesses at least once every six (6) months to ensure information on the medical action plan is current and accurate. I suggested you have the parents of each child with a medical action plan on file review this information each time a permission to administer medication form is submitted (every six months). 13. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environment rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Deirdre Sykes, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0514 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 90 Completed Date: 4/28/2026 Age: From 0 To 11 Total Minutes: 435 Time In: 08:51 AM Time Out: 12:42 PM Time In: 01:26 PM Time Out: 04:50 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Amber Frady, Administrator, assisted with today’s visit. Tammy Mc Galliard, Licensing Supervisor, accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued July 13, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Your facility uses Abeka curriculum. The Secretary of State website was checked on April 28, 2026, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in breakfast, routines, lunch, group time, indoor gross motor play, nap, outdoor play, and free play during the visit. The last sanitation inspection was conducted on September 17, 2025. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on March 25, 2026. The last fire drill was conducted on March 10, 2026. The last emergency drill documented was conducted on September 15, 2025. The last playground inspection documented was conducted on November 7, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on September 26, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Twelve (12) children’s files were reviewed during the visit. Seven (7) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, one (1) child was not signed out on April 10, 2026, one (1) child was not signed out on April 16, 2026, one (1) child was not signed out on April 20, 2026, and one (1) child was not signed out on April 24, 2026. In Space #5a, one (1) child was not signed out on April 8, 2026, and one (1) child was not signed out on April 21, 2026. In Space #6, one (1) child was not signed out on April 14, 2026, one (1) child was not signed out on April 21, 2026, one (1) child was not signed out on April 24, 2026, and one (1) child was not signed out on April 27, 2026. In Space #7b, one (1) child was not signed out on April 2, 2026, and one (1) child was not signed out on April 22, 2026. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #5a, the activity plan posted was dated April 20-April 24, 2026. In Space #7b and Space #7c, the activity plan posted was dated April 13-April 17, 2026. GS 110-91(12); .0508(a) 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. In Space #3, one (1) aerosol can of Lysol Disinfectant Spray, and one (1) aerosol can of Seventh Generation Disinfectant Spray, both with multiple warnings, were in the unlocked cabinet above the handwashing sink, accessible to children. In Space #5a, one (1) aerosol can of Lysol Disinfectant Spray with multiple warnings was on the shelf above the diaper changing table, accessible to children. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report form dated March 23, 2026, for one (1) child, enrolled on February 20, 2026, and an incident report form dated March 24, 2025, for one (1) child, enrolled on January 6, 2025, did not include the date the parent was contacted, the time the parent was contacted, or who contacted the parent. An incident report form dated April 14, 2026, for one (1) child, enrolled on February 20, 2026, did not include the date or the time the parent was contacted. Two (2) incident report forms dated February 13, 2025, and September 12, 2024, for one (1) child, enrolled on October 9, 2023, did not include the witness to the incident. An incident report form dated September 23, for one (1) child, enrolled on October 9, 2023, did not include the year the incident occurred. An incident report form dated March 23, for one (1) child, enrolled on January 6, 2025, did not include the year the incident occurred, the time the incident occurred, who contacted the parent, or a signature of the staff member who completed the report. An incident report form dated March 6, 2024, for one (1) child, enrolled on April 11, 2023, did not include who contacted the parent or a signature of the staff member who completed the report. An incident report form dated February 4, 2026, for one (1) child, enrolled on April 11, 2023, did not include the time of the incident, the date the parent was notified, the time the parent was notified, who contacted the parent, or a signature of the staff member completing the report. An incident report form dated August 9, 2024, for one (1) child, enrolled on April 11, 2023, and an incident report form dated November 15, 2024, for one (1) child, enrolled on October 9, 2023, did not include how the parent was contacted, the date the parent was contacted, the time the parent was contacted, who contacted the parent, or the witness to the incident. An incident report form dated August 18, 2024, for one (1) child, enrolled on April 11, 2023, did not include the type of injury, the body part injured, the witness to the incident, how the parent was contacted, the date the parent was contacted, the time the parent was contacted, who contacted the parent, the parent signature, or the cause of the injury. An incident report form dated August 15, 2025, for one (1) child, enrolled on April 11, 2023, did not include the type of injury, the witness to the incident, the date the parents were contacted, or the parent signature. An incident report form dated July 17, 2025, for one (1) child, enrolled on April 11, 2023, did not include the time of the incident, the steps taken to prevent reoccurrence, the date the parent was contacted, the time the parent was contacted, who contacted the parent, or a signature of the staff member completing the report. An incident report form dated April 16, 2024, for one (1) child, enrolled on October 9, 2023, did not include the witness to the incident, who contacted the parent, a parent signature, or a signature of the staff member who completed the report. An incident report form dated March 30, 2026, for one (1) child, enrolled on January 6, 2025, did not include how the parent was contacted, the date the parent was contacted, the time the parent was contacted, who contacted the parent, or a signature of the staff member who completed the report. .0802 (e) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection documented was conducted on November 7, 2026. .0605(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. One (1) staff member, employed on November 18, 2025, did not complete first aid training. .1102(c) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for the Chevrolet van used to transport children expired on January 31, 2026. The temporary tag for the Ford van used to transport children expired on October 26, 2025. .1002(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation and staff development plans on file for one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on August 16, 2010, one (1) staff member, employed on February 26, 2018, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on February 27, 2017, one (1) staff member, employed on September 2, 2022, and one (1) staff member, employed on June 16, 2016, were dated September 13, 2024. The most recent staff evaluation and staff development plan on file for one (1) staff member, employed on February 13, 2023, was dated February 13, 2025. One (1) staff member, employed on March 24, 2025, and one (1) staff member, employed on September 30, 2024, did not have a staff evaluation or staff development plan on file. The most recent staff evaluation and staff development plan on file for one (1) staff member, employed on April 2, 2024, was dated April 2, 2025. The most recent staff evaluation and staff development plan on file for one (1) staff member, employed on November 15, 2023, was dated November 15, 2024. 10A NCAC 09 .0514(f) 1314 Emergency information did not name child's health care professional. The application for one (1) child, enrolled on February 9, 2026, did not include the phone numbers for the emergency contacts listed or the phone number for the healthcare provider. The application for one (1) child, enrolled on February 20, 2026, did not include the name or contact number for the healthcare provider. .0802(c)(2) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) staff member, employed on June 10, 2024, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on November 3, 2025, one (1) staff member, employed on August 16, 2010, one (1) staff member, employed on December 2, 2019, one (1) staff member, employed on February 26, 2018, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on February 27, 2017, one (1) staff member, employed on November 15, 2023, and one (1) staff member, employed on March 16, 2026, were not entered into the facility’s ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place/lockdown drill documented was conducted on September 15, 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for one (1) child, enrolled on October 16, 2023, diagnosed with a chronic illness, did not include a parent and/or physician signature or date the medical action plan was completed. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on March 24, 2025, did not complete Recognizing and Responding to Suspicions of Child Maltreatment Training. .1102(g) The violations documented must be corrected immediately. On or before May 12, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 79%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All centers must 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. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that a current activity plan and schedule must be posted at all times. Additionally, I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. I provided you with sample activity plans via email during the visit. 3. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous products that were accessible to children during the visit were removed from the classrooms and placed in locked storage during the visit. 4. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: facility identifying information; the child's name; date and time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; cause of injury, if applicable; type of injury, if applicable; body part injured, if applicable; where the child received medical treatment, if applicable; description of how and where the incident occurred, and the First Aid received; and steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. I suggested that you remind staff members to complete an incident report form at the time an incident occurs to ensure all required information is documented. I also suggested that the staff member documenting the incident report forms on the incident log review the incident report forms to ensure they are filled out completely. Additionally, I recommended that you review the information required to be documented on incident report forms with all staff members during an upcoming staff meeting. 5. A monthly playground inspection must be conducted by an individual trained in playground safety requirements. A trained administrator or staff person must make a record of each inspection using a playground inspection checklist provided by the Division. The checklist is to be signed by the person who conducts the inspection and must be maintained for 12 months in the center's files for review by a representative of the Division. Continue to use the playground inspection checklist provided by DCDEE. This checklist may also be accessed through the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Playground_Inspection_Checklist.pdf?ver=CxfeyCmo15O0_ztbu2--ng%3d%3d. I suggested you plan to conduct the playground inspections on the same day fire drills are conducted to ensure a month does not get skipped. After completion of the inspection, I suggested you immediately complete the documentation of the check on the checklist and place the inspection checklist in your playground inspection notebook to ensure it is on file and available for review at all times. 6. All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process. For existing staff, I suggested you schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. I suggested you review the Partnership for Children of Lincoln and Gaston County’s training calendar at https://www.eventbrite.com/o/partnership-for-children-of-lincoln-amp-gaston-counties-45331112 for upcoming CPR/First Aid Training Courses. I also suggested you review the North Carolina Division of Child Development and Early Education CPR and First Aid Training Information at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/CPR_FA_APPROVED_AGENCY_LIST.pdf?ver=NmVoyxfZmg0yqhLd66ZWEQ%3d%3d×tamp=1776711466051 to ensure trainings are approved by DCDEE. I provided you with a link to this document via email during the visit. 7. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations, including state inspections, registrations, and liability insurance. I suggested you set calendar reminders to ensure inspections and registrations are renewed in a timely manner. I also suggested you visually inspect all vehicles used to transport children on a regular basis to ensure the vehicle is safe and all regulations are met. 8. All employees must have an Annual Staff Evaluation and Staff Development Plan on file. I suggested you set a date each year to ensure staff evaluations and staff development plans are completed in a timely manner. I also suggested you create a document to track staff evaluations and staff development plans to ensure they are conducted at least annually. We reviewed the Individual Continuous Quality Improvement Plan during the visit. I suggested you begin to use this form in place of the previously used professional development plan to meet rated license requirements as well. 9. Emergency medical care information shall be on file for each child. That information shall include: the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; the responsible party's choice of health care professional; any chronic illness and any medication taken for that illness; and any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. I suggested you review all applications thoroughly when received to ensure all required information is completed. I also suggested you assign dates each year to update emergency information to ensure it is updated at least annually. 10. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. For assistance, please contact the Criminal Background Check Unit at (919) 814-6401. I suggested you add new staff members to your provider portal on their first day of employment to ensure compliance. I provided you with the ABCMS Provider Portal Technical Assistance Document via email during the visit. You have completed the Moodle training and started to add staff members to the portal. 11. Shelter-in-Place or Lockdown drills must be completed at least once every three (3) months. I suggested you create calendar reminders at least one year in advance to ensure drills are conducted at least once every three (3) months. I suggested you document the drill immediately after the drill is conducted to ensure required documentation is on file and available for review. Continue to document drills on the drill log form found on the DCDEE website. 12. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be attached to the application. The medical action plan is to be completed by the child's parent or a health care professional and may include the following: a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan is to be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. I provided you with sample medical action plans specific to asthma, allergies, diabetes, and seizures via email during today’s visit. These forms can also be found on the DCDEE website under the “Provider” tab. I reminded you that a medication for a chronic illness should not be accepted by the facility without an accompanying medical action plan. I suggested you have parents bring all new emergency medications into the office to be reviewed to ensure all information is accurate and complete prior to taking them to the classrooms. In addition to attaching a copy of the medical action plan to the child’s application, I also suggested you keep a copy of the medical action plans with the medications to ensure the correct response and care is given to any emergent situations. I suggested you review all medical action plans for children diagnosed with chronic illnesses at least once every six (6) months to ensure information on the medical action plan is current and accurate. I suggested you have the parents of each child with a medical action plan on file review this information each time a permission to administer medication form is submitted (every six months). 13. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environment rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Deirdre Sykes, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 90 Completed Date: 4/28/2026 Age: From 0 To 11 Total Minutes: 435 Time In: 08:51 AM Time Out: 12:42 PM Time In: 01:26 PM Time Out: 04:50 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Amber Frady, Administrator, assisted with today’s visit. Tammy Mc Galliard, Licensing Supervisor, accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued July 13, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Your facility uses Abeka curriculum. The Secretary of State website was checked on April 28, 2026, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in breakfast, routines, lunch, group time, indoor gross motor play, nap, outdoor play, and free play during the visit. The last sanitation inspection was conducted on September 17, 2025. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on March 25, 2026. The last fire drill was conducted on March 10, 2026. The last emergency drill documented was conducted on September 15, 2025. The last playground inspection documented was conducted on November 7, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on September 26, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Twelve (12) children’s files were reviewed during the visit. Seven (7) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, one (1) child was not signed out on April 10, 2026, one (1) child was not signed out on April 16, 2026, one (1) child was not signed out on April 20, 2026, and one (1) child was not signed out on April 24, 2026. In Space #5a, one (1) child was not signed out on April 8, 2026, and one (1) child was not signed out on April 21, 2026. In Space #6, one (1) child was not signed out on April 14, 2026, one (1) child was not signed out on April 21, 2026, one (1) child was not signed out on April 24, 2026, and one (1) child was not signed out on April 27, 2026. In Space #7b, one (1) child was not signed out on April 2, 2026, and one (1) child was not signed out on April 22, 2026. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #5a, the activity plan posted was dated April 20-April 24, 2026. In Space #7b and Space #7c, the activity plan posted was dated April 13-April 17, 2026. GS 110-91(12); .0508(a) 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. In Space #3, one (1) aerosol can of Lysol Disinfectant Spray, and one (1) aerosol can of Seventh Generation Disinfectant Spray, both with multiple warnings, were in the unlocked cabinet above the handwashing sink, accessible to children. In Space #5a, one (1) aerosol can of Lysol Disinfectant Spray with multiple warnings was on the shelf above the diaper changing table, accessible to children. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report form dated March 23, 2026, for one (1) child, enrolled on February 20, 2026, and an incident report form dated March 24, 2025, for one (1) child, enrolled on January 6, 2025, did not include the date the parent was contacted, the time the parent was contacted, or who contacted the parent. An incident report form dated April 14, 2026, for one (1) child, enrolled on February 20, 2026, did not include the date or the time the parent was contacted. Two (2) incident report forms dated February 13, 2025, and September 12, 2024, for one (1) child, enrolled on October 9, 2023, did not include the witness to the incident. An incident report form dated September 23, for one (1) child, enrolled on October 9, 2023, did not include the year the incident occurred. An incident report form dated March 23, for one (1) child, enrolled on January 6, 2025, did not include the year the incident occurred, the time the incident occurred, who contacted the parent, or a signature of the staff member who completed the report. An incident report form dated March 6, 2024, for one (1) child, enrolled on April 11, 2023, did not include who contacted the parent or a signature of the staff member who completed the report. An incident report form dated February 4, 2026, for one (1) child, enrolled on April 11, 2023, did not include the time of the incident, the date the parent was notified, the time the parent was notified, who contacted the parent, or a signature of the staff member completing the report. An incident report form dated August 9, 2024, for one (1) child, enrolled on April 11, 2023, and an incident report form dated November 15, 2024, for one (1) child, enrolled on October 9, 2023, did not include how the parent was contacted, the date the parent was contacted, the time the parent was contacted, who contacted the parent, or the witness to the incident. An incident report form dated August 18, 2024, for one (1) child, enrolled on April 11, 2023, did not include the type of injury, the body part injured, the witness to the incident, how the parent was contacted, the date the parent was contacted, the time the parent was contacted, who contacted the parent, the parent signature, or the cause of the injury. An incident report form dated August 15, 2025, for one (1) child, enrolled on April 11, 2023, did not include the type of injury, the witness to the incident, the date the parents were contacted, or the parent signature. An incident report form dated July 17, 2025, for one (1) child, enrolled on April 11, 2023, did not include the time of the incident, the steps taken to prevent reoccurrence, the date the parent was contacted, the time the parent was contacted, who contacted the parent, or a signature of the staff member completing the report. An incident report form dated April 16, 2024, for one (1) child, enrolled on October 9, 2023, did not include the witness to the incident, who contacted the parent, a parent signature, or a signature of the staff member who completed the report. An incident report form dated March 30, 2026, for one (1) child, enrolled on January 6, 2025, did not include how the parent was contacted, the date the parent was contacted, the time the parent was contacted, who contacted the parent, or a signature of the staff member who completed the report. .0802 (e) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection documented was conducted on November 7, 2026. .0605(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. One (1) staff member, employed on November 18, 2025, did not complete first aid training. .1102(c) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for the Chevrolet van used to transport children expired on January 31, 2026. The temporary tag for the Ford van used to transport children expired on October 26, 2025. .1002(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation and staff development plans on file for one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on August 16, 2010, one (1) staff member, employed on February 26, 2018, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on February 27, 2017, one (1) staff member, employed on September 2, 2022, and one (1) staff member, employed on June 16, 2016, were dated September 13, 2024. The most recent staff evaluation and staff development plan on file for one (1) staff member, employed on February 13, 2023, was dated February 13, 2025. One (1) staff member, employed on March 24, 2025, and one (1) staff member, employed on September 30, 2024, did not have a staff evaluation or staff development plan on file. The most recent staff evaluation and staff development plan on file for one (1) staff member, employed on April 2, 2024, was dated April 2, 2025. The most recent staff evaluation and staff development plan on file for one (1) staff member, employed on November 15, 2023, was dated November 15, 2024. 10A NCAC 09 .0514(f) 1314 Emergency information did not name child's health care professional. The application for one (1) child, enrolled on February 9, 2026, did not include the phone numbers for the emergency contacts listed or the phone number for the healthcare provider. The application for one (1) child, enrolled on February 20, 2026, did not include the name or contact number for the healthcare provider. .0802(c)(2) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) staff member, employed on June 10, 2024, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on November 3, 2025, one (1) staff member, employed on August 16, 2010, one (1) staff member, employed on December 2, 2019, one (1) staff member, employed on February 26, 2018, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on February 27, 2017, one (1) staff member, employed on November 15, 2023, and one (1) staff member, employed on March 16, 2026, were not entered into the facility’s ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place/lockdown drill documented was conducted on September 15, 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for one (1) child, enrolled on October 16, 2023, diagnosed with a chronic illness, did not include a parent and/or physician signature or date the medical action plan was completed. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on March 24, 2025, did not complete Recognizing and Responding to Suspicions of Child Maltreatment Training. .1102(g) The violations documented must be corrected immediately. On or before May 12, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 79%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All centers must 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. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that a current activity plan and schedule must be posted at all times. Additionally, I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. I provided you with sample activity plans via email during the visit. 3. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous products that were accessible to children during the visit were removed from the classrooms and placed in locked storage during the visit. 4. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: facility identifying information; the child's name; date and time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; cause of injury, if applicable; type of injury, if applicable; body part injured, if applicable; where the child received medical treatment, if applicable; description of how and where the incident occurred, and the First Aid received; and steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. I suggested that you remind staff members to complete an incident report form at the time an incident occurs to ensure all required information is documented. I also suggested that the staff member documenting the incident report forms on the incident log review the incident report forms to ensure they are filled out completely. Additionally, I recommended that you review the information required to be documented on incident report forms with all staff members during an upcoming staff meeting. 5. A monthly playground inspection must be conducted by an individual trained in playground safety requirements. A trained administrator or staff person must make a record of each inspection using a playground inspection checklist provided by the Division. The checklist is to be signed by the person who conducts the inspection and must be maintained for 12 months in the center's files for review by a representative of the Division. Continue to use the playground inspection checklist provided by DCDEE. This checklist may also be accessed through the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Playground_Inspection_Checklist.pdf?ver=CxfeyCmo15O0_ztbu2--ng%3d%3d. I suggested you plan to conduct the playground inspections on the same day fire drills are conducted to ensure a month does not get skipped. After completion of the inspection, I suggested you immediately complete the documentation of the check on the checklist and place the inspection checklist in your playground inspection notebook to ensure it is on file and available for review at all times. 6. All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process. For existing staff, I suggested you schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. I suggested you review the Partnership for Children of Lincoln and Gaston County’s training calendar at https://www.eventbrite.com/o/partnership-for-children-of-lincoln-amp-gaston-counties-45331112 for upcoming CPR/First Aid Training Courses. I also suggested you review the North Carolina Division of Child Development and Early Education CPR and First Aid Training Information at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/CPR_FA_APPROVED_AGENCY_LIST.pdf?ver=NmVoyxfZmg0yqhLd66ZWEQ%3d%3d×tamp=1776711466051 to ensure trainings are approved by DCDEE. I provided you with a link to this document via email during the visit. 7. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations, including state inspections, registrations, and liability insurance. I suggested you set calendar reminders to ensure inspections and registrations are renewed in a timely manner. I also suggested you visually inspect all vehicles used to transport children on a regular basis to ensure the vehicle is safe and all regulations are met. 8. All employees must have an Annual Staff Evaluation and Staff Development Plan on file. I suggested you set a date each year to ensure staff evaluations and staff development plans are completed in a timely manner. I also suggested you create a document to track staff evaluations and staff development plans to ensure they are conducted at least annually. We reviewed the Individual Continuous Quality Improvement Plan during the visit. I suggested you begin to use this form in place of the previously used professional development plan to meet rated license requirements as well. 9. Emergency medical care information shall be on file for each child. That information shall include: the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; the responsible party's choice of health care professional; any chronic illness and any medication taken for that illness; and any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. I suggested you review all applications thoroughly when received to ensure all required information is completed. I also suggested you assign dates each year to update emergency information to ensure it is updated at least annually. 10. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. For assistance, please contact the Criminal Background Check Unit at (919) 814-6401. I suggested you add new staff members to your provider portal on their first day of employment to ensure compliance. I provided you with the ABCMS Provider Portal Technical Assistance Document via email during the visit. You have completed the Moodle training and started to add staff members to the portal. 11. Shelter-in-Place or Lockdown drills must be completed at least once every three (3) months. I suggested you create calendar reminders at least one year in advance to ensure drills are conducted at least once every three (3) months. I suggested you document the drill immediately after the drill is conducted to ensure required documentation is on file and available for review. Continue to document drills on the drill log form found on the DCDEE website. 12. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be attached to the application. The medical action plan is to be completed by the child's parent or a health care professional and may include the following: a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan is to be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. I provided you with sample medical action plans specific to asthma, allergies, diabetes, and seizures via email during today’s visit. These forms can also be found on the DCDEE website under the “Provider” tab. I reminded you that a medication for a chronic illness should not be accepted by the facility without an accompanying medical action plan. I suggested you have parents bring all new emergency medications into the office to be reviewed to ensure all information is accurate and complete prior to taking them to the classrooms. In addition to attaching a copy of the medical action plan to the child’s application, I also suggested you keep a copy of the medical action plans with the medications to ensure the correct response and care is given to any emergent situations. I suggested you review all medical action plans for children diagnosed with chronic illnesses at least once every six (6) months to ensure information on the medical action plan is current and accurate. I suggested you have the parents of each child with a medical action plan on file review this information each time a permission to administer medication form is submitted (every six months). 13. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environment rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Deirdre Sykes, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
GS 110-91 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 90 Completed Date: 4/28/2026 Age: From 0 To 11 Total Minutes: 435 Time In: 08:51 AM Time Out: 12:42 PM Time In: 01:26 PM Time Out: 04:50 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Amber Frady, Administrator, assisted with today’s visit. Tammy Mc Galliard, Licensing Supervisor, accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued July 13, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Your facility uses Abeka curriculum. The Secretary of State website was checked on April 28, 2026, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in breakfast, routines, lunch, group time, indoor gross motor play, nap, outdoor play, and free play during the visit. The last sanitation inspection was conducted on September 17, 2025. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on March 25, 2026. The last fire drill was conducted on March 10, 2026. The last emergency drill documented was conducted on September 15, 2025. The last playground inspection documented was conducted on November 7, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on September 26, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Twelve (12) children’s files were reviewed during the visit. Seven (7) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, one (1) child was not signed out on April 10, 2026, one (1) child was not signed out on April 16, 2026, one (1) child was not signed out on April 20, 2026, and one (1) child was not signed out on April 24, 2026. In Space #5a, one (1) child was not signed out on April 8, 2026, and one (1) child was not signed out on April 21, 2026. In Space #6, one (1) child was not signed out on April 14, 2026, one (1) child was not signed out on April 21, 2026, one (1) child was not signed out on April 24, 2026, and one (1) child was not signed out on April 27, 2026. In Space #7b, one (1) child was not signed out on April 2, 2026, and one (1) child was not signed out on April 22, 2026. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #5a, the activity plan posted was dated April 20-April 24, 2026. In Space #7b and Space #7c, the activity plan posted was dated April 13-April 17, 2026. GS 110-91(12); .0508(a) 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. In Space #3, one (1) aerosol can of Lysol Disinfectant Spray, and one (1) aerosol can of Seventh Generation Disinfectant Spray, both with multiple warnings, were in the unlocked cabinet above the handwashing sink, accessible to children. In Space #5a, one (1) aerosol can of Lysol Disinfectant Spray with multiple warnings was on the shelf above the diaper changing table, accessible to children. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report form dated March 23, 2026, for one (1) child, enrolled on February 20, 2026, and an incident report form dated March 24, 2025, for one (1) child, enrolled on January 6, 2025, did not include the date the parent was contacted, the time the parent was contacted, or who contacted the parent. An incident report form dated April 14, 2026, for one (1) child, enrolled on February 20, 2026, did not include the date or the time the parent was contacted. Two (2) incident report forms dated February 13, 2025, and September 12, 2024, for one (1) child, enrolled on October 9, 2023, did not include the witness to the incident. An incident report form dated September 23, for one (1) child, enrolled on October 9, 2023, did not include the year the incident occurred. An incident report form dated March 23, for one (1) child, enrolled on January 6, 2025, did not include the year the incident occurred, the time the incident occurred, who contacted the parent, or a signature of the staff member who completed the report. An incident report form dated March 6, 2024, for one (1) child, enrolled on April 11, 2023, did not include who contacted the parent or a signature of the staff member who completed the report. An incident report form dated February 4, 2026, for one (1) child, enrolled on April 11, 2023, did not include the time of the incident, the date the parent was notified, the time the parent was notified, who contacted the parent, or a signature of the staff member completing the report. An incident report form dated August 9, 2024, for one (1) child, enrolled on April 11, 2023, and an incident report form dated November 15, 2024, for one (1) child, enrolled on October 9, 2023, did not include how the parent was contacted, the date the parent was contacted, the time the parent was contacted, who contacted the parent, or the witness to the incident. An incident report form dated August 18, 2024, for one (1) child, enrolled on April 11, 2023, did not include the type of injury, the body part injured, the witness to the incident, how the parent was contacted, the date the parent was contacted, the time the parent was contacted, who contacted the parent, the parent signature, or the cause of the injury. An incident report form dated August 15, 2025, for one (1) child, enrolled on April 11, 2023, did not include the type of injury, the witness to the incident, the date the parents were contacted, or the parent signature. An incident report form dated July 17, 2025, for one (1) child, enrolled on April 11, 2023, did not include the time of the incident, the steps taken to prevent reoccurrence, the date the parent was contacted, the time the parent was contacted, who contacted the parent, or a signature of the staff member completing the report. An incident report form dated April 16, 2024, for one (1) child, enrolled on October 9, 2023, did not include the witness to the incident, who contacted the parent, a parent signature, or a signature of the staff member who completed the report. An incident report form dated March 30, 2026, for one (1) child, enrolled on January 6, 2025, did not include how the parent was contacted, the date the parent was contacted, the time the parent was contacted, who contacted the parent, or a signature of the staff member who completed the report. .0802 (e) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection documented was conducted on November 7, 2026. .0605(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. One (1) staff member, employed on November 18, 2025, did not complete first aid training. .1102(c) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for the Chevrolet van used to transport children expired on January 31, 2026. The temporary tag for the Ford van used to transport children expired on October 26, 2025. .1002(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation and staff development plans on file for one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on August 16, 2010, one (1) staff member, employed on February 26, 2018, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on February 27, 2017, one (1) staff member, employed on September 2, 2022, and one (1) staff member, employed on June 16, 2016, were dated September 13, 2024. The most recent staff evaluation and staff development plan on file for one (1) staff member, employed on February 13, 2023, was dated February 13, 2025. One (1) staff member, employed on March 24, 2025, and one (1) staff member, employed on September 30, 2024, did not have a staff evaluation or staff development plan on file. The most recent staff evaluation and staff development plan on file for one (1) staff member, employed on April 2, 2024, was dated April 2, 2025. The most recent staff evaluation and staff development plan on file for one (1) staff member, employed on November 15, 2023, was dated November 15, 2024. 10A NCAC 09 .0514(f) 1314 Emergency information did not name child's health care professional. The application for one (1) child, enrolled on February 9, 2026, did not include the phone numbers for the emergency contacts listed or the phone number for the healthcare provider. The application for one (1) child, enrolled on February 20, 2026, did not include the name or contact number for the healthcare provider. .0802(c)(2) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) staff member, employed on June 10, 2024, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on November 3, 2025, one (1) staff member, employed on August 16, 2010, one (1) staff member, employed on December 2, 2019, one (1) staff member, employed on February 26, 2018, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on February 27, 2017, one (1) staff member, employed on November 15, 2023, and one (1) staff member, employed on March 16, 2026, were not entered into the facility’s ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place/lockdown drill documented was conducted on September 15, 2025. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for one (1) child, enrolled on October 16, 2023, diagnosed with a chronic illness, did not include a parent and/or physician signature or date the medical action plan was completed. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on March 24, 2025, did not complete Recognizing and Responding to Suspicions of Child Maltreatment Training. .1102(g) The violations documented must be corrected immediately. On or before May 12, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 79%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All centers must 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. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that a current activity plan and schedule must be posted at all times. Additionally, I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. I provided you with sample activity plans via email during the visit. 3. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous products that were accessible to children during the visit were removed from the classrooms and placed in locked storage during the visit. 4. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: facility identifying information; the child's name; date and time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; cause of injury, if applicable; type of injury, if applicable; body part injured, if applicable; where the child received medical treatment, if applicable; description of how and where the incident occurred, and the First Aid received; and steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. I suggested that you remind staff members to complete an incident report form at the time an incident occurs to ensure all required information is documented. I also suggested that the staff member documenting the incident report forms on the incident log review the incident report forms to ensure they are filled out completely. Additionally, I recommended that you review the information required to be documented on incident report forms with all staff members during an upcoming staff meeting. 5. A monthly playground inspection must be conducted by an individual trained in playground safety requirements. A trained administrator or staff person must make a record of each inspection using a playground inspection checklist provided by the Division. The checklist is to be signed by the person who conducts the inspection and must be maintained for 12 months in the center's files for review by a representative of the Division. Continue to use the playground inspection checklist provided by DCDEE. This checklist may also be accessed through the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Playground_Inspection_Checklist.pdf?ver=CxfeyCmo15O0_ztbu2--ng%3d%3d. I suggested you plan to conduct the playground inspections on the same day fire drills are conducted to ensure a month does not get skipped. After completion of the inspection, I suggested you immediately complete the documentation of the check on the checklist and place the inspection checklist in your playground inspection notebook to ensure it is on file and available for review at all times. 6. All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process. For existing staff, I suggested you schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. I suggested you review the Partnership for Children of Lincoln and Gaston County’s training calendar at https://www.eventbrite.com/o/partnership-for-children-of-lincoln-amp-gaston-counties-45331112 for upcoming CPR/First Aid Training Courses. I also suggested you review the North Carolina Division of Child Development and Early Education CPR and First Aid Training Information at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/CPR_FA_APPROVED_AGENCY_LIST.pdf?ver=NmVoyxfZmg0yqhLd66ZWEQ%3d%3d×tamp=1776711466051 to ensure trainings are approved by DCDEE. I provided you with a link to this document via email during the visit. 7. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations, including state inspections, registrations, and liability insurance. I suggested you set calendar reminders to ensure inspections and registrations are renewed in a timely manner. I also suggested you visually inspect all vehicles used to transport children on a regular basis to ensure the vehicle is safe and all regulations are met. 8. All employees must have an Annual Staff Evaluation and Staff Development Plan on file. I suggested you set a date each year to ensure staff evaluations and staff development plans are completed in a timely manner. I also suggested you create a document to track staff evaluations and staff development plans to ensure they are conducted at least annually. We reviewed the Individual Continuous Quality Improvement Plan during the visit. I suggested you begin to use this form in place of the previously used professional development plan to meet rated license requirements as well. 9. Emergency medical care information shall be on file for each child. That information shall include: the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; the responsible party's choice of health care professional; any chronic illness and any medication taken for that illness; and any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. I suggested you review all applications thoroughly when received to ensure all required information is completed. I also suggested you assign dates each year to update emergency information to ensure it is updated at least annually. 10. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. For assistance, please contact the Criminal Background Check Unit at (919) 814-6401. I suggested you add new staff members to your provider portal on their first day of employment to ensure compliance. I provided you with the ABCMS Provider Portal Technical Assistance Document via email during the visit. You have completed the Moodle training and started to add staff members to the portal. 11. Shelter-in-Place or Lockdown drills must be completed at least once every three (3) months. I suggested you create calendar reminders at least one year in advance to ensure drills are conducted at least once every three (3) months. I suggested you document the drill immediately after the drill is conducted to ensure required documentation is on file and available for review. Continue to document drills on the drill log form found on the DCDEE website. 12. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be attached to the application. The medical action plan is to be completed by the child's parent or a health care professional and may include the following: a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan is to be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. I provided you with sample medical action plans specific to asthma, allergies, diabetes, and seizures via email during today’s visit. These forms can also be found on the DCDEE website under the “Provider” tab. I reminded you that a medication for a chronic illness should not be accepted by the facility without an accompanying medical action plan. I suggested you have parents bring all new emergency medications into the office to be reviewed to ensure all information is accurate and complete prior to taking them to the classrooms. In addition to attaching a copy of the medical action plan to the child’s application, I also suggested you keep a copy of the medical action plans with the medications to ensure the correct response and care is given to any emergent situations. I suggested you review all medical action plans for children diagnosed with chronic illnesses at least once every six (6) months to ensure information on the medical action plan is current and accurate. I suggested you have the parents of each child with a medical action plan on file review this information each time a permission to administer medication form is submitted (every six months). 13. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environment rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Deirdre Sykes, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0302 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 63 Completed Date: 11/4/2025 Age: From 0 To 5 Total Minutes: 212 Time In: 07:58 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Carly Toney, Site Coordinator/Legal Designee, assisted me with today’s visit. Your program currently operates with a five (5) star license issued July 13, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked on November 4, 2025, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on September 17, 2025. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on March 26, 2025. The most recent fire drill was conducted on October 7, 2025, the most recent emergency drill was conducted on June 16, 2025, and the most recent playground inspection was conducted on October 7, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on September 26, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from asbestos testing, and your facility has not completed the lead-based paint testing. Please log into your Clean Classrooms for Carolina Kids account to complete the steps for lead-based paint testing immediately. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, free play, nap and outdoor play during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Four (4) new staff members were hired since the last visit. We reviewed the ABCMS Provider Portal and all staff members were not entered. Please complete the process of entering all current staff into your ABCMS Provider Portal immediately. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The following violations were observed/documented during the visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, one (1) child was not signed out on October 24, 2025. In Space #4, one (1) child was not signed out on October 22, 2025, one (1) child was not signed out on October 29, 2025, one (1) child was not signed out on October 30, 2025, and one (1) child was not signed out on November 3, 2025. In Space #4, one (1) child was signed out on November 4, 2025; however, the child was not signed in and was not present at the facility. In Space #7c, one (1) child was not signed out on October 10, 2025. In Space #7d2, four (4) children was not signed out on October 28, 2025, five (5) children were not signed out on October 31, 2025, and five (5) children were not signed out on November 3, 2025. 10A NCAC 09 .0302(d)(4) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On Playground #1, the depth of the mulch surfacing around the stationary play structure measured four (4) to six (6) inches across the fall zone. On Playground #2, the depth of the mulch surfacing around the stationary play structure measured zero (0) to four (4) inches across the fall zone. .0605(j) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #4, the Permission to Administer Medication Form for one (1) tube of Triple Paste Skin Protectant expired on September 19, 2025. In Space #5b, one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste expired October 2025. In Space #6, there was no Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste, and the Permission to Administer Medication Form for one (1) container of CVS Petroleum Jelly Skin Protectant expired on September 20, 2025. In Space #7d2, the Permission to Administer Medication Form for one (1) container of Off Family Care Insect Repellant expired on October 8, 2025. .0803(12) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on June 9, 2025, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member, employed on September 30, 2025, did not complete the Health and Safety Trainings. .1102(a) The violations documented must be corrected immediately. On or before November 18, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 83%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Footings which anchor equipment may not be exposed. Protective surfacing must be either: (1) loose surfacing material, including wood mulch, double shredded bark mulch, uniform wood chips, fine sand, coarse sand, and pea gravel, except that pea gravel shall not be used if the area will be used by children under three years of age. Loose surfacing material shall not be installed over concrete; or (2) other materials that have been certified by the manufacturer to be shock-absorbing protective material in accordance with the American Society for Testing and Materials (ASTM) Standard F 1292, may be used if installed, maintained, and replaced according to the manufacturer's instructions. This standard is incorporated by reference and does include subsequent editions. This standard may be found online at https://www.astm.org/Standards/F1292.htm for a cost of sixty-five dollars ($65.00). The depth of the loose surfacing material is 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 must have at least 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, must have at least 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet must have at least 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, at least 12 inches is required. Protective surfacing must cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing must extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing must be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing must extend beyond the external limits of the equipment for six feet. I suggested you note mulch depth measurements on the monthly playground inspections to ensure the proper depth of surfacing is maintained. I also suggested you rake and fluff mulch on playgrounds regularly to prevent the mulch from becoming compact and built up. A six (6) inch or longer screwdriver may be used to measure depth of the mulch. 3. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must 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, should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. I suggested you place extra copies of the Permission to Administer Medication Form in each classroom to be completed by the parent in the event that a form expires. Additionally, I suggested you assign a staff member to each room to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. I reminded you that no medication should be accepted by the facility without an accompanying Permission to Administer Medication Form. 4. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I reviewed the Health and Safety Training Record with you during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. 5. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I reviewed the Health and Safety Training Record with you during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Consultation We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environmental rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Deirdre Sykes, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. I completed the QRIS Conversation Template Form with you during the visit based on the information you provided to me today. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 63 Completed Date: 11/4/2025 Age: From 0 To 5 Total Minutes: 212 Time In: 07:58 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Carly Toney, Site Coordinator/Legal Designee, assisted me with today’s visit. Your program currently operates with a five (5) star license issued July 13, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked on November 4, 2025, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on September 17, 2025. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on March 26, 2025. The most recent fire drill was conducted on October 7, 2025, the most recent emergency drill was conducted on June 16, 2025, and the most recent playground inspection was conducted on October 7, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on September 26, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from asbestos testing, and your facility has not completed the lead-based paint testing. Please log into your Clean Classrooms for Carolina Kids account to complete the steps for lead-based paint testing immediately. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, free play, nap and outdoor play during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Four (4) new staff members were hired since the last visit. We reviewed the ABCMS Provider Portal and all staff members were not entered. Please complete the process of entering all current staff into your ABCMS Provider Portal immediately. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The following violations were observed/documented during the visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, one (1) child was not signed out on October 24, 2025. In Space #4, one (1) child was not signed out on October 22, 2025, one (1) child was not signed out on October 29, 2025, one (1) child was not signed out on October 30, 2025, and one (1) child was not signed out on November 3, 2025. In Space #4, one (1) child was signed out on November 4, 2025; however, the child was not signed in and was not present at the facility. In Space #7c, one (1) child was not signed out on October 10, 2025. In Space #7d2, four (4) children was not signed out on October 28, 2025, five (5) children were not signed out on October 31, 2025, and five (5) children were not signed out on November 3, 2025. 10A NCAC 09 .0302(d)(4) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On Playground #1, the depth of the mulch surfacing around the stationary play structure measured four (4) to six (6) inches across the fall zone. On Playground #2, the depth of the mulch surfacing around the stationary play structure measured zero (0) to four (4) inches across the fall zone. .0605(j) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #4, the Permission to Administer Medication Form for one (1) tube of Triple Paste Skin Protectant expired on September 19, 2025. In Space #5b, one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste expired October 2025. In Space #6, there was no Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste, and the Permission to Administer Medication Form for one (1) container of CVS Petroleum Jelly Skin Protectant expired on September 20, 2025. In Space #7d2, the Permission to Administer Medication Form for one (1) container of Off Family Care Insect Repellant expired on October 8, 2025. .0803(12) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on June 9, 2025, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member, employed on September 30, 2025, did not complete the Health and Safety Trainings. .1102(a) The violations documented must be corrected immediately. On or before November 18, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 83%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Footings which anchor equipment may not be exposed. Protective surfacing must be either: (1) loose surfacing material, including wood mulch, double shredded bark mulch, uniform wood chips, fine sand, coarse sand, and pea gravel, except that pea gravel shall not be used if the area will be used by children under three years of age. Loose surfacing material shall not be installed over concrete; or (2) other materials that have been certified by the manufacturer to be shock-absorbing protective material in accordance with the American Society for Testing and Materials (ASTM) Standard F 1292, may be used if installed, maintained, and replaced according to the manufacturer's instructions. This standard is incorporated by reference and does include subsequent editions. This standard may be found online at https://www.astm.org/Standards/F1292.htm for a cost of sixty-five dollars ($65.00). The depth of the loose surfacing material is 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 must have at least 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, must have at least 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet must have at least 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, at least 12 inches is required. Protective surfacing must cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing must extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing must be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing must extend beyond the external limits of the equipment for six feet. I suggested you note mulch depth measurements on the monthly playground inspections to ensure the proper depth of surfacing is maintained. I also suggested you rake and fluff mulch on playgrounds regularly to prevent the mulch from becoming compact and built up. A six (6) inch or longer screwdriver may be used to measure depth of the mulch. 3. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must 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, should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. I suggested you place extra copies of the Permission to Administer Medication Form in each classroom to be completed by the parent in the event that a form expires. Additionally, I suggested you assign a staff member to each room to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. I reminded you that no medication should be accepted by the facility without an accompanying Permission to Administer Medication Form. 4. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I reviewed the Health and Safety Training Record with you during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. 5. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I reviewed the Health and Safety Training Record with you during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Consultation We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environmental rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Deirdre Sykes, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. I completed the QRIS Conversation Template Form with you during the visit based on the information you provided to me today. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0825-232L Visit Date: 9/3/2025 Number Present: 67 Completed Date: 9/3/2025 Age: From 0 To 4 Total Minutes: 203 Time In: 09:57 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report received on June 4, 2025, alleging violations of child care requirements. The allegations were regarding staff/child ratio and supervision. You, Amber Frady, Administrator, assisted with the visit. The Secretary of State website was checked on September 3, 2025, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. I verified compliance with staff/child ratios, supervision, adequate/approved space, license posted, and permit restrictions during today’s visit. I observed children participating in routines, group time, free play, lunch, nap, and outdoor play during the visit. The allegations were discussed with you and thirteen (13) additional staff members during today’s visit. You and the additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. You and staff interviewed reported no concerns regarding staff/child ratio. You stated enrollment is low at this time and that most classrooms only require one staff member to be present to maintain staff/child ratios. You stated you have three (3) floaters who assist in classrooms when needed. You and staff interviewed stated children are moved to another classroom to maintain ratios if needed. I conducted a walkthrough of the facility and observation in all classrooms during the visit. Staff/child ratios were in compliance throughout the facility during the visit. Based on staff interviews and observation, the allegation regarding staff/child ratio was unsubstantiated. You stated that on August 18, 2025, a child, two (2) years of age, assigned to Space #6, was left alone, unattended on the playground. You stated the child remained in the fenced-in area of Playground #2 and was not injured during the time they were left unattended. You stated that the Pastor’s home sits on the hill overlooking the playgrounds. You stated that a former staff member of the facility was visiting the Pastor’s house on the day the incident occurred. You stated the former staff member saw from the Pastor’s house that the child was left alone, came from the Pastor’s house to the playground, got the child, and brought the child into the facility. You stated the former staff member brought the child from the playground to your office. You stated you talked to the child and checked the child to ensure they were not injured before taking the child to Space #6. You stated that the husband of the former staff member who found the child who was left unattended, is a police officer and was with his wife at the time; however, he was not on-duty at the time of the incident. You stated the police officer did not get the child from the playground or bring the child inside the facility. You stated the police were not contacted as a result of this incident. I reviewed camera footage of all playgrounds on August 18, 2025. I observed that at 3:42:33pm, two (2) staff members exited Playground #2 with a group of children. At 3:43:43pm, I observed a child running from the back of the fenced-in area of the playground to the gate of the fence. At 3:45:06pm, I observed a woman approach the fence of the playground, open the gate, pick the child up and carry the child toward the building. Based on staff interviews and camera footage review, the allegation regarding supervision was substantiated. The following violation was documented during the visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On August 18, 2025, one (1) child, two (2) years of age, was left alone, unattended on Playground #2 for two (2) minutes and thirty-three (33) seconds from 3:42:33pm to 3:45:06pm. .1801(a)(1-5) The violation documented must be corrected immediately. On or before September 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 84%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Children must be adequately supervised at all times in child care centers. Adequate supervision means that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. I suggested you review this rule with all staff members at this time, and annually at a staff meeting. I also suggested you implement a head count checklist to ensure all children are accounted for throughout the day. All staff members should be aware of the number of children they are responsible for at all times. Additionally, I suggested you remind staff to be extra cautious during transitions, including when coming inside from the playground, to ensure all children are accounted for. I also encouraged you review the “Methods of Supervision” through Caring for our Children for best practices: https://nrckids.org/CFOC/Database/2.2.0.1. You stated one of the staff members involved in the incident, who was in the back of the group and responsible for counting the children to ensure they all left the playground, received a formal write-up on August 19, 2025. You stated that during write-up process, you reviewed the facility’s supervision policy with the staff member. Consultation: During the visit, I conducted a walkthrough of each space during nap time. I reminded all staff members that there must be adequate lighting in the classroom, including during nap time, to ensure proper supervision can be maintained. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0901 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0625-224L Visit Date: 7/1/2025 Number Present: 99 Completed Date: 7/1/2025 Age: From 0 To 11 Total Minutes: 193 Time In: 08:17 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report received on June 4, 2025, alleging violations of child care requirements. The allegations were regarding nutrition. You, Amber Frady, Administrator, assisted with the visit. The Secretary of State website was checked on July 1, 2025, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on September 26, 2024. I verified compliance with staff/child ratios, supervision, adequate/approved space, license posted, and permit restrictions during the visit. I observed children participating in breakfast, routines, group time, free play, nap, and outdoor play during the visit. The allegations were discussed with you and eleven (11) additional staff members, including the cook, during today’s visit. You and the additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. You and some additional staff members stated water is freely available to children throughout the day and that children are offered water, specifically after outdoor play. Staff members assigned to classrooms for children four (4) years of age and older all stated water was available to children at all times throughout the day and that children can access water on their own. Additional staff members interviewed stated children are offered water as they come inside from outdoor play; however, they are not offered water at any other times during the day. Some staff members interviewed stated water is available in the cafeteria; however, it is not brought to the classrooms. One (1) staff member, who was present with children during outdoor play during the visit, stated no water was available outdoors for the children during today’s visit as there was no floater to fill and deliver water jugs to the classroom. You stated water jugs were previously kept in all classrooms; however, during the sanitation inspection, conducted on September 17, 2025, the inspector informed you that you could not keep water jugs in the classrooms; therefore, you removed them at that time. You stated that at that time, a water bottle filling station was installed in the hallway, and a water dispenser was installed on the playground. You and staff interviewed stated daily sheets are sent home to the parents of children enrolled in the classroom for infants, which state how much each child ate and drank throughout the day. You and staff interviewed stated all other classrooms use the Brightwheel app to communicate with parents. You and staff interviewed stated that if there are concerns with children not eating or drinking, a staff member can communicate that through the app with the parent; however, you do not require Brightwheel communication. You stated if staff members do not communicate with parents through the Brightwheel app, they are required to do so with the parent in person. I contacted Chris Rodite, Supervisor with the Gaston County Department of Health and Human Services Environmental Health division, by phone during the visit. Ms. Rodite confirmed water jugs could be kept in each classroom, and that single service, disposable cups should be used to serve children. Ms. Rodite stated water jugs should be filled each morning and returned to the kitchen to be cleaned and sanitized each evening. Ms. Rodite also confirmed water bottles, brought from home, could be used. Ms. Rodite stated water bottles brought from home should be labeled with the child’s name and date and returned home at the end of the day to be cleaned. A walkthrough of all classrooms, the kitchen, and playgrounds was conducted during the visit. Three (3) classrooms had water jugs in the classroom. One (1) additional classroom had a shelf with water bottles for all children present, labeled with each child’s name. In each of these four (4) classrooms, the water was able to easily be accessed by children. No water jugs or water consumption by children was observed in six (6) additional classrooms, or outdoors during the visit. Water fountains and a water bottle filling station were observed in the hallways. Two (2) groups of children were observed on the playground during the visit; however, neither group had water with them. I observed a water dispenser outside near the playground; however, it was empty during the visit. Two (2) groups of children were observed drinking water from a water fountain in the hallway after outdoor play during the visit. I observed children assigned to space #3, space #4, space #5a, and space #5b eating lunch in the cafeteria during the visit. I observed all children present consuming lunch served to them. Children were served a cheeseburger on a whole wheat bun, tater tots, bananas, and milk. One (1) child was served food from home, which the child consumed. Brightwheel app communications were reviewed during the visit. Communication with parents regarding consumption of food and water was documented for some days; however, it was blank for others. I reviewed infant daily sheets for all infants present during the visit. I noted bottle and food consumption was listed for each child on the infant daily sheet. Based on staff interviews and observations, the allegation regarding nutrition was substantiated. The following violation was documented during the visit: Violation Number Comment Rule 505 Drinking water was not freely available to children of all ages. Based on staff interviews and observation, drinking water was not freely available to all children. .0901(e) The violation documented must be corrected immediately. On or before July 15, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 85%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. We reviewed child care rule 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS: (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. (c) When children bring their own food for meals or snacks to the center, if the food does not meet the nutritional requirements specified in Paragraph (a) of this Rule, the center must provide additional food necessary to meet those requirements. (d) A child's parent may opt out of the supplemental food provided by the center as set forth in G.S. 110-91(2)h.1. When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child's parent may opt out of the supplemental food provided by the center, subject to the following: (1) the center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times; (2) the ability to opt out of specific meals or days based on menu options is not available; (3) if a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food; and (4) if the child's parent or guardian has opted out, but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. (e) Drinking water shall be freely available to children of all ages. Drinking fountains or individual drinking utensils shall be provided. Technical assistance was provided on the following: 1. I suggested you add water jugs with small, disposable cups, to each classroom to ensure drinking water is freely available to children of all ages at all times. I suggested you refill the water dispenser outside by the playgrounds to ensure water is available to all children during outdoor play. I reminded you that staff members must offer water to children throughout the day. I reminded you that this is important for younger children who are not able to request water. I suggested you have all staff members to document food and liquid consumption for each child every day either on the infant daily sheet or on the Brightwheel app, in addition to communicating any concerns regarding nutrition to parents in person. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0625-224L Visit Date: 7/1/2025 Number Present: 99 Completed Date: 7/1/2025 Age: From 0 To 11 Total Minutes: 193 Time In: 08:17 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report received on June 4, 2025, alleging violations of child care requirements. The allegations were regarding nutrition. You, Amber Frady, Administrator, assisted with the visit. The Secretary of State website was checked on July 1, 2025, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on September 26, 2024. I verified compliance with staff/child ratios, supervision, adequate/approved space, license posted, and permit restrictions during the visit. I observed children participating in breakfast, routines, group time, free play, nap, and outdoor play during the visit. The allegations were discussed with you and eleven (11) additional staff members, including the cook, during today’s visit. You and the additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. You and some additional staff members stated water is freely available to children throughout the day and that children are offered water, specifically after outdoor play. Staff members assigned to classrooms for children four (4) years of age and older all stated water was available to children at all times throughout the day and that children can access water on their own. Additional staff members interviewed stated children are offered water as they come inside from outdoor play; however, they are not offered water at any other times during the day. Some staff members interviewed stated water is available in the cafeteria; however, it is not brought to the classrooms. One (1) staff member, who was present with children during outdoor play during the visit, stated no water was available outdoors for the children during today’s visit as there was no floater to fill and deliver water jugs to the classroom. You stated water jugs were previously kept in all classrooms; however, during the sanitation inspection, conducted on September 17, 2025, the inspector informed you that you could not keep water jugs in the classrooms; therefore, you removed them at that time. You stated that at that time, a water bottle filling station was installed in the hallway, and a water dispenser was installed on the playground. You and staff interviewed stated daily sheets are sent home to the parents of children enrolled in the classroom for infants, which state how much each child ate and drank throughout the day. You and staff interviewed stated all other classrooms use the Brightwheel app to communicate with parents. You and staff interviewed stated that if there are concerns with children not eating or drinking, a staff member can communicate that through the app with the parent; however, you do not require Brightwheel communication. You stated if staff members do not communicate with parents through the Brightwheel app, they are required to do so with the parent in person. I contacted Chris Rodite, Supervisor with the Gaston County Department of Health and Human Services Environmental Health division, by phone during the visit. Ms. Rodite confirmed water jugs could be kept in each classroom, and that single service, disposable cups should be used to serve children. Ms. Rodite stated water jugs should be filled each morning and returned to the kitchen to be cleaned and sanitized each evening. Ms. Rodite also confirmed water bottles, brought from home, could be used. Ms. Rodite stated water bottles brought from home should be labeled with the child’s name and date and returned home at the end of the day to be cleaned. A walkthrough of all classrooms, the kitchen, and playgrounds was conducted during the visit. Three (3) classrooms had water jugs in the classroom. One (1) additional classroom had a shelf with water bottles for all children present, labeled with each child’s name. In each of these four (4) classrooms, the water was able to easily be accessed by children. No water jugs or water consumption by children was observed in six (6) additional classrooms, or outdoors during the visit. Water fountains and a water bottle filling station were observed in the hallways. Two (2) groups of children were observed on the playground during the visit; however, neither group had water with them. I observed a water dispenser outside near the playground; however, it was empty during the visit. Two (2) groups of children were observed drinking water from a water fountain in the hallway after outdoor play during the visit. I observed children assigned to space #3, space #4, space #5a, and space #5b eating lunch in the cafeteria during the visit. I observed all children present consuming lunch served to them. Children were served a cheeseburger on a whole wheat bun, tater tots, bananas, and milk. One (1) child was served food from home, which the child consumed. Brightwheel app communications were reviewed during the visit. Communication with parents regarding consumption of food and water was documented for some days; however, it was blank for others. I reviewed infant daily sheets for all infants present during the visit. I noted bottle and food consumption was listed for each child on the infant daily sheet. Based on staff interviews and observations, the allegation regarding nutrition was substantiated. The following violation was documented during the visit: Violation Number Comment Rule 505 Drinking water was not freely available to children of all ages. Based on staff interviews and observation, drinking water was not freely available to all children. .0901(e) The violation documented must be corrected immediately. On or before July 15, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 85%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. We reviewed child care rule 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS: (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. (c) When children bring their own food for meals or snacks to the center, if the food does not meet the nutritional requirements specified in Paragraph (a) of this Rule, the center must provide additional food necessary to meet those requirements. (d) A child's parent may opt out of the supplemental food provided by the center as set forth in G.S. 110-91(2)h.1. When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child's parent may opt out of the supplemental food provided by the center, subject to the following: (1) the center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times; (2) the ability to opt out of specific meals or days based on menu options is not available; (3) if a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food; and (4) if the child's parent or guardian has opted out, but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. (e) Drinking water shall be freely available to children of all ages. Drinking fountains or individual drinking utensils shall be provided. Technical assistance was provided on the following: 1. I suggested you add water jugs with small, disposable cups, to each classroom to ensure drinking water is freely available to children of all ages at all times. I suggested you refill the water dispenser outside by the playgrounds to ensure water is available to all children during outdoor play. I reminded you that staff members must offer water to children throughout the day. I reminded you that this is important for younger children who are not able to request water. I suggested you have all staff members to document food and liquid consumption for each child every day either on the infant daily sheet or on the Brightwheel app, in addition to communicating any concerns regarding nutrition to parents in person. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-91 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0625-224L Visit Date: 7/1/2025 Number Present: 99 Completed Date: 7/1/2025 Age: From 0 To 11 Total Minutes: 193 Time In: 08:17 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report received on June 4, 2025, alleging violations of child care requirements. The allegations were regarding nutrition. You, Amber Frady, Administrator, assisted with the visit. The Secretary of State website was checked on July 1, 2025, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on September 26, 2024. I verified compliance with staff/child ratios, supervision, adequate/approved space, license posted, and permit restrictions during the visit. I observed children participating in breakfast, routines, group time, free play, nap, and outdoor play during the visit. The allegations were discussed with you and eleven (11) additional staff members, including the cook, during today’s visit. You and the additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. You and some additional staff members stated water is freely available to children throughout the day and that children are offered water, specifically after outdoor play. Staff members assigned to classrooms for children four (4) years of age and older all stated water was available to children at all times throughout the day and that children can access water on their own. Additional staff members interviewed stated children are offered water as they come inside from outdoor play; however, they are not offered water at any other times during the day. Some staff members interviewed stated water is available in the cafeteria; however, it is not brought to the classrooms. One (1) staff member, who was present with children during outdoor play during the visit, stated no water was available outdoors for the children during today’s visit as there was no floater to fill and deliver water jugs to the classroom. You stated water jugs were previously kept in all classrooms; however, during the sanitation inspection, conducted on September 17, 2025, the inspector informed you that you could not keep water jugs in the classrooms; therefore, you removed them at that time. You stated that at that time, a water bottle filling station was installed in the hallway, and a water dispenser was installed on the playground. You and staff interviewed stated daily sheets are sent home to the parents of children enrolled in the classroom for infants, which state how much each child ate and drank throughout the day. You and staff interviewed stated all other classrooms use the Brightwheel app to communicate with parents. You and staff interviewed stated that if there are concerns with children not eating or drinking, a staff member can communicate that through the app with the parent; however, you do not require Brightwheel communication. You stated if staff members do not communicate with parents through the Brightwheel app, they are required to do so with the parent in person. I contacted Chris Rodite, Supervisor with the Gaston County Department of Health and Human Services Environmental Health division, by phone during the visit. Ms. Rodite confirmed water jugs could be kept in each classroom, and that single service, disposable cups should be used to serve children. Ms. Rodite stated water jugs should be filled each morning and returned to the kitchen to be cleaned and sanitized each evening. Ms. Rodite also confirmed water bottles, brought from home, could be used. Ms. Rodite stated water bottles brought from home should be labeled with the child’s name and date and returned home at the end of the day to be cleaned. A walkthrough of all classrooms, the kitchen, and playgrounds was conducted during the visit. Three (3) classrooms had water jugs in the classroom. One (1) additional classroom had a shelf with water bottles for all children present, labeled with each child’s name. In each of these four (4) classrooms, the water was able to easily be accessed by children. No water jugs or water consumption by children was observed in six (6) additional classrooms, or outdoors during the visit. Water fountains and a water bottle filling station were observed in the hallways. Two (2) groups of children were observed on the playground during the visit; however, neither group had water with them. I observed a water dispenser outside near the playground; however, it was empty during the visit. Two (2) groups of children were observed drinking water from a water fountain in the hallway after outdoor play during the visit. I observed children assigned to space #3, space #4, space #5a, and space #5b eating lunch in the cafeteria during the visit. I observed all children present consuming lunch served to them. Children were served a cheeseburger on a whole wheat bun, tater tots, bananas, and milk. One (1) child was served food from home, which the child consumed. Brightwheel app communications were reviewed during the visit. Communication with parents regarding consumption of food and water was documented for some days; however, it was blank for others. I reviewed infant daily sheets for all infants present during the visit. I noted bottle and food consumption was listed for each child on the infant daily sheet. Based on staff interviews and observations, the allegation regarding nutrition was substantiated. The following violation was documented during the visit: Violation Number Comment Rule 505 Drinking water was not freely available to children of all ages. Based on staff interviews and observation, drinking water was not freely available to all children. .0901(e) The violation documented must be corrected immediately. On or before July 15, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 85%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. We reviewed child care rule 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS: (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. (c) When children bring their own food for meals or snacks to the center, if the food does not meet the nutritional requirements specified in Paragraph (a) of this Rule, the center must provide additional food necessary to meet those requirements. (d) A child's parent may opt out of the supplemental food provided by the center as set forth in G.S. 110-91(2)h.1. When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child's parent may opt out of the supplemental food provided by the center, subject to the following: (1) the center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times; (2) the ability to opt out of specific meals or days based on menu options is not available; (3) if a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food; and (4) if the child's parent or guardian has opted out, but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. (e) Drinking water shall be freely available to children of all ages. Drinking fountains or individual drinking utensils shall be provided. Technical assistance was provided on the following: 1. I suggested you add water jugs with small, disposable cups, to each classroom to ensure drinking water is freely available to children of all ages at all times. I suggested you refill the water dispenser outside by the playgrounds to ensure water is available to all children during outdoor play. I reminded you that staff members must offer water to children throughout the day. I reminded you that this is important for younger children who are not able to request water. I suggested you have all staff members to document food and liquid consumption for each child every day either on the infant daily sheet or on the Brightwheel app, in addition to communicating any concerns regarding nutrition to parents in person. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 106 Completed Date: 5/27/2025 Age: From 0 To 11 Total Minutes: 418 Time In: 08:38 AM Time Out: 01:12 PM Time In: 01:36 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Amber Frady, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued July 13, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked on May 27, 2025, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines and free play during the visit. You requested that an additional vehicle, the black bus, be approved for use. The black bus was inspected during the visit. The black bus is not approved for use at this time. Please submit a copy of the registration card, insurance card, and information on the gross vehicle weight of the bus to me. The last sanitation inspection was conducted on September 24, 2024. A “superior” classification was issued with two (2) demerits noted on the grade card. The last fire inspection was conducted on March 26, 2025. The last fire drill was conducted on May 7, 2025. The last emergency drill was conducted on March 17, 2025. The last playground inspection was conducted on May 7, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on September 26, 2024. Per the Clean Classrooms for Carolina Kids, your facility is exempt from Asbestos testing. You stated you have submitted documentation to Clean Classrooms for Carolina Kids regarding an exemption to the lead-based paint testing. Per the facility data on the Clean Classrooms for Carolina Kids website, lead-based paint has not been assessed. You reviewed your account during the visit which stated the lead-based paint documentation was under review effective May 9, 2024. I suggested you contact RTI to determine whether lead-based paint testing will be required. Thirteen (13) children’s files were reviewed during the visit. Seven (7) new staff files and three (3) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, one (1) child was not signed out on May 15, 2025, one (1) child was not signed out on May 16, 2025, two (2) children were not signed out on May 20, 2025, three (3) children were not signed out on May 21, 2025, one (1) child was not signed out on May 22, 2025, one (1) child was not signed out on May 23, 2025, and one (1) child, who was present, was not signed in on May 27, 2025. In Space #4, one (1) child, who was present, was not signed in on May 27, 2025. In Space #5a, one (1) child, who was present, was not signed in on May 27, 2025. In Space #5b, one (1) child was not signed out on May 13, 2025. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, the activity plan posted was dated May 19-May 23, 2025. In Space #3, the activity plan posted was dated May 19-May 23, 2025. In Space #5a, the activity plan posted was dated May 19-May 23, 2025. In Space #6, the activity plan posted was dated May 12, 2025. In Space #7b, there was no dated activity plan posted for the full day summer camp, which was operating during the visit. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #3, one (1) outlet on the wall to the right of the changing table was not covered with a safety plug. In Space #4, one (1) outlet on the wall to the left of the handwashing sink was not covered with a safety plug. 10A NCAC 09 .0604(c) 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. On the bus labeled “Life Church”, used to transport children, there was one (1) aerosol can of Lysol Disinfectant Spray, and one (1) open container of Cintas Citrus Mango air freshener, both with multiple warnings, to the right of the driver’s seat in the area where the children get on and off of the bus, accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space #1, one (1) Epinephrine Injection, USP Auto Injector was not in its original packaging and did not have a pharmacy label attached. .0803(2)(a) 871 Center staff did not comply with the safe sleep policy. In Space #2a/b, the space for infants, the consultant entered the room at 8:48am and saw an infant, four (4) months of age, sleeping in a swing covered in a thick fleece blanket from the mouth of the infant to the feet of the infant. The staff member present, L. Flowers, Lead Teacher assigned to Space #3, did not move the infant from the swing to the crib until instructed by the consultant to move the child to the crib and remove the blanket. The consultant entered Space #2a/b again at 12:40pm and saw the same infant, four (4) months of age, sleeping in the same swing covered in the same fleece blanket from chin to feet. The consultant again instructed the same staff member to move the child from the swing to the crib and to remove the blanket. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In Space #2a/b, a visual sleep check was documented for one sleeping infant, three (3) months of age, at 8:35am; however, at 8:52 am, another check had not been conducted/documented. No visual sleep checks were documented on May 27, 2025, for one (1) infant, four (4) months of age, who was observed to be sleeping during the visit. .0606(g) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One (1) staff member, employed on March 4, 2024, who was caring for infants in Space #2a/b alone during the visit while the staff member assigned to Space #2a/b was on break, did not complete ITS SIDS training. .1102(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child, enrolled on June 25, 2024, had a medical exam on file dated August 23, 2024. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #1, the Permission to Administer Medication Form attached to one (1) tube of Equate Baby 100% Petroleum Jelly had “The Assigned Teachers” listed as the medication name. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on November 5, 2024, did not complete the Recognizing and Responding to suspicions of Child Maltreatment training until April 28, 2025. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member, employed on June 5, 2023, and one (1) staff member, employed on December 4, 2023, did not complete all of the required health and safety trainings. One (1) staff member, employed on February 26, 2018, had not completed health and safety trainings since September 2018. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, enrolled on November 7, 2022, did not have a acknowledgement signed by the parent or guardian of the receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy on file. .0608(b)(1-6) The violations documented must be corrected immediately. On or before June 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 88%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All centers must 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. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that an activity plan and schedule must be posted at all times. Additionally, I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. I provided you with a copy of the North Carolina Foundations for Early Learning and Development during the visit. 3. All electrical outlets and power strips not in use must be kept covered with outlet covers at all times unless located behind furniture that cannot be moved by a child. I suggested you continue to keep extra outlet covers in each classroom to ensure outlets and power strips are kept covered at all times when not in use. The uncovered outlets were covered with safety plugs during the visit. 4. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you remind staff who drive the buses to check the buses prior to transporting children each day to ensure all hazardous products are stored properly. I also suggested you have staff members check the classrooms thoroughly each morning to ensure all items are stored properly. Additionally, I suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous products were removed from the bus and discarded during the visit. 5. Prescribed medications must be stored in the original containers in which they were dispensed with the pharmacy labels. If the medication is a pharmaceutical sample, it must be stored in the manufacturer's original packaging, be labeled with the child's name, and be accompanied by written instructions specifying: the child's name; the names of the medication; the amount and frequency of dosage; the signature of the prescribing physician or other health professional; and the date the instructions were signed by the physician or other health professional. Medications should not be accepted if they are not in the pharmaceutical packaging with pharmacy labels. I suggested you have all medications brought to the office when a parent brings in a new medication to ensure they are labeled properly and in the appropriate packaging before taking the medication to the classrooms. 6. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. I suggested you post the sleep logs near the crib where infants sleep. Per rule and your facility’s safe sleep policy, infants are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices must be moved to a crib, bassinet, play pen, mat, or cot. Additionally, per rule and your facility’s safe sleep policy, no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. Additionally, I suggested you contact Tara Knight, Child Care Health Consultant with the Gaston County Department of Health and Human Services at 704.913.3129 to request additional technical assistance regarding safe sleep. The staff member without ITS SIDS Training left the classroom for infants during the visit and was replaced by a staff member with current ITS SIDS Training. The staff member caring for infants in Space #2a/b during today's visit, L. Flowers, is the Lead Teacher assigned to Space #3, the classroom for children one (1) year of age; however, Ms. Flowers was filling in for the Lead Teacher assigned to Space #2a/b, the classroom for infants, today. 7. In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room must complete ITS-SIDS training. ITS-SIDS training must be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. I suggested you create a document to track ITS SIDS certification for all staff members who are required to maintain ITS SIDS Training. I also suggested you review the Partnership for Children of Lincoln and Gaston County’s Training Calendar at https://www.eventbrite.com/o/partnership-for-children-of-lincoln-amp-gaston-counties-45331112 for upcoming ITS SIDS training opportunities. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the staff file checklist during the visit. You stated the staff member without ITS SIDS Training will not work in the infant classroom until they have completed the ITS SIDS Training. 8. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. 9. Standing permission to administer 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, may be given for up to twelve (12) months. The authorization must include the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders. I suggested you have a teacher assigned to each classroom to check medications and permission forms when brought into the facility and at least monthly thereafter to ensure the forms are completed correctly and include tall of the required information. 10. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record via email during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I also provided you with a copy of the staff file checklist during the visit. 11. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record via email during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I also provided you with a copy of the staff file checklist during the visit. 12. A copy of your facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy must be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. I suggested you create an enrollment packet and signature sheet for all required acknowledgements to have each parent complete during the enrollment process. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You stated you have completed the ABCMS Provider Portal Moodle Training and Created the account. You stated you are in the process of entering staff members into the portal. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
GS 110-91 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 106 Completed Date: 5/27/2025 Age: From 0 To 11 Total Minutes: 418 Time In: 08:38 AM Time Out: 01:12 PM Time In: 01:36 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Amber Frady, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued July 13, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked on May 27, 2025, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines and free play during the visit. You requested that an additional vehicle, the black bus, be approved for use. The black bus was inspected during the visit. The black bus is not approved for use at this time. Please submit a copy of the registration card, insurance card, and information on the gross vehicle weight of the bus to me. The last sanitation inspection was conducted on September 24, 2024. A “superior” classification was issued with two (2) demerits noted on the grade card. The last fire inspection was conducted on March 26, 2025. The last fire drill was conducted on May 7, 2025. The last emergency drill was conducted on March 17, 2025. The last playground inspection was conducted on May 7, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on September 26, 2024. Per the Clean Classrooms for Carolina Kids, your facility is exempt from Asbestos testing. You stated you have submitted documentation to Clean Classrooms for Carolina Kids regarding an exemption to the lead-based paint testing. Per the facility data on the Clean Classrooms for Carolina Kids website, lead-based paint has not been assessed. You reviewed your account during the visit which stated the lead-based paint documentation was under review effective May 9, 2024. I suggested you contact RTI to determine whether lead-based paint testing will be required. Thirteen (13) children’s files were reviewed during the visit. Seven (7) new staff files and three (3) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, one (1) child was not signed out on May 15, 2025, one (1) child was not signed out on May 16, 2025, two (2) children were not signed out on May 20, 2025, three (3) children were not signed out on May 21, 2025, one (1) child was not signed out on May 22, 2025, one (1) child was not signed out on May 23, 2025, and one (1) child, who was present, was not signed in on May 27, 2025. In Space #4, one (1) child, who was present, was not signed in on May 27, 2025. In Space #5a, one (1) child, who was present, was not signed in on May 27, 2025. In Space #5b, one (1) child was not signed out on May 13, 2025. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, the activity plan posted was dated May 19-May 23, 2025. In Space #3, the activity plan posted was dated May 19-May 23, 2025. In Space #5a, the activity plan posted was dated May 19-May 23, 2025. In Space #6, the activity plan posted was dated May 12, 2025. In Space #7b, there was no dated activity plan posted for the full day summer camp, which was operating during the visit. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #3, one (1) outlet on the wall to the right of the changing table was not covered with a safety plug. In Space #4, one (1) outlet on the wall to the left of the handwashing sink was not covered with a safety plug. 10A NCAC 09 .0604(c) 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. On the bus labeled “Life Church”, used to transport children, there was one (1) aerosol can of Lysol Disinfectant Spray, and one (1) open container of Cintas Citrus Mango air freshener, both with multiple warnings, to the right of the driver’s seat in the area where the children get on and off of the bus, accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space #1, one (1) Epinephrine Injection, USP Auto Injector was not in its original packaging and did not have a pharmacy label attached. .0803(2)(a) 871 Center staff did not comply with the safe sleep policy. In Space #2a/b, the space for infants, the consultant entered the room at 8:48am and saw an infant, four (4) months of age, sleeping in a swing covered in a thick fleece blanket from the mouth of the infant to the feet of the infant. The staff member present, L. Flowers, Lead Teacher assigned to Space #3, did not move the infant from the swing to the crib until instructed by the consultant to move the child to the crib and remove the blanket. The consultant entered Space #2a/b again at 12:40pm and saw the same infant, four (4) months of age, sleeping in the same swing covered in the same fleece blanket from chin to feet. The consultant again instructed the same staff member to move the child from the swing to the crib and to remove the blanket. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In Space #2a/b, a visual sleep check was documented for one sleeping infant, three (3) months of age, at 8:35am; however, at 8:52 am, another check had not been conducted/documented. No visual sleep checks were documented on May 27, 2025, for one (1) infant, four (4) months of age, who was observed to be sleeping during the visit. .0606(g) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One (1) staff member, employed on March 4, 2024, who was caring for infants in Space #2a/b alone during the visit while the staff member assigned to Space #2a/b was on break, did not complete ITS SIDS training. .1102(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child, enrolled on June 25, 2024, had a medical exam on file dated August 23, 2024. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #1, the Permission to Administer Medication Form attached to one (1) tube of Equate Baby 100% Petroleum Jelly had “The Assigned Teachers” listed as the medication name. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on November 5, 2024, did not complete the Recognizing and Responding to suspicions of Child Maltreatment training until April 28, 2025. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member, employed on June 5, 2023, and one (1) staff member, employed on December 4, 2023, did not complete all of the required health and safety trainings. One (1) staff member, employed on February 26, 2018, had not completed health and safety trainings since September 2018. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, enrolled on November 7, 2022, did not have a acknowledgement signed by the parent or guardian of the receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy on file. .0608(b)(1-6) The violations documented must be corrected immediately. On or before June 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 88%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All centers must 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. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that an activity plan and schedule must be posted at all times. Additionally, I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. I provided you with a copy of the North Carolina Foundations for Early Learning and Development during the visit. 3. All electrical outlets and power strips not in use must be kept covered with outlet covers at all times unless located behind furniture that cannot be moved by a child. I suggested you continue to keep extra outlet covers in each classroom to ensure outlets and power strips are kept covered at all times when not in use. The uncovered outlets were covered with safety plugs during the visit. 4. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you remind staff who drive the buses to check the buses prior to transporting children each day to ensure all hazardous products are stored properly. I also suggested you have staff members check the classrooms thoroughly each morning to ensure all items are stored properly. Additionally, I suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous products were removed from the bus and discarded during the visit. 5. Prescribed medications must be stored in the original containers in which they were dispensed with the pharmacy labels. If the medication is a pharmaceutical sample, it must be stored in the manufacturer's original packaging, be labeled with the child's name, and be accompanied by written instructions specifying: the child's name; the names of the medication; the amount and frequency of dosage; the signature of the prescribing physician or other health professional; and the date the instructions were signed by the physician or other health professional. Medications should not be accepted if they are not in the pharmaceutical packaging with pharmacy labels. I suggested you have all medications brought to the office when a parent brings in a new medication to ensure they are labeled properly and in the appropriate packaging before taking the medication to the classrooms. 6. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. I suggested you post the sleep logs near the crib where infants sleep. Per rule and your facility’s safe sleep policy, infants are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices must be moved to a crib, bassinet, play pen, mat, or cot. Additionally, per rule and your facility’s safe sleep policy, no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. Additionally, I suggested you contact Tara Knight, Child Care Health Consultant with the Gaston County Department of Health and Human Services at 704.913.3129 to request additional technical assistance regarding safe sleep. The staff member without ITS SIDS Training left the classroom for infants during the visit and was replaced by a staff member with current ITS SIDS Training. The staff member caring for infants in Space #2a/b during today's visit, L. Flowers, is the Lead Teacher assigned to Space #3, the classroom for children one (1) year of age; however, Ms. Flowers was filling in for the Lead Teacher assigned to Space #2a/b, the classroom for infants, today. 7. In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room must complete ITS-SIDS training. ITS-SIDS training must be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. I suggested you create a document to track ITS SIDS certification for all staff members who are required to maintain ITS SIDS Training. I also suggested you review the Partnership for Children of Lincoln and Gaston County’s Training Calendar at https://www.eventbrite.com/o/partnership-for-children-of-lincoln-amp-gaston-counties-45331112 for upcoming ITS SIDS training opportunities. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the staff file checklist during the visit. You stated the staff member without ITS SIDS Training will not work in the infant classroom until they have completed the ITS SIDS Training. 8. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. 9. Standing permission to administer 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, may be given for up to twelve (12) months. The authorization must include the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders. I suggested you have a teacher assigned to each classroom to check medications and permission forms when brought into the facility and at least monthly thereafter to ensure the forms are completed correctly and include tall of the required information. 10. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record via email during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I also provided you with a copy of the staff file checklist during the visit. 11. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record via email during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I also provided you with a copy of the staff file checklist during the visit. 12. A copy of your facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy must be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. I suggested you create an enrollment packet and signature sheet for all required acknowledgements to have each parent complete during the enrollment process. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You stated you have completed the ABCMS Provider Portal Moodle Training and Created the account. You stated you are in the process of entering staff members into the portal. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS110-91 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 106 Completed Date: 5/27/2025 Age: From 0 To 11 Total Minutes: 418 Time In: 08:38 AM Time Out: 01:12 PM Time In: 01:36 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Amber Frady, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued July 13, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked on May 27, 2025, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines and free play during the visit. You requested that an additional vehicle, the black bus, be approved for use. The black bus was inspected during the visit. The black bus is not approved for use at this time. Please submit a copy of the registration card, insurance card, and information on the gross vehicle weight of the bus to me. The last sanitation inspection was conducted on September 24, 2024. A “superior” classification was issued with two (2) demerits noted on the grade card. The last fire inspection was conducted on March 26, 2025. The last fire drill was conducted on May 7, 2025. The last emergency drill was conducted on March 17, 2025. The last playground inspection was conducted on May 7, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on September 26, 2024. Per the Clean Classrooms for Carolina Kids, your facility is exempt from Asbestos testing. You stated you have submitted documentation to Clean Classrooms for Carolina Kids regarding an exemption to the lead-based paint testing. Per the facility data on the Clean Classrooms for Carolina Kids website, lead-based paint has not been assessed. You reviewed your account during the visit which stated the lead-based paint documentation was under review effective May 9, 2024. I suggested you contact RTI to determine whether lead-based paint testing will be required. Thirteen (13) children’s files were reviewed during the visit. Seven (7) new staff files and three (3) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, one (1) child was not signed out on May 15, 2025, one (1) child was not signed out on May 16, 2025, two (2) children were not signed out on May 20, 2025, three (3) children were not signed out on May 21, 2025, one (1) child was not signed out on May 22, 2025, one (1) child was not signed out on May 23, 2025, and one (1) child, who was present, was not signed in on May 27, 2025. In Space #4, one (1) child, who was present, was not signed in on May 27, 2025. In Space #5a, one (1) child, who was present, was not signed in on May 27, 2025. In Space #5b, one (1) child was not signed out on May 13, 2025. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, the activity plan posted was dated May 19-May 23, 2025. In Space #3, the activity plan posted was dated May 19-May 23, 2025. In Space #5a, the activity plan posted was dated May 19-May 23, 2025. In Space #6, the activity plan posted was dated May 12, 2025. In Space #7b, there was no dated activity plan posted for the full day summer camp, which was operating during the visit. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #3, one (1) outlet on the wall to the right of the changing table was not covered with a safety plug. In Space #4, one (1) outlet on the wall to the left of the handwashing sink was not covered with a safety plug. 10A NCAC 09 .0604(c) 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. On the bus labeled “Life Church”, used to transport children, there was one (1) aerosol can of Lysol Disinfectant Spray, and one (1) open container of Cintas Citrus Mango air freshener, both with multiple warnings, to the right of the driver’s seat in the area where the children get on and off of the bus, accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space #1, one (1) Epinephrine Injection, USP Auto Injector was not in its original packaging and did not have a pharmacy label attached. .0803(2)(a) 871 Center staff did not comply with the safe sleep policy. In Space #2a/b, the space for infants, the consultant entered the room at 8:48am and saw an infant, four (4) months of age, sleeping in a swing covered in a thick fleece blanket from the mouth of the infant to the feet of the infant. The staff member present, L. Flowers, Lead Teacher assigned to Space #3, did not move the infant from the swing to the crib until instructed by the consultant to move the child to the crib and remove the blanket. The consultant entered Space #2a/b again at 12:40pm and saw the same infant, four (4) months of age, sleeping in the same swing covered in the same fleece blanket from chin to feet. The consultant again instructed the same staff member to move the child from the swing to the crib and to remove the blanket. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In Space #2a/b, a visual sleep check was documented for one sleeping infant, three (3) months of age, at 8:35am; however, at 8:52 am, another check had not been conducted/documented. No visual sleep checks were documented on May 27, 2025, for one (1) infant, four (4) months of age, who was observed to be sleeping during the visit. .0606(g) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One (1) staff member, employed on March 4, 2024, who was caring for infants in Space #2a/b alone during the visit while the staff member assigned to Space #2a/b was on break, did not complete ITS SIDS training. .1102(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child, enrolled on June 25, 2024, had a medical exam on file dated August 23, 2024. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #1, the Permission to Administer Medication Form attached to one (1) tube of Equate Baby 100% Petroleum Jelly had “The Assigned Teachers” listed as the medication name. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on November 5, 2024, did not complete the Recognizing and Responding to suspicions of Child Maltreatment training until April 28, 2025. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member, employed on June 5, 2023, and one (1) staff member, employed on December 4, 2023, did not complete all of the required health and safety trainings. One (1) staff member, employed on February 26, 2018, had not completed health and safety trainings since September 2018. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, enrolled on November 7, 2022, did not have a acknowledgement signed by the parent or guardian of the receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy on file. .0608(b)(1-6) The violations documented must be corrected immediately. On or before June 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 88%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All centers must 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. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that an activity plan and schedule must be posted at all times. Additionally, I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. I provided you with a copy of the North Carolina Foundations for Early Learning and Development during the visit. 3. All electrical outlets and power strips not in use must be kept covered with outlet covers at all times unless located behind furniture that cannot be moved by a child. I suggested you continue to keep extra outlet covers in each classroom to ensure outlets and power strips are kept covered at all times when not in use. The uncovered outlets were covered with safety plugs during the visit. 4. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you remind staff who drive the buses to check the buses prior to transporting children each day to ensure all hazardous products are stored properly. I also suggested you have staff members check the classrooms thoroughly each morning to ensure all items are stored properly. Additionally, I suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous products were removed from the bus and discarded during the visit. 5. Prescribed medications must be stored in the original containers in which they were dispensed with the pharmacy labels. If the medication is a pharmaceutical sample, it must be stored in the manufacturer's original packaging, be labeled with the child's name, and be accompanied by written instructions specifying: the child's name; the names of the medication; the amount and frequency of dosage; the signature of the prescribing physician or other health professional; and the date the instructions were signed by the physician or other health professional. Medications should not be accepted if they are not in the pharmaceutical packaging with pharmacy labels. I suggested you have all medications brought to the office when a parent brings in a new medication to ensure they are labeled properly and in the appropriate packaging before taking the medication to the classrooms. 6. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. I suggested you post the sleep logs near the crib where infants sleep. Per rule and your facility’s safe sleep policy, infants are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices must be moved to a crib, bassinet, play pen, mat, or cot. Additionally, per rule and your facility’s safe sleep policy, no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. Additionally, I suggested you contact Tara Knight, Child Care Health Consultant with the Gaston County Department of Health and Human Services at 704.913.3129 to request additional technical assistance regarding safe sleep. The staff member without ITS SIDS Training left the classroom for infants during the visit and was replaced by a staff member with current ITS SIDS Training. The staff member caring for infants in Space #2a/b during today's visit, L. Flowers, is the Lead Teacher assigned to Space #3, the classroom for children one (1) year of age; however, Ms. Flowers was filling in for the Lead Teacher assigned to Space #2a/b, the classroom for infants, today. 7. In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room must complete ITS-SIDS training. ITS-SIDS training must be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. I suggested you create a document to track ITS SIDS certification for all staff members who are required to maintain ITS SIDS Training. I also suggested you review the Partnership for Children of Lincoln and Gaston County’s Training Calendar at https://www.eventbrite.com/o/partnership-for-children-of-lincoln-amp-gaston-counties-45331112 for upcoming ITS SIDS training opportunities. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the staff file checklist during the visit. You stated the staff member without ITS SIDS Training will not work in the infant classroom until they have completed the ITS SIDS Training. 8. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. 9. Standing permission to administer 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, may be given for up to twelve (12) months. The authorization must include the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders. I suggested you have a teacher assigned to each classroom to check medications and permission forms when brought into the facility and at least monthly thereafter to ensure the forms are completed correctly and include tall of the required information. 10. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record via email during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I also provided you with a copy of the staff file checklist during the visit. 11. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record via email during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I also provided you with a copy of the staff file checklist during the visit. 12. A copy of your facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy must be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. I suggested you create an enrollment packet and signature sheet for all required acknowledgements to have each parent complete during the enrollment process. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You stated you have completed the ABCMS Provider Portal Moodle Training and Created the account. You stated you are in the process of entering staff members into the portal. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0604 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 106 Completed Date: 5/27/2025 Age: From 0 To 11 Total Minutes: 418 Time In: 08:38 AM Time Out: 01:12 PM Time In: 01:36 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Amber Frady, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued July 13, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked on May 27, 2025, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines and free play during the visit. You requested that an additional vehicle, the black bus, be approved for use. The black bus was inspected during the visit. The black bus is not approved for use at this time. Please submit a copy of the registration card, insurance card, and information on the gross vehicle weight of the bus to me. The last sanitation inspection was conducted on September 24, 2024. A “superior” classification was issued with two (2) demerits noted on the grade card. The last fire inspection was conducted on March 26, 2025. The last fire drill was conducted on May 7, 2025. The last emergency drill was conducted on March 17, 2025. The last playground inspection was conducted on May 7, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on September 26, 2024. Per the Clean Classrooms for Carolina Kids, your facility is exempt from Asbestos testing. You stated you have submitted documentation to Clean Classrooms for Carolina Kids regarding an exemption to the lead-based paint testing. Per the facility data on the Clean Classrooms for Carolina Kids website, lead-based paint has not been assessed. You reviewed your account during the visit which stated the lead-based paint documentation was under review effective May 9, 2024. I suggested you contact RTI to determine whether lead-based paint testing will be required. Thirteen (13) children’s files were reviewed during the visit. Seven (7) new staff files and three (3) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, one (1) child was not signed out on May 15, 2025, one (1) child was not signed out on May 16, 2025, two (2) children were not signed out on May 20, 2025, three (3) children were not signed out on May 21, 2025, one (1) child was not signed out on May 22, 2025, one (1) child was not signed out on May 23, 2025, and one (1) child, who was present, was not signed in on May 27, 2025. In Space #4, one (1) child, who was present, was not signed in on May 27, 2025. In Space #5a, one (1) child, who was present, was not signed in on May 27, 2025. In Space #5b, one (1) child was not signed out on May 13, 2025. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, the activity plan posted was dated May 19-May 23, 2025. In Space #3, the activity plan posted was dated May 19-May 23, 2025. In Space #5a, the activity plan posted was dated May 19-May 23, 2025. In Space #6, the activity plan posted was dated May 12, 2025. In Space #7b, there was no dated activity plan posted for the full day summer camp, which was operating during the visit. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #3, one (1) outlet on the wall to the right of the changing table was not covered with a safety plug. In Space #4, one (1) outlet on the wall to the left of the handwashing sink was not covered with a safety plug. 10A NCAC 09 .0604(c) 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. On the bus labeled “Life Church”, used to transport children, there was one (1) aerosol can of Lysol Disinfectant Spray, and one (1) open container of Cintas Citrus Mango air freshener, both with multiple warnings, to the right of the driver’s seat in the area where the children get on and off of the bus, accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space #1, one (1) Epinephrine Injection, USP Auto Injector was not in its original packaging and did not have a pharmacy label attached. .0803(2)(a) 871 Center staff did not comply with the safe sleep policy. In Space #2a/b, the space for infants, the consultant entered the room at 8:48am and saw an infant, four (4) months of age, sleeping in a swing covered in a thick fleece blanket from the mouth of the infant to the feet of the infant. The staff member present, L. Flowers, Lead Teacher assigned to Space #3, did not move the infant from the swing to the crib until instructed by the consultant to move the child to the crib and remove the blanket. The consultant entered Space #2a/b again at 12:40pm and saw the same infant, four (4) months of age, sleeping in the same swing covered in the same fleece blanket from chin to feet. The consultant again instructed the same staff member to move the child from the swing to the crib and to remove the blanket. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In Space #2a/b, a visual sleep check was documented for one sleeping infant, three (3) months of age, at 8:35am; however, at 8:52 am, another check had not been conducted/documented. No visual sleep checks were documented on May 27, 2025, for one (1) infant, four (4) months of age, who was observed to be sleeping during the visit. .0606(g) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One (1) staff member, employed on March 4, 2024, who was caring for infants in Space #2a/b alone during the visit while the staff member assigned to Space #2a/b was on break, did not complete ITS SIDS training. .1102(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child, enrolled on June 25, 2024, had a medical exam on file dated August 23, 2024. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #1, the Permission to Administer Medication Form attached to one (1) tube of Equate Baby 100% Petroleum Jelly had “The Assigned Teachers” listed as the medication name. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on November 5, 2024, did not complete the Recognizing and Responding to suspicions of Child Maltreatment training until April 28, 2025. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member, employed on June 5, 2023, and one (1) staff member, employed on December 4, 2023, did not complete all of the required health and safety trainings. One (1) staff member, employed on February 26, 2018, had not completed health and safety trainings since September 2018. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, enrolled on November 7, 2022, did not have a acknowledgement signed by the parent or guardian of the receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy on file. .0608(b)(1-6) The violations documented must be corrected immediately. On or before June 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 88%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All centers must 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. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that an activity plan and schedule must be posted at all times. Additionally, I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. I provided you with a copy of the North Carolina Foundations for Early Learning and Development during the visit. 3. All electrical outlets and power strips not in use must be kept covered with outlet covers at all times unless located behind furniture that cannot be moved by a child. I suggested you continue to keep extra outlet covers in each classroom to ensure outlets and power strips are kept covered at all times when not in use. The uncovered outlets were covered with safety plugs during the visit. 4. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you remind staff who drive the buses to check the buses prior to transporting children each day to ensure all hazardous products are stored properly. I also suggested you have staff members check the classrooms thoroughly each morning to ensure all items are stored properly. Additionally, I suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous products were removed from the bus and discarded during the visit. 5. Prescribed medications must be stored in the original containers in which they were dispensed with the pharmacy labels. If the medication is a pharmaceutical sample, it must be stored in the manufacturer's original packaging, be labeled with the child's name, and be accompanied by written instructions specifying: the child's name; the names of the medication; the amount and frequency of dosage; the signature of the prescribing physician or other health professional; and the date the instructions were signed by the physician or other health professional. Medications should not be accepted if they are not in the pharmaceutical packaging with pharmacy labels. I suggested you have all medications brought to the office when a parent brings in a new medication to ensure they are labeled properly and in the appropriate packaging before taking the medication to the classrooms. 6. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. I suggested you post the sleep logs near the crib where infants sleep. Per rule and your facility’s safe sleep policy, infants are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices must be moved to a crib, bassinet, play pen, mat, or cot. Additionally, per rule and your facility’s safe sleep policy, no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. Additionally, I suggested you contact Tara Knight, Child Care Health Consultant with the Gaston County Department of Health and Human Services at 704.913.3129 to request additional technical assistance regarding safe sleep. The staff member without ITS SIDS Training left the classroom for infants during the visit and was replaced by a staff member with current ITS SIDS Training. The staff member caring for infants in Space #2a/b during today's visit, L. Flowers, is the Lead Teacher assigned to Space #3, the classroom for children one (1) year of age; however, Ms. Flowers was filling in for the Lead Teacher assigned to Space #2a/b, the classroom for infants, today. 7. In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room must complete ITS-SIDS training. ITS-SIDS training must be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. I suggested you create a document to track ITS SIDS certification for all staff members who are required to maintain ITS SIDS Training. I also suggested you review the Partnership for Children of Lincoln and Gaston County’s Training Calendar at https://www.eventbrite.com/o/partnership-for-children-of-lincoln-amp-gaston-counties-45331112 for upcoming ITS SIDS training opportunities. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the staff file checklist during the visit. You stated the staff member without ITS SIDS Training will not work in the infant classroom until they have completed the ITS SIDS Training. 8. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. 9. Standing permission to administer 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, may be given for up to twelve (12) months. The authorization must include the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders. I suggested you have a teacher assigned to each classroom to check medications and permission forms when brought into the facility and at least monthly thereafter to ensure the forms are completed correctly and include tall of the required information. 10. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record via email during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I also provided you with a copy of the staff file checklist during the visit. 11. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record via email during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I also provided you with a copy of the staff file checklist during the visit. 12. A copy of your facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy must be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. I suggested you create an enrollment packet and signature sheet for all required acknowledgements to have each parent complete during the enrollment process. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You stated you have completed the ABCMS Provider Portal Moodle Training and Created the account. You stated you are in the process of entering staff members into the portal. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0302 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 106 Completed Date: 5/27/2025 Age: From 0 To 11 Total Minutes: 418 Time In: 08:38 AM Time Out: 01:12 PM Time In: 01:36 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Amber Frady, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued July 13, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked on May 27, 2025, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines and free play during the visit. You requested that an additional vehicle, the black bus, be approved for use. The black bus was inspected during the visit. The black bus is not approved for use at this time. Please submit a copy of the registration card, insurance card, and information on the gross vehicle weight of the bus to me. The last sanitation inspection was conducted on September 24, 2024. A “superior” classification was issued with two (2) demerits noted on the grade card. The last fire inspection was conducted on March 26, 2025. The last fire drill was conducted on May 7, 2025. The last emergency drill was conducted on March 17, 2025. The last playground inspection was conducted on May 7, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on September 26, 2024. Per the Clean Classrooms for Carolina Kids, your facility is exempt from Asbestos testing. You stated you have submitted documentation to Clean Classrooms for Carolina Kids regarding an exemption to the lead-based paint testing. Per the facility data on the Clean Classrooms for Carolina Kids website, lead-based paint has not been assessed. You reviewed your account during the visit which stated the lead-based paint documentation was under review effective May 9, 2024. I suggested you contact RTI to determine whether lead-based paint testing will be required. Thirteen (13) children’s files were reviewed during the visit. Seven (7) new staff files and three (3) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, one (1) child was not signed out on May 15, 2025, one (1) child was not signed out on May 16, 2025, two (2) children were not signed out on May 20, 2025, three (3) children were not signed out on May 21, 2025, one (1) child was not signed out on May 22, 2025, one (1) child was not signed out on May 23, 2025, and one (1) child, who was present, was not signed in on May 27, 2025. In Space #4, one (1) child, who was present, was not signed in on May 27, 2025. In Space #5a, one (1) child, who was present, was not signed in on May 27, 2025. In Space #5b, one (1) child was not signed out on May 13, 2025. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, the activity plan posted was dated May 19-May 23, 2025. In Space #3, the activity plan posted was dated May 19-May 23, 2025. In Space #5a, the activity plan posted was dated May 19-May 23, 2025. In Space #6, the activity plan posted was dated May 12, 2025. In Space #7b, there was no dated activity plan posted for the full day summer camp, which was operating during the visit. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #3, one (1) outlet on the wall to the right of the changing table was not covered with a safety plug. In Space #4, one (1) outlet on the wall to the left of the handwashing sink was not covered with a safety plug. 10A NCAC 09 .0604(c) 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. On the bus labeled “Life Church”, used to transport children, there was one (1) aerosol can of Lysol Disinfectant Spray, and one (1) open container of Cintas Citrus Mango air freshener, both with multiple warnings, to the right of the driver’s seat in the area where the children get on and off of the bus, accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space #1, one (1) Epinephrine Injection, USP Auto Injector was not in its original packaging and did not have a pharmacy label attached. .0803(2)(a) 871 Center staff did not comply with the safe sleep policy. In Space #2a/b, the space for infants, the consultant entered the room at 8:48am and saw an infant, four (4) months of age, sleeping in a swing covered in a thick fleece blanket from the mouth of the infant to the feet of the infant. The staff member present, L. Flowers, Lead Teacher assigned to Space #3, did not move the infant from the swing to the crib until instructed by the consultant to move the child to the crib and remove the blanket. The consultant entered Space #2a/b again at 12:40pm and saw the same infant, four (4) months of age, sleeping in the same swing covered in the same fleece blanket from chin to feet. The consultant again instructed the same staff member to move the child from the swing to the crib and to remove the blanket. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In Space #2a/b, a visual sleep check was documented for one sleeping infant, three (3) months of age, at 8:35am; however, at 8:52 am, another check had not been conducted/documented. No visual sleep checks were documented on May 27, 2025, for one (1) infant, four (4) months of age, who was observed to be sleeping during the visit. .0606(g) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One (1) staff member, employed on March 4, 2024, who was caring for infants in Space #2a/b alone during the visit while the staff member assigned to Space #2a/b was on break, did not complete ITS SIDS training. .1102(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child, enrolled on June 25, 2024, had a medical exam on file dated August 23, 2024. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #1, the Permission to Administer Medication Form attached to one (1) tube of Equate Baby 100% Petroleum Jelly had “The Assigned Teachers” listed as the medication name. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on November 5, 2024, did not complete the Recognizing and Responding to suspicions of Child Maltreatment training until April 28, 2025. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member, employed on June 5, 2023, and one (1) staff member, employed on December 4, 2023, did not complete all of the required health and safety trainings. One (1) staff member, employed on February 26, 2018, had not completed health and safety trainings since September 2018. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, enrolled on November 7, 2022, did not have a acknowledgement signed by the parent or guardian of the receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy on file. .0608(b)(1-6) The violations documented must be corrected immediately. On or before June 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 88%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All centers must 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. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that an activity plan and schedule must be posted at all times. Additionally, I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. I provided you with a copy of the North Carolina Foundations for Early Learning and Development during the visit. 3. All electrical outlets and power strips not in use must be kept covered with outlet covers at all times unless located behind furniture that cannot be moved by a child. I suggested you continue to keep extra outlet covers in each classroom to ensure outlets and power strips are kept covered at all times when not in use. The uncovered outlets were covered with safety plugs during the visit. 4. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you remind staff who drive the buses to check the buses prior to transporting children each day to ensure all hazardous products are stored properly. I also suggested you have staff members check the classrooms thoroughly each morning to ensure all items are stored properly. Additionally, I suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous products were removed from the bus and discarded during the visit. 5. Prescribed medications must be stored in the original containers in which they were dispensed with the pharmacy labels. If the medication is a pharmaceutical sample, it must be stored in the manufacturer's original packaging, be labeled with the child's name, and be accompanied by written instructions specifying: the child's name; the names of the medication; the amount and frequency of dosage; the signature of the prescribing physician or other health professional; and the date the instructions were signed by the physician or other health professional. Medications should not be accepted if they are not in the pharmaceutical packaging with pharmacy labels. I suggested you have all medications brought to the office when a parent brings in a new medication to ensure they are labeled properly and in the appropriate packaging before taking the medication to the classrooms. 6. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. I suggested you post the sleep logs near the crib where infants sleep. Per rule and your facility’s safe sleep policy, infants are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices must be moved to a crib, bassinet, play pen, mat, or cot. Additionally, per rule and your facility’s safe sleep policy, no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. Additionally, I suggested you contact Tara Knight, Child Care Health Consultant with the Gaston County Department of Health and Human Services at 704.913.3129 to request additional technical assistance regarding safe sleep. The staff member without ITS SIDS Training left the classroom for infants during the visit and was replaced by a staff member with current ITS SIDS Training. The staff member caring for infants in Space #2a/b during today's visit, L. Flowers, is the Lead Teacher assigned to Space #3, the classroom for children one (1) year of age; however, Ms. Flowers was filling in for the Lead Teacher assigned to Space #2a/b, the classroom for infants, today. 7. In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room must complete ITS-SIDS training. ITS-SIDS training must be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. I suggested you create a document to track ITS SIDS certification for all staff members who are required to maintain ITS SIDS Training. I also suggested you review the Partnership for Children of Lincoln and Gaston County’s Training Calendar at https://www.eventbrite.com/o/partnership-for-children-of-lincoln-amp-gaston-counties-45331112 for upcoming ITS SIDS training opportunities. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the staff file checklist during the visit. You stated the staff member without ITS SIDS Training will not work in the infant classroom until they have completed the ITS SIDS Training. 8. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. 9. Standing permission to administer 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, may be given for up to twelve (12) months. The authorization must include the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders. I suggested you have a teacher assigned to each classroom to check medications and permission forms when brought into the facility and at least monthly thereafter to ensure the forms are completed correctly and include tall of the required information. 10. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record via email during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I also provided you with a copy of the staff file checklist during the visit. 11. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record via email during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I also provided you with a copy of the staff file checklist during the visit. 12. A copy of your facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy must be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. I suggested you create an enrollment packet and signature sheet for all required acknowledgements to have each parent complete during the enrollment process. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You stated you have completed the ABCMS Provider Portal Moodle Training and Created the account. You stated you are in the process of entering staff members into the portal. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0606 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 106 Completed Date: 5/27/2025 Age: From 0 To 11 Total Minutes: 418 Time In: 08:38 AM Time Out: 01:12 PM Time In: 01:36 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Amber Frady, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued July 13, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked on May 27, 2025, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines and free play during the visit. You requested that an additional vehicle, the black bus, be approved for use. The black bus was inspected during the visit. The black bus is not approved for use at this time. Please submit a copy of the registration card, insurance card, and information on the gross vehicle weight of the bus to me. The last sanitation inspection was conducted on September 24, 2024. A “superior” classification was issued with two (2) demerits noted on the grade card. The last fire inspection was conducted on March 26, 2025. The last fire drill was conducted on May 7, 2025. The last emergency drill was conducted on March 17, 2025. The last playground inspection was conducted on May 7, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on September 26, 2024. Per the Clean Classrooms for Carolina Kids, your facility is exempt from Asbestos testing. You stated you have submitted documentation to Clean Classrooms for Carolina Kids regarding an exemption to the lead-based paint testing. Per the facility data on the Clean Classrooms for Carolina Kids website, lead-based paint has not been assessed. You reviewed your account during the visit which stated the lead-based paint documentation was under review effective May 9, 2024. I suggested you contact RTI to determine whether lead-based paint testing will be required. Thirteen (13) children’s files were reviewed during the visit. Seven (7) new staff files and three (3) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, one (1) child was not signed out on May 15, 2025, one (1) child was not signed out on May 16, 2025, two (2) children were not signed out on May 20, 2025, three (3) children were not signed out on May 21, 2025, one (1) child was not signed out on May 22, 2025, one (1) child was not signed out on May 23, 2025, and one (1) child, who was present, was not signed in on May 27, 2025. In Space #4, one (1) child, who was present, was not signed in on May 27, 2025. In Space #5a, one (1) child, who was present, was not signed in on May 27, 2025. In Space #5b, one (1) child was not signed out on May 13, 2025. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, the activity plan posted was dated May 19-May 23, 2025. In Space #3, the activity plan posted was dated May 19-May 23, 2025. In Space #5a, the activity plan posted was dated May 19-May 23, 2025. In Space #6, the activity plan posted was dated May 12, 2025. In Space #7b, there was no dated activity plan posted for the full day summer camp, which was operating during the visit. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #3, one (1) outlet on the wall to the right of the changing table was not covered with a safety plug. In Space #4, one (1) outlet on the wall to the left of the handwashing sink was not covered with a safety plug. 10A NCAC 09 .0604(c) 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. On the bus labeled “Life Church”, used to transport children, there was one (1) aerosol can of Lysol Disinfectant Spray, and one (1) open container of Cintas Citrus Mango air freshener, both with multiple warnings, to the right of the driver’s seat in the area where the children get on and off of the bus, accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space #1, one (1) Epinephrine Injection, USP Auto Injector was not in its original packaging and did not have a pharmacy label attached. .0803(2)(a) 871 Center staff did not comply with the safe sleep policy. In Space #2a/b, the space for infants, the consultant entered the room at 8:48am and saw an infant, four (4) months of age, sleeping in a swing covered in a thick fleece blanket from the mouth of the infant to the feet of the infant. The staff member present, L. Flowers, Lead Teacher assigned to Space #3, did not move the infant from the swing to the crib until instructed by the consultant to move the child to the crib and remove the blanket. The consultant entered Space #2a/b again at 12:40pm and saw the same infant, four (4) months of age, sleeping in the same swing covered in the same fleece blanket from chin to feet. The consultant again instructed the same staff member to move the child from the swing to the crib and to remove the blanket. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In Space #2a/b, a visual sleep check was documented for one sleeping infant, three (3) months of age, at 8:35am; however, at 8:52 am, another check had not been conducted/documented. No visual sleep checks were documented on May 27, 2025, for one (1) infant, four (4) months of age, who was observed to be sleeping during the visit. .0606(g) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One (1) staff member, employed on March 4, 2024, who was caring for infants in Space #2a/b alone during the visit while the staff member assigned to Space #2a/b was on break, did not complete ITS SIDS training. .1102(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child, enrolled on June 25, 2024, had a medical exam on file dated August 23, 2024. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #1, the Permission to Administer Medication Form attached to one (1) tube of Equate Baby 100% Petroleum Jelly had “The Assigned Teachers” listed as the medication name. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on November 5, 2024, did not complete the Recognizing and Responding to suspicions of Child Maltreatment training until April 28, 2025. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member, employed on June 5, 2023, and one (1) staff member, employed on December 4, 2023, did not complete all of the required health and safety trainings. One (1) staff member, employed on February 26, 2018, had not completed health and safety trainings since September 2018. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, enrolled on November 7, 2022, did not have a acknowledgement signed by the parent or guardian of the receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy on file. .0608(b)(1-6) The violations documented must be corrected immediately. On or before June 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 88%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All centers must 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. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that an activity plan and schedule must be posted at all times. Additionally, I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. I provided you with a copy of the North Carolina Foundations for Early Learning and Development during the visit. 3. All electrical outlets and power strips not in use must be kept covered with outlet covers at all times unless located behind furniture that cannot be moved by a child. I suggested you continue to keep extra outlet covers in each classroom to ensure outlets and power strips are kept covered at all times when not in use. The uncovered outlets were covered with safety plugs during the visit. 4. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you remind staff who drive the buses to check the buses prior to transporting children each day to ensure all hazardous products are stored properly. I also suggested you have staff members check the classrooms thoroughly each morning to ensure all items are stored properly. Additionally, I suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous products were removed from the bus and discarded during the visit. 5. Prescribed medications must be stored in the original containers in which they were dispensed with the pharmacy labels. If the medication is a pharmaceutical sample, it must be stored in the manufacturer's original packaging, be labeled with the child's name, and be accompanied by written instructions specifying: the child's name; the names of the medication; the amount and frequency of dosage; the signature of the prescribing physician or other health professional; and the date the instructions were signed by the physician or other health professional. Medications should not be accepted if they are not in the pharmaceutical packaging with pharmacy labels. I suggested you have all medications brought to the office when a parent brings in a new medication to ensure they are labeled properly and in the appropriate packaging before taking the medication to the classrooms. 6. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. I suggested you post the sleep logs near the crib where infants sleep. Per rule and your facility’s safe sleep policy, infants are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices must be moved to a crib, bassinet, play pen, mat, or cot. Additionally, per rule and your facility’s safe sleep policy, no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. Additionally, I suggested you contact Tara Knight, Child Care Health Consultant with the Gaston County Department of Health and Human Services at 704.913.3129 to request additional technical assistance regarding safe sleep. The staff member without ITS SIDS Training left the classroom for infants during the visit and was replaced by a staff member with current ITS SIDS Training. The staff member caring for infants in Space #2a/b during today's visit, L. Flowers, is the Lead Teacher assigned to Space #3, the classroom for children one (1) year of age; however, Ms. Flowers was filling in for the Lead Teacher assigned to Space #2a/b, the classroom for infants, today. 7. In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room must complete ITS-SIDS training. ITS-SIDS training must be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. I suggested you create a document to track ITS SIDS certification for all staff members who are required to maintain ITS SIDS Training. I also suggested you review the Partnership for Children of Lincoln and Gaston County’s Training Calendar at https://www.eventbrite.com/o/partnership-for-children-of-lincoln-amp-gaston-counties-45331112 for upcoming ITS SIDS training opportunities. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the staff file checklist during the visit. You stated the staff member without ITS SIDS Training will not work in the infant classroom until they have completed the ITS SIDS Training. 8. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. 9. Standing permission to administer 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, may be given for up to twelve (12) months. The authorization must include the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders. I suggested you have a teacher assigned to each classroom to check medications and permission forms when brought into the facility and at least monthly thereafter to ensure the forms are completed correctly and include tall of the required information. 10. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record via email during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I also provided you with a copy of the staff file checklist during the visit. 11. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record via email during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I also provided you with a copy of the staff file checklist during the visit. 12. A copy of your facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy must be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. I suggested you create an enrollment packet and signature sheet for all required acknowledgements to have each parent complete during the enrollment process. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You stated you have completed the ABCMS Provider Portal Moodle Training and Created the account. You stated you are in the process of entering staff members into the portal. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0604 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 78 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 216 Time In: 08:24 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Amber Frady, Administrator, assisted me with today’s visit. Your program currently operates with a five (5) star license issued July 13, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked on January 8, 2025, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on September 24, 2024. A “superior” classification was issued with two (2) demerits noted on the grade card. The last fire inspection was conducted on March 2, 2024. The most recent fire drill was conducted on December 9, 2024, the most recent emergency drill was conducted on December 17, 2024, and the most recent playground inspection was conducted on December 9, 2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in breakfast, routines, lunch, group time, free play, nap and indoor gross motor play during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Four (4) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, one (1) child was not signed out on December 18, 2024. In Space #4, one (1) child was not signed out on January 6, 2025, and one (1) child was not signed in on January 7, 2025. In Space #6, one (1) child was not signed out on December 9, 2024, and one (1) child was not signed out on December 19, 2024. In Space #7b, one (1) child was not signed out on December 12, 2024, two (2) children were not signed out on December 19, 2024, and two (2) children were not signed out on December 30, 2024. In Space #7c, one (1) child was not signed out on December 3, 2024, twelve (12) children were not signed out on December 12, 2024, one (1) child was not signed out on December 17, 2024, and one (1) child was not signed on out December 18, 2024. In Space #7d2, one (1) child was not signed out on January 6, 2025, and one (1) child was not signed out on January 7, 2025. 10A NCAC 09 .0302(d)(4) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #5a, two (2) outlets on the wall under the birthday board were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. In Space #2a/b, one (1) bottle of Bic White Out Quick Dry Correction Fluid, with multiple warnings, was in an unlocked cabinet above the food prep sink. In Space #5a, one (1) container of Signature Series Cintas Citrus Mango, with multiple warnings, was on the shelf to the left of the toilet used by children in the restroom located in the classroom. In Space #7d1, one (1) aerosol container of Febreze Unstopables Air Mist, with multiple warnings, was in an unlocked cabinet behind the writing center. In Space #7d2, three (3) aerosol containers of Equate Shave Foam Sensitive Skin and four (4) aerosol containers of Barbasol Original Thick and Rich Shaving Cream, all with multiple warnings, were in the unlocked cabinet behind the teacher’s table. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #7d1, one (1) bottle of Tylenol 8hr Arthritis Pain was in an unlocked cabinet behind the writing center. 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. In Space #1, there was no permission to administer medication form for two (2) bottles of Blue Lizard Australian Sunscreen, one (1) tube of Sun Bum Premium Moisturizing Sunscreen Lotion, and one (1) tube of Think Baby Sunscreen. In Space #1, two (2) bottles of Coppertone Pure and Simple Mineral Sun Protection expired December 2024, one (1) bottle of Coppertone Water Babies Sunscreen Lotion expired November 2024, and one (1) bottle of Coppertone Water Babies Sunscreen Lotion expired October 2024. In Space #3, there was no medication listed on the Permission to Administer Medication form which was accompanied by one (1) tube of Boudreauxs Butt Paste Max Strength Diaper Rash Ointment. In Space #4, two (2) different children were listed on one (1) permission to administer medication form for one (1) tube of Boudreauxs Butt Paste Max Strength Diaper Rash Ointment. In Space #5a, one (1) tube of Bourdreauxs Butt Paste Max Strength Diaper Rash Ointment expired December 2024. In Space #6, two (2) bottles of Coppertone Pure and Simple Kids Mineral Sun Protectant expired December 2024, and one (1) tube of Bourdreauxs Max Strength Daiper Rash Ointment expired December 2024. In Space #7d2, one (1) bottle of Coppertone Water Babies Sunscreen Lotion expired November 2024, one (1) bottle of Coppertone Pure and Simple Kids Mineral Sun Protection expired December 2024, and one (1) tube of Blue Lizard Australian Sunscreen expired August 2024. In Space #7d2, there was no permission to administer medication form for one (1) tube of Blue Lizard Australian Sunscreen and one (1) tube of Banana Boat Sport Ultra Sunscreen Lotion. In Space #7d2, three (3) permission to administer medication forms, all for Coppertone Pure and Simple Kids Mineral Sun Protectant, were not signed by the parent/guardian. .0803(12) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on June 10, 2024, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until September 16, 2024. .1102(g) The violations documented must be corrected immediately. On or before January 22, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 82%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. You must keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed on clipboards at the entrance to the classroom. Use these forms to document arrival and departure of each child each day. I suggested you review sign in and out procedures with all staff members and remind staff members to sign children in and out of the facility each day if the parents fail to do so. 2. All electrical outlets and power strips not in use must be kept covered with safety plugs at all times unless located behind furniture that cannot be moved by a child. You found extra safety plugs in other classrooms and placed them in the uncovered outlets during the visit. I suggested you keep extra outlet covers in every classroom to ensure outlets and power strips are kept covered at all times when not in use. 3. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you review how to check warning labels on potentially hazardous products with all staff members. I also suggested that you have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. If locks on cabinets break, all hazardous products must be moved to locked storage until the lock can be repaired. All hazardous products were moved locked storage in each classroom, or removed from the classroom and taken to the office during the visit. 4. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground), but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. Teachers must keep any personal medications they bring into the facility in locked storage as well. I suggested you have staff keep any of their personal medication in the same locked storage areas as the children’s medications to ensure it is stored properly. If locks on cabinets used to store medications break, all medications must be moved to locked storage until the lock can be repaired. 5. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. I suggested you continue to use the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste form found on the Division’s website under the “Provider Documents” tab. I also suggested you review medication requirements with all staff members during an upcoming staff meeting and have staff members in each classroom check all medications and permission to administer medication forms at least once a month to ensure no medication or permission form has expired. Additionally, I suggested that you remind all staff members to check permission to administer medication forms when brought into the facility to ensure they are filled out correctly and completely. I reminded you that each child, even if they are siblings, must have their own permission to administer medication form for any medication brought into the facility. 6. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0302 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 78 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 216 Time In: 08:24 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Amber Frady, Administrator, assisted me with today’s visit. Your program currently operates with a five (5) star license issued July 13, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked on January 8, 2025, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on September 24, 2024. A “superior” classification was issued with two (2) demerits noted on the grade card. The last fire inspection was conducted on March 2, 2024. The most recent fire drill was conducted on December 9, 2024, the most recent emergency drill was conducted on December 17, 2024, and the most recent playground inspection was conducted on December 9, 2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in breakfast, routines, lunch, group time, free play, nap and indoor gross motor play during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Four (4) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, one (1) child was not signed out on December 18, 2024. In Space #4, one (1) child was not signed out on January 6, 2025, and one (1) child was not signed in on January 7, 2025. In Space #6, one (1) child was not signed out on December 9, 2024, and one (1) child was not signed out on December 19, 2024. In Space #7b, one (1) child was not signed out on December 12, 2024, two (2) children were not signed out on December 19, 2024, and two (2) children were not signed out on December 30, 2024. In Space #7c, one (1) child was not signed out on December 3, 2024, twelve (12) children were not signed out on December 12, 2024, one (1) child was not signed out on December 17, 2024, and one (1) child was not signed on out December 18, 2024. In Space #7d2, one (1) child was not signed out on January 6, 2025, and one (1) child was not signed out on January 7, 2025. 10A NCAC 09 .0302(d)(4) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #5a, two (2) outlets on the wall under the birthday board were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. In Space #2a/b, one (1) bottle of Bic White Out Quick Dry Correction Fluid, with multiple warnings, was in an unlocked cabinet above the food prep sink. In Space #5a, one (1) container of Signature Series Cintas Citrus Mango, with multiple warnings, was on the shelf to the left of the toilet used by children in the restroom located in the classroom. In Space #7d1, one (1) aerosol container of Febreze Unstopables Air Mist, with multiple warnings, was in an unlocked cabinet behind the writing center. In Space #7d2, three (3) aerosol containers of Equate Shave Foam Sensitive Skin and four (4) aerosol containers of Barbasol Original Thick and Rich Shaving Cream, all with multiple warnings, were in the unlocked cabinet behind the teacher’s table. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #7d1, one (1) bottle of Tylenol 8hr Arthritis Pain was in an unlocked cabinet behind the writing center. 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. In Space #1, there was no permission to administer medication form for two (2) bottles of Blue Lizard Australian Sunscreen, one (1) tube of Sun Bum Premium Moisturizing Sunscreen Lotion, and one (1) tube of Think Baby Sunscreen. In Space #1, two (2) bottles of Coppertone Pure and Simple Mineral Sun Protection expired December 2024, one (1) bottle of Coppertone Water Babies Sunscreen Lotion expired November 2024, and one (1) bottle of Coppertone Water Babies Sunscreen Lotion expired October 2024. In Space #3, there was no medication listed on the Permission to Administer Medication form which was accompanied by one (1) tube of Boudreauxs Butt Paste Max Strength Diaper Rash Ointment. In Space #4, two (2) different children were listed on one (1) permission to administer medication form for one (1) tube of Boudreauxs Butt Paste Max Strength Diaper Rash Ointment. In Space #5a, one (1) tube of Bourdreauxs Butt Paste Max Strength Diaper Rash Ointment expired December 2024. In Space #6, two (2) bottles of Coppertone Pure and Simple Kids Mineral Sun Protectant expired December 2024, and one (1) tube of Bourdreauxs Max Strength Daiper Rash Ointment expired December 2024. In Space #7d2, one (1) bottle of Coppertone Water Babies Sunscreen Lotion expired November 2024, one (1) bottle of Coppertone Pure and Simple Kids Mineral Sun Protection expired December 2024, and one (1) tube of Blue Lizard Australian Sunscreen expired August 2024. In Space #7d2, there was no permission to administer medication form for one (1) tube of Blue Lizard Australian Sunscreen and one (1) tube of Banana Boat Sport Ultra Sunscreen Lotion. In Space #7d2, three (3) permission to administer medication forms, all for Coppertone Pure and Simple Kids Mineral Sun Protectant, were not signed by the parent/guardian. .0803(12) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on June 10, 2024, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until September 16, 2024. .1102(g) The violations documented must be corrected immediately. On or before January 22, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 82%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. You must keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed on clipboards at the entrance to the classroom. Use these forms to document arrival and departure of each child each day. I suggested you review sign in and out procedures with all staff members and remind staff members to sign children in and out of the facility each day if the parents fail to do so. 2. All electrical outlets and power strips not in use must be kept covered with safety plugs at all times unless located behind furniture that cannot be moved by a child. You found extra safety plugs in other classrooms and placed them in the uncovered outlets during the visit. I suggested you keep extra outlet covers in every classroom to ensure outlets and power strips are kept covered at all times when not in use. 3. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you review how to check warning labels on potentially hazardous products with all staff members. I also suggested that you have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. If locks on cabinets break, all hazardous products must be moved to locked storage until the lock can be repaired. All hazardous products were moved locked storage in each classroom, or removed from the classroom and taken to the office during the visit. 4. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground), but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. Teachers must keep any personal medications they bring into the facility in locked storage as well. I suggested you have staff keep any of their personal medication in the same locked storage areas as the children’s medications to ensure it is stored properly. If locks on cabinets used to store medications break, all medications must be moved to locked storage until the lock can be repaired. 5. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. I suggested you continue to use the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste form found on the Division’s website under the “Provider Documents” tab. I also suggested you review medication requirements with all staff members during an upcoming staff meeting and have staff members in each classroom check all medications and permission to administer medication forms at least once a month to ensure no medication or permission form has expired. Additionally, I suggested that you remind all staff members to check permission to administer medication forms when brought into the facility to ensure they are filled out correctly and completely. I reminded you that each child, even if they are siblings, must have their own permission to administer medication form for any medication brought into the facility. 6. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 78 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 216 Time In: 08:24 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Amber Frady, Administrator, assisted me with today’s visit. Your program currently operates with a five (5) star license issued July 13, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked on January 8, 2025, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on September 24, 2024. A “superior” classification was issued with two (2) demerits noted on the grade card. The last fire inspection was conducted on March 2, 2024. The most recent fire drill was conducted on December 9, 2024, the most recent emergency drill was conducted on December 17, 2024, and the most recent playground inspection was conducted on December 9, 2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in breakfast, routines, lunch, group time, free play, nap and indoor gross motor play during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Four (4) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, one (1) child was not signed out on December 18, 2024. In Space #4, one (1) child was not signed out on January 6, 2025, and one (1) child was not signed in on January 7, 2025. In Space #6, one (1) child was not signed out on December 9, 2024, and one (1) child was not signed out on December 19, 2024. In Space #7b, one (1) child was not signed out on December 12, 2024, two (2) children were not signed out on December 19, 2024, and two (2) children were not signed out on December 30, 2024. In Space #7c, one (1) child was not signed out on December 3, 2024, twelve (12) children were not signed out on December 12, 2024, one (1) child was not signed out on December 17, 2024, and one (1) child was not signed on out December 18, 2024. In Space #7d2, one (1) child was not signed out on January 6, 2025, and one (1) child was not signed out on January 7, 2025. 10A NCAC 09 .0302(d)(4) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #5a, two (2) outlets on the wall under the birthday board were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. In Space #2a/b, one (1) bottle of Bic White Out Quick Dry Correction Fluid, with multiple warnings, was in an unlocked cabinet above the food prep sink. In Space #5a, one (1) container of Signature Series Cintas Citrus Mango, with multiple warnings, was on the shelf to the left of the toilet used by children in the restroom located in the classroom. In Space #7d1, one (1) aerosol container of Febreze Unstopables Air Mist, with multiple warnings, was in an unlocked cabinet behind the writing center. In Space #7d2, three (3) aerosol containers of Equate Shave Foam Sensitive Skin and four (4) aerosol containers of Barbasol Original Thick and Rich Shaving Cream, all with multiple warnings, were in the unlocked cabinet behind the teacher’s table. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #7d1, one (1) bottle of Tylenol 8hr Arthritis Pain was in an unlocked cabinet behind the writing center. 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. In Space #1, there was no permission to administer medication form for two (2) bottles of Blue Lizard Australian Sunscreen, one (1) tube of Sun Bum Premium Moisturizing Sunscreen Lotion, and one (1) tube of Think Baby Sunscreen. In Space #1, two (2) bottles of Coppertone Pure and Simple Mineral Sun Protection expired December 2024, one (1) bottle of Coppertone Water Babies Sunscreen Lotion expired November 2024, and one (1) bottle of Coppertone Water Babies Sunscreen Lotion expired October 2024. In Space #3, there was no medication listed on the Permission to Administer Medication form which was accompanied by one (1) tube of Boudreauxs Butt Paste Max Strength Diaper Rash Ointment. In Space #4, two (2) different children were listed on one (1) permission to administer medication form for one (1) tube of Boudreauxs Butt Paste Max Strength Diaper Rash Ointment. In Space #5a, one (1) tube of Bourdreauxs Butt Paste Max Strength Diaper Rash Ointment expired December 2024. In Space #6, two (2) bottles of Coppertone Pure and Simple Kids Mineral Sun Protectant expired December 2024, and one (1) tube of Bourdreauxs Max Strength Daiper Rash Ointment expired December 2024. In Space #7d2, one (1) bottle of Coppertone Water Babies Sunscreen Lotion expired November 2024, one (1) bottle of Coppertone Pure and Simple Kids Mineral Sun Protection expired December 2024, and one (1) tube of Blue Lizard Australian Sunscreen expired August 2024. In Space #7d2, there was no permission to administer medication form for one (1) tube of Blue Lizard Australian Sunscreen and one (1) tube of Banana Boat Sport Ultra Sunscreen Lotion. In Space #7d2, three (3) permission to administer medication forms, all for Coppertone Pure and Simple Kids Mineral Sun Protectant, were not signed by the parent/guardian. .0803(12) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on June 10, 2024, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until September 16, 2024. .1102(g) The violations documented must be corrected immediately. On or before January 22, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 82%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. You must keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed on clipboards at the entrance to the classroom. Use these forms to document arrival and departure of each child each day. I suggested you review sign in and out procedures with all staff members and remind staff members to sign children in and out of the facility each day if the parents fail to do so. 2. All electrical outlets and power strips not in use must be kept covered with safety plugs at all times unless located behind furniture that cannot be moved by a child. You found extra safety plugs in other classrooms and placed them in the uncovered outlets during the visit. I suggested you keep extra outlet covers in every classroom to ensure outlets and power strips are kept covered at all times when not in use. 3. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you review how to check warning labels on potentially hazardous products with all staff members. I also suggested that you have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. If locks on cabinets break, all hazardous products must be moved to locked storage until the lock can be repaired. All hazardous products were moved locked storage in each classroom, or removed from the classroom and taken to the office during the visit. 4. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground), but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. Teachers must keep any personal medications they bring into the facility in locked storage as well. I suggested you have staff keep any of their personal medication in the same locked storage areas as the children’s medications to ensure it is stored properly. If locks on cabinets used to store medications break, all medications must be moved to locked storage until the lock can be repaired. 5. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. I suggested you continue to use the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste form found on the Division’s website under the “Provider Documents” tab. I also suggested you review medication requirements with all staff members during an upcoming staff meeting and have staff members in each classroom check all medications and permission to administer medication forms at least once a month to ensure no medication or permission form has expired. Additionally, I suggested that you remind all staff members to check permission to administer medication forms when brought into the facility to ensure they are filled out correctly and completely. I reminded you that each child, even if they are siblings, must have their own permission to administer medication form for any medication brought into the facility. 6. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0302 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0824-457L Visit Date: 9/4/2024 Number Present: 80 Completed Date: 9/4/2024 Age: From 0 To 10 Total Minutes: 294 Time In: 07:47 AM Time Out: 11:20 AM Time In: 02:24 PM Time Out: 03:45 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements regarding staff/child ratio, sanitation and health, and nurture/care/treatment of children. You, Amber Frady, Administrator, assisted with the visit. Savannah Roark, Assistant Director, also assisted with the visit. The Secretary of State website was reviewed and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. I conducted a walkthrough of the facility and observation in all spaces, including the kitchen and the cafeteria, during today’s visit. I verified compliance with staff/child ratios, adequate/approved space, license posted, and permit restrictions during the visit. The allegations were discussed with you and twenty (20) additional staff members during today’s visit. You and additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. I reviewed the report for the sanitation inspection conducted by the Gaston County Department of Health and Human Services Environmental Health on May 31, 2024. No demerits were noted regarding handwashing or diapering. I observed diapering, toileting, and handwashing procedures, all of which were in compliance during the visit. You and staff interviewed reported no concerns regarding sanitation or health in the classrooms. Staff interviewed reported concerns with a staff member in the kitchen regarding sanitation and health. Staff interviewed stated they have observed the cook wearing the same gloves “for hours” and not changing gloves in between tasks. Staff interviewed stated they have observed the cook handle their phone and computer with gloves on, and then return to cooking and/or serving food with the same gloves. Staff interviewed stated they have observed the cook handling raw beef with gloved hands and then serving breakfast using their hands with the same gloves. Staff interviewed stated they have observed the cook cleaning with bleach solutions with gloves on and then serving and cooking food with the same gloves on. Based on staff interviews, the allegations regarding sanitation and health were substantiated. All staff/child interactions were observed to be positive and appropriate during today’s visit. All children were attended to and spoken to by staff in a nurturing way during the visit. You and all staff interviewed stated all staff members interact positively and appropriately with children. You and all staff interviewed stated you have never seen and are not aware of any staff members treating or speaking to any children in a negative manner. Based on staff interviews and observation, the allegations regarding nurture/care/treatment of children were unsubstantiated. Staff/child ratios were observed to be in compliance during today’s visit. You and staff interviewed stated compliance is maintained regarding staff/child ratios throughout the day. You and staff interviewed stated the facility has been short-staffed recently, and that in order to maintain compliance with staff/child ratios, the administrators have been covering in classrooms caring for children when needed. You and staff interviewed stated staff members will call for a floater, or for administration to assist when needed to ensure compliance with staff/child ratios. Based on staff interviews and observation, the allegation regarding staff/child ratio was unsubstantiated. During the walkthrough of the facility, I observed eight (8) children, enrolled in Space #6 leaving the cafeteria to return to Space #6. One (1) staff member was in the front of the line of with seven (7) children while one (1) staff member assisted one (1) child in throwing their trash away. Once the staff member assisted the child throwing their trash away, the staff member and the child returned to Space #6. During the transition from the cafeteria to Space #6, I observed one (1) child, two (2) years of age, who had been in the cafeteria with the group and was enrolled in Space #6, enter Space #5b. I looked into Space #5b where I observed that one (1) staff member was present with five (5) children, including the child assigned to Space #6 who entered Space #5b from the cafeteria. After the group returned to Space #6, I conducted observation in Space #6. During my observation in Space #6, the two (2) staff members present reported eight (8) children were present; however, only seven (7) children were present in Space #6 at that time. After fifteen (15) minutes of observation, I asked the two (2) staff members present in Space #6 where the eighth child was, and neither staff member was aware that the child did not return to the classroom with the rest of the children from the cafeteria. I then entered Space #5b, where the child from Space #6 was still present, and asked the teacher present in Space #5b if she was aware the child assigned to Space #6 was present. The staff member assigned to Space #5b stated she was unaware that the child from Space #6 had entered the classroom. One (1) violation related to the allegations was cited and two (2) violations unrelated to the allegations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. One (1) child, enrolled in Space #6, was not signed into the facility on September 4, 2024. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. During the transition from the cafeteria to Space #6 after breakfast, one (1) child, two (2) years of age, left the line of children returning to Space #6 and entered Space #5b. Two (2) staff members assigned to Space #6 were not aware the child did not return to Space #6 from the cafeteria. One (1) staff member assigned to Space #5b was not aware the child entered Space #5b. .1801(a)(1-5) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff reported the cook has been observed wearing the same gloves “for hours” and not changing gloves in between tasks. Staff reported they have observed the cook handle their phone and computer with gloves on, and then return to food preparation and/or food service with the same gloves. Staff reported they have observed the cook handling raw beef with gloved hands and then serving breakfast with the same gloves. Staff interviewed stated they have observed the cook cleaning with bleach solutions with gloves on and then serving and cooking food while wearing the same gloves. 15A NCAC 18A .2803(a) The violations documented must be corrected immediately. On or before September 18, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when each violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 81%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed on a clipboard at the entrance to the classroom. Use these forms to document arrival and departure of each child each day. I suggested you remind all parents, including staff members whose children are enrolled at the facility, to ensure all children are signed in and out of the facility every day. I also encouraged you to remind staff members to document this information if the parents fail to do so. Additionally, I suggested staff members take their attendance and sign in/out sheets with them anytime they leave the classroom to ensure all children are signed in upon arrival and out upon departure. 2. Children must be adequately supervised at all times in child care centers. Adequate supervision means that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. I suggested you review this rule with all staff members. I also suggested you have children line up in the cafeteria, and all children and staff members assigned to one (1) space transition from the cafeteria to the classrooms together to ensure no child is left unsupervised. Additionally, I suggested you implement a head count sheet to ensure children are accounted for at all times during the day. I provided you with a sample head count sheet via email during today’s visit. 3. Child care center employees must wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center, (2) before and after handling or preparing food, (3) before bottle feeding a child, (4) before providing food service, (5) before handling clean utensils, (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge, (7) after diaper changing, (8) after handling soiled items that are not clean, (9) after being outdoors, (10) after handling animals or animal cages, and (11) after removing disposable gloves. Kitchen staff using gloves for food preparation, food service, and cleaning must change their gloves in between each task. Once gloves are removed, the staff member’s hands must be washed prior to putting new gloves on and beginning a new task. I suggested you review this information with all staff members to ensure proper hand washing occurs at all appropriate times. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0824-457L Visit Date: 9/4/2024 Number Present: 80 Completed Date: 9/4/2024 Age: From 0 To 10 Total Minutes: 294 Time In: 07:47 AM Time Out: 11:20 AM Time In: 02:24 PM Time Out: 03:45 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements regarding staff/child ratio, sanitation and health, and nurture/care/treatment of children. You, Amber Frady, Administrator, assisted with the visit. Savannah Roark, Assistant Director, also assisted with the visit. The Secretary of State website was reviewed and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. I conducted a walkthrough of the facility and observation in all spaces, including the kitchen and the cafeteria, during today’s visit. I verified compliance with staff/child ratios, adequate/approved space, license posted, and permit restrictions during the visit. The allegations were discussed with you and twenty (20) additional staff members during today’s visit. You and additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. I reviewed the report for the sanitation inspection conducted by the Gaston County Department of Health and Human Services Environmental Health on May 31, 2024. No demerits were noted regarding handwashing or diapering. I observed diapering, toileting, and handwashing procedures, all of which were in compliance during the visit. You and staff interviewed reported no concerns regarding sanitation or health in the classrooms. Staff interviewed reported concerns with a staff member in the kitchen regarding sanitation and health. Staff interviewed stated they have observed the cook wearing the same gloves “for hours” and not changing gloves in between tasks. Staff interviewed stated they have observed the cook handle their phone and computer with gloves on, and then return to cooking and/or serving food with the same gloves. Staff interviewed stated they have observed the cook handling raw beef with gloved hands and then serving breakfast using their hands with the same gloves. Staff interviewed stated they have observed the cook cleaning with bleach solutions with gloves on and then serving and cooking food with the same gloves on. Based on staff interviews, the allegations regarding sanitation and health were substantiated. All staff/child interactions were observed to be positive and appropriate during today’s visit. All children were attended to and spoken to by staff in a nurturing way during the visit. You and all staff interviewed stated all staff members interact positively and appropriately with children. You and all staff interviewed stated you have never seen and are not aware of any staff members treating or speaking to any children in a negative manner. Based on staff interviews and observation, the allegations regarding nurture/care/treatment of children were unsubstantiated. Staff/child ratios were observed to be in compliance during today’s visit. You and staff interviewed stated compliance is maintained regarding staff/child ratios throughout the day. You and staff interviewed stated the facility has been short-staffed recently, and that in order to maintain compliance with staff/child ratios, the administrators have been covering in classrooms caring for children when needed. You and staff interviewed stated staff members will call for a floater, or for administration to assist when needed to ensure compliance with staff/child ratios. Based on staff interviews and observation, the allegation regarding staff/child ratio was unsubstantiated. During the walkthrough of the facility, I observed eight (8) children, enrolled in Space #6 leaving the cafeteria to return to Space #6. One (1) staff member was in the front of the line of with seven (7) children while one (1) staff member assisted one (1) child in throwing their trash away. Once the staff member assisted the child throwing their trash away, the staff member and the child returned to Space #6. During the transition from the cafeteria to Space #6, I observed one (1) child, two (2) years of age, who had been in the cafeteria with the group and was enrolled in Space #6, enter Space #5b. I looked into Space #5b where I observed that one (1) staff member was present with five (5) children, including the child assigned to Space #6 who entered Space #5b from the cafeteria. After the group returned to Space #6, I conducted observation in Space #6. During my observation in Space #6, the two (2) staff members present reported eight (8) children were present; however, only seven (7) children were present in Space #6 at that time. After fifteen (15) minutes of observation, I asked the two (2) staff members present in Space #6 where the eighth child was, and neither staff member was aware that the child did not return to the classroom with the rest of the children from the cafeteria. I then entered Space #5b, where the child from Space #6 was still present, and asked the teacher present in Space #5b if she was aware the child assigned to Space #6 was present. The staff member assigned to Space #5b stated she was unaware that the child from Space #6 had entered the classroom. One (1) violation related to the allegations was cited and two (2) violations unrelated to the allegations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. One (1) child, enrolled in Space #6, was not signed into the facility on September 4, 2024. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. During the transition from the cafeteria to Space #6 after breakfast, one (1) child, two (2) years of age, left the line of children returning to Space #6 and entered Space #5b. Two (2) staff members assigned to Space #6 were not aware the child did not return to Space #6 from the cafeteria. One (1) staff member assigned to Space #5b was not aware the child entered Space #5b. .1801(a)(1-5) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff reported the cook has been observed wearing the same gloves “for hours” and not changing gloves in between tasks. Staff reported they have observed the cook handle their phone and computer with gloves on, and then return to food preparation and/or food service with the same gloves. Staff reported they have observed the cook handling raw beef with gloved hands and then serving breakfast with the same gloves. Staff interviewed stated they have observed the cook cleaning with bleach solutions with gloves on and then serving and cooking food while wearing the same gloves. 15A NCAC 18A .2803(a) The violations documented must be corrected immediately. On or before September 18, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when each violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 81%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed on a clipboard at the entrance to the classroom. Use these forms to document arrival and departure of each child each day. I suggested you remind all parents, including staff members whose children are enrolled at the facility, to ensure all children are signed in and out of the facility every day. I also encouraged you to remind staff members to document this information if the parents fail to do so. Additionally, I suggested staff members take their attendance and sign in/out sheets with them anytime they leave the classroom to ensure all children are signed in upon arrival and out upon departure. 2. Children must be adequately supervised at all times in child care centers. Adequate supervision means that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. I suggested you review this rule with all staff members. I also suggested you have children line up in the cafeteria, and all children and staff members assigned to one (1) space transition from the cafeteria to the classrooms together to ensure no child is left unsupervised. Additionally, I suggested you implement a head count sheet to ensure children are accounted for at all times during the day. I provided you with a sample head count sheet via email during today’s visit. 3. Child care center employees must wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center, (2) before and after handling or preparing food, (3) before bottle feeding a child, (4) before providing food service, (5) before handling clean utensils, (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge, (7) after diaper changing, (8) after handling soiled items that are not clean, (9) after being outdoors, (10) after handling animals or animal cages, and (11) after removing disposable gloves. Kitchen staff using gloves for food preparation, food service, and cleaning must change their gloves in between each task. Once gloves are removed, the staff member’s hands must be washed prior to putting new gloves on and beginning a new task. I suggested you review this information with all staff members to ensure proper hand washing occurs at all appropriate times. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0601 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0724-020L Visit Date: 7/15/2024 Number Present: 102 Completed Date: 7/15/2024 Age: From 0 To 12 Total Minutes: 95 Time In: 09:10 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements regarding safe environment. You, Amber Frady, Administrator, assisted with the visit. Savannah Roark, Assistant Director, also assisted with the visit. The Secretary of State website was reviewed and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walkthrough of the facility was conducted, including all indoor and outdoor spaces. I observed one (1) bye bye buggy, used by children, one (1) year of age, enrolled in Space #3, to be missing straps and/or pieces of straps that secure children to the buggy on six (6) of the six (6) seats. The bye bye buggy was not in use during today’s visit. The children enrolled in Space #3 were outside during the visit. The allegations were discussed with you and three (3) additional staff members during today’s visit. You and additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. You and staff interviewed confirmed the bye bye buggy with missing strap/strap pieces is used by children one (1) year of age, enrolled in Space #3, on a daily basis when going outside and to the cafeteria for meals and snacks. You and staff interviewed stated the bye bye buggy with missing strap/strap pieces has not been used today and that the children enrolled in Space #3 walked to the playground today instead of using the bye bye buggy. You and staff interviewed stated new straps were ordered for the bye bye buggy, which were observed during the visit; however, they have not been installed. You and all staff interviewed stated that, to your knowledge, no children have been injured as a result of the missing straps/strap pieces on the bye bye buggy. I reviewed incident reports and the incident log for June 1, 2024, through July 15, 2024. No incident reports were observed for any injuries related to the use of a bye bye buggy. Based on staff interviews, observation, and record review, the allegation regarding safe environment was substantiated. The following violation was observed/documented during today’s visit: Violation Number Comment Rule 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. One (1) Bye-Bye Buggy, used by children one (1) year of age, enrolled in Space #3, was missing straps and/or strap pieces which secure children to the buggy on six (6) of the six (6) seats. The Bye-Bye Buggy is used daily by children enrolled in Space #3. .0601(d) The violation documented must be corrected immediately. On or before July 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 80%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: We reviewed child care rule 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. Any broken equipment and/or furnishings must be removed immediately and not used by children until repaired or replaced. I suggested that you remind staff members to immediately remove any equipment or furnishings that are not in good repair. During the visit, you made the bye bye buggy with missing straps and/or strap pieces inaccessible by moving it to a room which is not licensed and not used by the child care program. You created a plan for the children enrolled Space #3 and Space #4 to share an additional bye bye buggy, which is in good repair, during the visit. You discussed this plan with the staff members assigned to Space #3 and Space #4 during the visit. You stated the bye bye buggy with missing straps and/or strap pieces will not be used until all straps are repaired. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0724-020L Visit Date: 7/15/2024 Number Present: 102 Completed Date: 7/15/2024 Age: From 0 To 12 Total Minutes: 95 Time In: 09:10 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements regarding safe environment. You, Amber Frady, Administrator, assisted with the visit. Savannah Roark, Assistant Director, also assisted with the visit. The Secretary of State website was reviewed and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walkthrough of the facility was conducted, including all indoor and outdoor spaces. I observed one (1) bye bye buggy, used by children, one (1) year of age, enrolled in Space #3, to be missing straps and/or pieces of straps that secure children to the buggy on six (6) of the six (6) seats. The bye bye buggy was not in use during today’s visit. The children enrolled in Space #3 were outside during the visit. The allegations were discussed with you and three (3) additional staff members during today’s visit. You and additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. You and staff interviewed confirmed the bye bye buggy with missing strap/strap pieces is used by children one (1) year of age, enrolled in Space #3, on a daily basis when going outside and to the cafeteria for meals and snacks. You and staff interviewed stated the bye bye buggy with missing strap/strap pieces has not been used today and that the children enrolled in Space #3 walked to the playground today instead of using the bye bye buggy. You and staff interviewed stated new straps were ordered for the bye bye buggy, which were observed during the visit; however, they have not been installed. You and all staff interviewed stated that, to your knowledge, no children have been injured as a result of the missing straps/strap pieces on the bye bye buggy. I reviewed incident reports and the incident log for June 1, 2024, through July 15, 2024. No incident reports were observed for any injuries related to the use of a bye bye buggy. Based on staff interviews, observation, and record review, the allegation regarding safe environment was substantiated. The following violation was observed/documented during today’s visit: Violation Number Comment Rule 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. One (1) Bye-Bye Buggy, used by children one (1) year of age, enrolled in Space #3, was missing straps and/or strap pieces which secure children to the buggy on six (6) of the six (6) seats. The Bye-Bye Buggy is used daily by children enrolled in Space #3. .0601(d) The violation documented must be corrected immediately. On or before July 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 80%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: We reviewed child care rule 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. Any broken equipment and/or furnishings must be removed immediately and not used by children until repaired or replaced. I suggested that you remind staff members to immediately remove any equipment or furnishings that are not in good repair. During the visit, you made the bye bye buggy with missing straps and/or strap pieces inaccessible by moving it to a room which is not licensed and not used by the child care program. You created a plan for the children enrolled Space #3 and Space #4 to share an additional bye bye buggy, which is in good repair, during the visit. You discussed this plan with the staff members assigned to Space #3 and Space #4 during the visit. You stated the bye bye buggy with missing straps and/or strap pieces will not be used until all straps are repaired. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0604 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 100 Completed Date: 6/18/2024 Age: From 0 To 12 Total Minutes: 446 Time In: 08:09 AM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements, and to conduct a Rated License Assessment to reissue a star rated license following a provisional license. You, Amber Frady, Administrator, assisted with today’s visit. Due to the hold harmless legislation, rated license points will be determined based on the previous rated license assessment. A checklist was used to note the requirements I monitored today. Your program currently operates with a Provisional License issued January 12, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years of age in rooms with direct exits only. The Administrative Action issued January 12, 2024, including the cover letter, and the provisional license were posted on the wall outside the child care office. The Secretary of State website was checked on June 18, 2024, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on May 31, 2024. A “superior” classification was issued with five (5) demerits noted on the grade card. The last fire inspection was conducted on March 2, 2024. The last fire drill was conducted on June 10, 2024. The last emergency drill was conducted on May 15, 2024. The last playground inspection was conducted on May 31, 2024. Thirteen (13) children’s files were reviewed during the visit. Twelve (12) new staff files and four (4) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, two (2) children were not signed out on June 6, 2024, one (1) child was not signed out on June 10, 2024, two (2) children were not signed out on June 12, 2024, one (1) child was not signed out on June 13, 2024, and one (1) child was not signed out on June 14, 2024. In Space #7d1, one (1) child was not signed out on June 5, 2024. In Space #7d2, three (3) children were not signed out on June 13, 2024, two (2) children were not signed out on June 14, 2024, and two (2) children were not signed out on June 17, 2024. In Space #1, five (5) children were not signed out on June 12, 2024. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. There was no activity plan created or posted for Space #3, Space #7c, or Space #7d2. GS 110-91(12); .0508(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On Playground #2, three (3) concrete footings anchoring the stationary play structure were exposed. .0605(j) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #6, one (1) outlet on the wall in the bathroom beside the handwashing sink used by children, was not covered with a safety plug. In Space #7b, two (2) outlets on the wall to the right of the storage closet were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. In Space #2a/b, one (1) bottle of Bic White Out Quick Dry Correction Fluid, with multiple warnings, was in an unlocked cabinet above the food prep sink. In Space #7c, one (1) bottle of Rexall Hydrogen Peroxide First Aid Antiseptic, and one (1) aerosol can of Smartly Shave Foam, both with multiple warnings, were in the unlocked, wooden cabinet to the left of the classroom entrance. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #6, one (1) tube of Boudreauxs Butt Paste Max Strength expired April 2024. In Space #1, one (1) container of Aquaphor Healing Ointment expired April 2024, and one (1) tube of Sun Bum Sunscreen lotion expired May 2024. .0803(12) 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. In Space #4, one (1) opened can of Celsius Tropical Vibe Essential Energy Drink was on the counter to the left of the handwashing sink. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #4, the Permission to Administer Medication Form for one (1) tube of Aquaphor Healing Ointment expired on June 2, 2024. In Space #5b, the name of the medication was not listed on the Permission to Administer Medication Form for one (1) tube of A&D Prevent Original Ointment. In Space #6, there was no Permission to Administer Medication Form for one (1) tube of Boudreauxs Butt Paste Max Strength. In Space #1, there was no Permission to Administer Medication Form for two (2) bottles of Blue Lizard Australian Sunscreen, one (1) tube of Think Baby Sunscreen, or one (1) tube of Babyganics Mineral Sunscreen. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member, employed on January 2, 2023, did not complete all of the required Health and Safety Trainings until January 6, 2024. One staff member, employed on October 17, 2022, did not complete all of the required Health and Safety Trainings until December 5, 2023. One (1) staff member, employed on December 5, 2022, did not complete all of the required Health and Safety Trainings until December 7, 2023. One (1) staff member, employed on May 2, 2023, did not complete all of the required Health and Safety Trainings. .1102(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 2, 2024. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 79%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed at the entrance to each classroom. Use these forms to document arrival and departure of each child each day. I suggested you create a daily checklist to ensure all required tasks are completed each day, and review sign in and out requirements with all staff members and parents of children enrolled. 2. All centers must 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. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that an activity plan and schedule must be posted at all times. 3. All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing, and footings which anchor equipment may not be exposed. I suggested you increase the depth of the mulch to ensure all concrete footings are covered. As a reminder, based on the critical height of the equipment on Playground #1 and Playground #2, the wood mulch surfacing must be at least six (6) inches in depth across the fall zone. 4. All electrical outlets and power strips not in use must be kept covered with safety plugs at all times unless located behind furniture that cannot be moved by a child. I suggested you keep extra safety plugs in each classroom to ensure outlets and power strips are kept covered. You had extra safety plugs in the office and covered all uncovered outlets with safety plugs during the visit. 5. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested that you remind all staff members to check their classroom, and all spaces used by children, including the bathrooms, thoroughly each morning to ensure all hazardous products are stored properly. I also suggested you check spaces after they are used by the church to ensure no hazardous products were left unlocked. You locked all hazardous products during the visit. You stated all hazardous products will remain in locked storage. 6. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must 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, should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Staff members should check medications when brought into the facility and regularly thereafter to ensure none have expired. I suggested you have staff members in each classroom check all medications on the date the monthly fire drill is conducted (or at least monthly) to ensure no medications have expired. 7. Staff must role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements outlined in the Meal Patterns for Children while in the presence of children in care. Staff may not consume any item not outlined in the above-mentioned requirements in the classroom. I suggested you remind all staff members of the nutritional requirements and remind staff not to bring any food or drinks into the classroom that do not meet the Meal Patterns for Children. The energy drink was discarded during the visit. 8. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Staff members should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure none have expired. I suggested you have staff members in each classroom check all Permission to Administer Medication Forms on the date the monthly fire drill is conducted (or at least monthly) to ensure none have expired. 9. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Status of Corrective Action Plan: Item #1- Violations were cited today related to the administrative action. This stipulation was not in compliance. Item #2 – Ms. Frady received the Administrative Action in December 4, 2023 and contacted Ms. Roberts on December 5, 2023, to schedule a Rules Review which was conducted on January 29, 2024. This stipulation was completed as required and is in compliance. Item #3 – Ms. Frady submitted a written plan for achieving compliance with staff file requirements, children’s file requirements, program file requirements, as well as, maintaining accurate records on February 5, 2024, revisions were required and resubmitted on February 16, March 5, March 21, 2024. The written policy was approved on March 21, 2024. This Stipulation has been completed. Item #4 – Ms. Frady submitted a written plan for supervision on February 12, 2024. Revisions were required and received on February 12, 27, March 5, April 4, 2024. The supervision plan was approved on April 8, 2024. This stipulation has been completed. Item # 5—Ms. Frady submitted the Transportation Policy and Procedures on February 19, 2024. Revisions were required and resubmitted on February 27, March 1, March 8, March 25, March 28, April 4, April 8, 2024. The policy and procedures were approved on April 8, 2024. This stipulation has been completed. Item# 6—Ms. Frady conducted a staff meeting on April 8, 2024, and submitted the minutes, signed roster and duration of the meeting to me during the visit on May 22, 2024. This stipulation has been completed. Consultation: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort two. Beginning in July and throughout the next few months I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2025 and June 30, 2026. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0302 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 100 Completed Date: 6/18/2024 Age: From 0 To 12 Total Minutes: 446 Time In: 08:09 AM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements, and to conduct a Rated License Assessment to reissue a star rated license following a provisional license. You, Amber Frady, Administrator, assisted with today’s visit. Due to the hold harmless legislation, rated license points will be determined based on the previous rated license assessment. A checklist was used to note the requirements I monitored today. Your program currently operates with a Provisional License issued January 12, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years of age in rooms with direct exits only. The Administrative Action issued January 12, 2024, including the cover letter, and the provisional license were posted on the wall outside the child care office. The Secretary of State website was checked on June 18, 2024, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on May 31, 2024. A “superior” classification was issued with five (5) demerits noted on the grade card. The last fire inspection was conducted on March 2, 2024. The last fire drill was conducted on June 10, 2024. The last emergency drill was conducted on May 15, 2024. The last playground inspection was conducted on May 31, 2024. Thirteen (13) children’s files were reviewed during the visit. Twelve (12) new staff files and four (4) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, two (2) children were not signed out on June 6, 2024, one (1) child was not signed out on June 10, 2024, two (2) children were not signed out on June 12, 2024, one (1) child was not signed out on June 13, 2024, and one (1) child was not signed out on June 14, 2024. In Space #7d1, one (1) child was not signed out on June 5, 2024. In Space #7d2, three (3) children were not signed out on June 13, 2024, two (2) children were not signed out on June 14, 2024, and two (2) children were not signed out on June 17, 2024. In Space #1, five (5) children were not signed out on June 12, 2024. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. There was no activity plan created or posted for Space #3, Space #7c, or Space #7d2. GS 110-91(12); .0508(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On Playground #2, three (3) concrete footings anchoring the stationary play structure were exposed. .0605(j) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #6, one (1) outlet on the wall in the bathroom beside the handwashing sink used by children, was not covered with a safety plug. In Space #7b, two (2) outlets on the wall to the right of the storage closet were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. In Space #2a/b, one (1) bottle of Bic White Out Quick Dry Correction Fluid, with multiple warnings, was in an unlocked cabinet above the food prep sink. In Space #7c, one (1) bottle of Rexall Hydrogen Peroxide First Aid Antiseptic, and one (1) aerosol can of Smartly Shave Foam, both with multiple warnings, were in the unlocked, wooden cabinet to the left of the classroom entrance. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #6, one (1) tube of Boudreauxs Butt Paste Max Strength expired April 2024. In Space #1, one (1) container of Aquaphor Healing Ointment expired April 2024, and one (1) tube of Sun Bum Sunscreen lotion expired May 2024. .0803(12) 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. In Space #4, one (1) opened can of Celsius Tropical Vibe Essential Energy Drink was on the counter to the left of the handwashing sink. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #4, the Permission to Administer Medication Form for one (1) tube of Aquaphor Healing Ointment expired on June 2, 2024. In Space #5b, the name of the medication was not listed on the Permission to Administer Medication Form for one (1) tube of A&D Prevent Original Ointment. In Space #6, there was no Permission to Administer Medication Form for one (1) tube of Boudreauxs Butt Paste Max Strength. In Space #1, there was no Permission to Administer Medication Form for two (2) bottles of Blue Lizard Australian Sunscreen, one (1) tube of Think Baby Sunscreen, or one (1) tube of Babyganics Mineral Sunscreen. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member, employed on January 2, 2023, did not complete all of the required Health and Safety Trainings until January 6, 2024. One staff member, employed on October 17, 2022, did not complete all of the required Health and Safety Trainings until December 5, 2023. One (1) staff member, employed on December 5, 2022, did not complete all of the required Health and Safety Trainings until December 7, 2023. One (1) staff member, employed on May 2, 2023, did not complete all of the required Health and Safety Trainings. .1102(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 2, 2024. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 79%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed at the entrance to each classroom. Use these forms to document arrival and departure of each child each day. I suggested you create a daily checklist to ensure all required tasks are completed each day, and review sign in and out requirements with all staff members and parents of children enrolled. 2. All centers must 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. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that an activity plan and schedule must be posted at all times. 3. All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing, and footings which anchor equipment may not be exposed. I suggested you increase the depth of the mulch to ensure all concrete footings are covered. As a reminder, based on the critical height of the equipment on Playground #1 and Playground #2, the wood mulch surfacing must be at least six (6) inches in depth across the fall zone. 4. All electrical outlets and power strips not in use must be kept covered with safety plugs at all times unless located behind furniture that cannot be moved by a child. I suggested you keep extra safety plugs in each classroom to ensure outlets and power strips are kept covered. You had extra safety plugs in the office and covered all uncovered outlets with safety plugs during the visit. 5. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested that you remind all staff members to check their classroom, and all spaces used by children, including the bathrooms, thoroughly each morning to ensure all hazardous products are stored properly. I also suggested you check spaces after they are used by the church to ensure no hazardous products were left unlocked. You locked all hazardous products during the visit. You stated all hazardous products will remain in locked storage. 6. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must 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, should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Staff members should check medications when brought into the facility and regularly thereafter to ensure none have expired. I suggested you have staff members in each classroom check all medications on the date the monthly fire drill is conducted (or at least monthly) to ensure no medications have expired. 7. Staff must role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements outlined in the Meal Patterns for Children while in the presence of children in care. Staff may not consume any item not outlined in the above-mentioned requirements in the classroom. I suggested you remind all staff members of the nutritional requirements and remind staff not to bring any food or drinks into the classroom that do not meet the Meal Patterns for Children. The energy drink was discarded during the visit. 8. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Staff members should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure none have expired. I suggested you have staff members in each classroom check all Permission to Administer Medication Forms on the date the monthly fire drill is conducted (or at least monthly) to ensure none have expired. 9. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Status of Corrective Action Plan: Item #1- Violations were cited today related to the administrative action. This stipulation was not in compliance. Item #2 – Ms. Frady received the Administrative Action in December 4, 2023 and contacted Ms. Roberts on December 5, 2023, to schedule a Rules Review which was conducted on January 29, 2024. This stipulation was completed as required and is in compliance. Item #3 – Ms. Frady submitted a written plan for achieving compliance with staff file requirements, children’s file requirements, program file requirements, as well as, maintaining accurate records on February 5, 2024, revisions were required and resubmitted on February 16, March 5, March 21, 2024. The written policy was approved on March 21, 2024. This Stipulation has been completed. Item #4 – Ms. Frady submitted a written plan for supervision on February 12, 2024. Revisions were required and received on February 12, 27, March 5, April 4, 2024. The supervision plan was approved on April 8, 2024. This stipulation has been completed. Item # 5—Ms. Frady submitted the Transportation Policy and Procedures on February 19, 2024. Revisions were required and resubmitted on February 27, March 1, March 8, March 25, March 28, April 4, April 8, 2024. The policy and procedures were approved on April 8, 2024. This stipulation has been completed. Item# 6—Ms. Frady conducted a staff meeting on April 8, 2024, and submitted the minutes, signed roster and duration of the meeting to me during the visit on May 22, 2024. This stipulation has been completed. Consultation: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort two. Beginning in July and throughout the next few months I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2025 and June 30, 2026. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 100 Completed Date: 6/18/2024 Age: From 0 To 12 Total Minutes: 446 Time In: 08:09 AM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements, and to conduct a Rated License Assessment to reissue a star rated license following a provisional license. You, Amber Frady, Administrator, assisted with today’s visit. Due to the hold harmless legislation, rated license points will be determined based on the previous rated license assessment. A checklist was used to note the requirements I monitored today. Your program currently operates with a Provisional License issued January 12, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years of age in rooms with direct exits only. The Administrative Action issued January 12, 2024, including the cover letter, and the provisional license were posted on the wall outside the child care office. The Secretary of State website was checked on June 18, 2024, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on May 31, 2024. A “superior” classification was issued with five (5) demerits noted on the grade card. The last fire inspection was conducted on March 2, 2024. The last fire drill was conducted on June 10, 2024. The last emergency drill was conducted on May 15, 2024. The last playground inspection was conducted on May 31, 2024. Thirteen (13) children’s files were reviewed during the visit. Twelve (12) new staff files and four (4) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, two (2) children were not signed out on June 6, 2024, one (1) child was not signed out on June 10, 2024, two (2) children were not signed out on June 12, 2024, one (1) child was not signed out on June 13, 2024, and one (1) child was not signed out on June 14, 2024. In Space #7d1, one (1) child was not signed out on June 5, 2024. In Space #7d2, three (3) children were not signed out on June 13, 2024, two (2) children were not signed out on June 14, 2024, and two (2) children were not signed out on June 17, 2024. In Space #1, five (5) children were not signed out on June 12, 2024. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. There was no activity plan created or posted for Space #3, Space #7c, or Space #7d2. GS 110-91(12); .0508(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On Playground #2, three (3) concrete footings anchoring the stationary play structure were exposed. .0605(j) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #6, one (1) outlet on the wall in the bathroom beside the handwashing sink used by children, was not covered with a safety plug. In Space #7b, two (2) outlets on the wall to the right of the storage closet were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. In Space #2a/b, one (1) bottle of Bic White Out Quick Dry Correction Fluid, with multiple warnings, was in an unlocked cabinet above the food prep sink. In Space #7c, one (1) bottle of Rexall Hydrogen Peroxide First Aid Antiseptic, and one (1) aerosol can of Smartly Shave Foam, both with multiple warnings, were in the unlocked, wooden cabinet to the left of the classroom entrance. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #6, one (1) tube of Boudreauxs Butt Paste Max Strength expired April 2024. In Space #1, one (1) container of Aquaphor Healing Ointment expired April 2024, and one (1) tube of Sun Bum Sunscreen lotion expired May 2024. .0803(12) 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. In Space #4, one (1) opened can of Celsius Tropical Vibe Essential Energy Drink was on the counter to the left of the handwashing sink. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #4, the Permission to Administer Medication Form for one (1) tube of Aquaphor Healing Ointment expired on June 2, 2024. In Space #5b, the name of the medication was not listed on the Permission to Administer Medication Form for one (1) tube of A&D Prevent Original Ointment. In Space #6, there was no Permission to Administer Medication Form for one (1) tube of Boudreauxs Butt Paste Max Strength. In Space #1, there was no Permission to Administer Medication Form for two (2) bottles of Blue Lizard Australian Sunscreen, one (1) tube of Think Baby Sunscreen, or one (1) tube of Babyganics Mineral Sunscreen. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member, employed on January 2, 2023, did not complete all of the required Health and Safety Trainings until January 6, 2024. One staff member, employed on October 17, 2022, did not complete all of the required Health and Safety Trainings until December 5, 2023. One (1) staff member, employed on December 5, 2022, did not complete all of the required Health and Safety Trainings until December 7, 2023. One (1) staff member, employed on May 2, 2023, did not complete all of the required Health and Safety Trainings. .1102(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 2, 2024. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 79%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed at the entrance to each classroom. Use these forms to document arrival and departure of each child each day. I suggested you create a daily checklist to ensure all required tasks are completed each day, and review sign in and out requirements with all staff members and parents of children enrolled. 2. All centers must 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. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that an activity plan and schedule must be posted at all times. 3. All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing, and footings which anchor equipment may not be exposed. I suggested you increase the depth of the mulch to ensure all concrete footings are covered. As a reminder, based on the critical height of the equipment on Playground #1 and Playground #2, the wood mulch surfacing must be at least six (6) inches in depth across the fall zone. 4. All electrical outlets and power strips not in use must be kept covered with safety plugs at all times unless located behind furniture that cannot be moved by a child. I suggested you keep extra safety plugs in each classroom to ensure outlets and power strips are kept covered. You had extra safety plugs in the office and covered all uncovered outlets with safety plugs during the visit. 5. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested that you remind all staff members to check their classroom, and all spaces used by children, including the bathrooms, thoroughly each morning to ensure all hazardous products are stored properly. I also suggested you check spaces after they are used by the church to ensure no hazardous products were left unlocked. You locked all hazardous products during the visit. You stated all hazardous products will remain in locked storage. 6. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must 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, should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Staff members should check medications when brought into the facility and regularly thereafter to ensure none have expired. I suggested you have staff members in each classroom check all medications on the date the monthly fire drill is conducted (or at least monthly) to ensure no medications have expired. 7. Staff must role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements outlined in the Meal Patterns for Children while in the presence of children in care. Staff may not consume any item not outlined in the above-mentioned requirements in the classroom. I suggested you remind all staff members of the nutritional requirements and remind staff not to bring any food or drinks into the classroom that do not meet the Meal Patterns for Children. The energy drink was discarded during the visit. 8. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Staff members should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure none have expired. I suggested you have staff members in each classroom check all Permission to Administer Medication Forms on the date the monthly fire drill is conducted (or at least monthly) to ensure none have expired. 9. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Status of Corrective Action Plan: Item #1- Violations were cited today related to the administrative action. This stipulation was not in compliance. Item #2 – Ms. Frady received the Administrative Action in December 4, 2023 and contacted Ms. Roberts on December 5, 2023, to schedule a Rules Review which was conducted on January 29, 2024. This stipulation was completed as required and is in compliance. Item #3 – Ms. Frady submitted a written plan for achieving compliance with staff file requirements, children’s file requirements, program file requirements, as well as, maintaining accurate records on February 5, 2024, revisions were required and resubmitted on February 16, March 5, March 21, 2024. The written policy was approved on March 21, 2024. This Stipulation has been completed. Item #4 – Ms. Frady submitted a written plan for supervision on February 12, 2024. Revisions were required and received on February 12, 27, March 5, April 4, 2024. The supervision plan was approved on April 8, 2024. This stipulation has been completed. Item # 5—Ms. Frady submitted the Transportation Policy and Procedures on February 19, 2024. Revisions were required and resubmitted on February 27, March 1, March 8, March 25, March 28, April 4, April 8, 2024. The policy and procedures were approved on April 8, 2024. This stipulation has been completed. Item# 6—Ms. Frady conducted a staff meeting on April 8, 2024, and submitted the minutes, signed roster and duration of the meeting to me during the visit on May 22, 2024. This stipulation has been completed. Consultation: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort two. Beginning in July and throughout the next few months I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2025 and June 30, 2026. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS 110-91 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 100 Completed Date: 6/18/2024 Age: From 0 To 12 Total Minutes: 446 Time In: 08:09 AM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements, and to conduct a Rated License Assessment to reissue a star rated license following a provisional license. You, Amber Frady, Administrator, assisted with today’s visit. Due to the hold harmless legislation, rated license points will be determined based on the previous rated license assessment. A checklist was used to note the requirements I monitored today. Your program currently operates with a Provisional License issued January 12, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years of age in rooms with direct exits only. The Administrative Action issued January 12, 2024, including the cover letter, and the provisional license were posted on the wall outside the child care office. The Secretary of State website was checked on June 18, 2024, and your business, Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on May 31, 2024. A “superior” classification was issued with five (5) demerits noted on the grade card. The last fire inspection was conducted on March 2, 2024. The last fire drill was conducted on June 10, 2024. The last emergency drill was conducted on May 15, 2024. The last playground inspection was conducted on May 31, 2024. Thirteen (13) children’s files were reviewed during the visit. Twelve (12) new staff files and four (4) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, two (2) children were not signed out on June 6, 2024, one (1) child was not signed out on June 10, 2024, two (2) children were not signed out on June 12, 2024, one (1) child was not signed out on June 13, 2024, and one (1) child was not signed out on June 14, 2024. In Space #7d1, one (1) child was not signed out on June 5, 2024. In Space #7d2, three (3) children were not signed out on June 13, 2024, two (2) children were not signed out on June 14, 2024, and two (2) children were not signed out on June 17, 2024. In Space #1, five (5) children were not signed out on June 12, 2024. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. There was no activity plan created or posted for Space #3, Space #7c, or Space #7d2. GS 110-91(12); .0508(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On Playground #2, three (3) concrete footings anchoring the stationary play structure were exposed. .0605(j) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #6, one (1) outlet on the wall in the bathroom beside the handwashing sink used by children, was not covered with a safety plug. In Space #7b, two (2) outlets on the wall to the right of the storage closet were not covered with safety plugs. 10A NCAC 09 .0604(c) 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. In Space #2a/b, one (1) bottle of Bic White Out Quick Dry Correction Fluid, with multiple warnings, was in an unlocked cabinet above the food prep sink. In Space #7c, one (1) bottle of Rexall Hydrogen Peroxide First Aid Antiseptic, and one (1) aerosol can of Smartly Shave Foam, both with multiple warnings, were in the unlocked, wooden cabinet to the left of the classroom entrance. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #6, one (1) tube of Boudreauxs Butt Paste Max Strength expired April 2024. In Space #1, one (1) container of Aquaphor Healing Ointment expired April 2024, and one (1) tube of Sun Bum Sunscreen lotion expired May 2024. .0803(12) 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. In Space #4, one (1) opened can of Celsius Tropical Vibe Essential Energy Drink was on the counter to the left of the handwashing sink. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #4, the Permission to Administer Medication Form for one (1) tube of Aquaphor Healing Ointment expired on June 2, 2024. In Space #5b, the name of the medication was not listed on the Permission to Administer Medication Form for one (1) tube of A&D Prevent Original Ointment. In Space #6, there was no Permission to Administer Medication Form for one (1) tube of Boudreauxs Butt Paste Max Strength. In Space #1, there was no Permission to Administer Medication Form for two (2) bottles of Blue Lizard Australian Sunscreen, one (1) tube of Think Baby Sunscreen, or one (1) tube of Babyganics Mineral Sunscreen. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member, employed on January 2, 2023, did not complete all of the required Health and Safety Trainings until January 6, 2024. One staff member, employed on October 17, 2022, did not complete all of the required Health and Safety Trainings until December 5, 2023. One (1) staff member, employed on December 5, 2022, did not complete all of the required Health and Safety Trainings until December 7, 2023. One (1) staff member, employed on May 2, 2023, did not complete all of the required Health and Safety Trainings. .1102(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 2, 2024. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 79%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed at the entrance to each classroom. Use these forms to document arrival and departure of each child each day. I suggested you create a daily checklist to ensure all required tasks are completed each day, and review sign in and out requirements with all staff members and parents of children enrolled. 2. All centers must 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. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that an activity plan and schedule must be posted at all times. 3. All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing, and footings which anchor equipment may not be exposed. I suggested you increase the depth of the mulch to ensure all concrete footings are covered. As a reminder, based on the critical height of the equipment on Playground #1 and Playground #2, the wood mulch surfacing must be at least six (6) inches in depth across the fall zone. 4. All electrical outlets and power strips not in use must be kept covered with safety plugs at all times unless located behind furniture that cannot be moved by a child. I suggested you keep extra safety plugs in each classroom to ensure outlets and power strips are kept covered. You had extra safety plugs in the office and covered all uncovered outlets with safety plugs during the visit. 5. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested that you remind all staff members to check their classroom, and all spaces used by children, including the bathrooms, thoroughly each morning to ensure all hazardous products are stored properly. I also suggested you check spaces after they are used by the church to ensure no hazardous products were left unlocked. You locked all hazardous products during the visit. You stated all hazardous products will remain in locked storage. 6. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must 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, should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Staff members should check medications when brought into the facility and regularly thereafter to ensure none have expired. I suggested you have staff members in each classroom check all medications on the date the monthly fire drill is conducted (or at least monthly) to ensure no medications have expired. 7. Staff must role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements outlined in the Meal Patterns for Children while in the presence of children in care. Staff may not consume any item not outlined in the above-mentioned requirements in the classroom. I suggested you remind all staff members of the nutritional requirements and remind staff not to bring any food or drinks into the classroom that do not meet the Meal Patterns for Children. The energy drink was discarded during the visit. 8. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Staff members should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure none have expired. I suggested you have staff members in each classroom check all Permission to Administer Medication Forms on the date the monthly fire drill is conducted (or at least monthly) to ensure none have expired. 9. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Status of Corrective Action Plan: Item #1- Violations were cited today related to the administrative action. This stipulation was not in compliance. Item #2 – Ms. Frady received the Administrative Action in December 4, 2023 and contacted Ms. Roberts on December 5, 2023, to schedule a Rules Review which was conducted on January 29, 2024. This stipulation was completed as required and is in compliance. Item #3 – Ms. Frady submitted a written plan for achieving compliance with staff file requirements, children’s file requirements, program file requirements, as well as, maintaining accurate records on February 5, 2024, revisions were required and resubmitted on February 16, March 5, March 21, 2024. The written policy was approved on March 21, 2024. This Stipulation has been completed. Item #4 – Ms. Frady submitted a written plan for supervision on February 12, 2024. Revisions were required and received on February 12, 27, March 5, April 4, 2024. The supervision plan was approved on April 8, 2024. This stipulation has been completed. Item # 5—Ms. Frady submitted the Transportation Policy and Procedures on February 19, 2024. Revisions were required and resubmitted on February 27, March 1, March 8, March 25, March 28, April 4, April 8, 2024. The policy and procedures were approved on April 8, 2024. This stipulation has been completed. Item# 6—Ms. Frady conducted a staff meeting on April 8, 2024, and submitted the minutes, signed roster and duration of the meeting to me during the visit on May 22, 2024. This stipulation has been completed. Consultation: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort two. Beginning in July and throughout the next few months I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2025 and June 30, 2026. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09.0802 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: JULIA ARMSTRONG Operation Type: Center Case Number: 0424-297A Visit Date: 4/22/2024 Number Present: 86 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 10:45 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Savannah Roark, assistant administrator, accompanied me during a walk-through of the facility. I discussed the allegations with Ms. Roark, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were confirmed during today’s visit. Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. An incident that occurred on 4-12-24 was not entered on the Incident Log. .0802(g)(1-6) 873 Center staff did not follow the EMC plan. Staff member failed to follow the Emergency Medical Care Plan when a seven month old sustained a broken arm. 10A NCAC 09.0802(a) Violations must be corrected immediately. Within one (1) week, April 29, 2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Julia Armstrong, Investigations Consultant, juia.armstrong@dhhs.nc.gov. You may contact me at Julia Armstrong, Investigations Consultant, 828-228-4614, Julia.armstrong@dhhs.nc.gov or Natosha Lambeth, Western Investigations Consultant, Natosha.lambeth@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
10A NCAC 09 .0606 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 80 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 190 Time In: 09:40 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care rules during an Unannounced Follow-Up Visit. You, Amber Frady, Administrator, assisted me with the visit. Julia Armstrong, Investigations Consultant, accompanied me on the visit. The Secretary of State website was checked on October 26, 2023, and your business Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. When we arrived, seventy-three (73) children, one (1) through five (5) years of age, were in the foyer of the facility participating in a fire safety class with the Cramerton Fire Department. A walkthrough of the facility was conducted. Your facility operates with a five (5) star license issued October 4, 2019. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Four (4) new staff members were hired since the last visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. Seventeen (17) slips allowing permission to transport children assigned to Space #7c on a field trip on August 8, 2023, were not on file at the facility. The staff member assigned to Space #7c, C. Alysworth, traveled to their home and returned to the facility with the permission slips during the visit. G.S. 110-91(9); .0304(g); .2318 209 Children used space that was not approved. Seventy-three (73) children, one (1) through five (5) years of age, were in the foyer of the facility for at least thirty (30) minutes, participating in a special program. GS 110-91(1)&(4-5) 871 Center staff did not comply with the safe sleep policy. In Space #2a/b, three (3) cribs had sound machines hanging from the crib rails into the crib, three (3) cribs had mobiles hanging on the crib rail, one (1) crib had a stuffed animal lying on the crib mattress, and two (2) cribs had folded blankets hanging on the crib rails falling into the cribs. In Space #2a/b, one (1) sleeping infant, eight (8) months of age, had a small, plush blanket inside the crib, which was against the infant’s face. 10A NCAC 09 .0606(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 9, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 75%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All records, including Parental Permission for Transportation and Off-Premises Activities, must be maintained and on file at the facility for review at all times. Staff members should not take records home for any reason. I suggested you remind staff to keep all records and required documentation on-site at the facility at all times. 2. Children are not permitted to occupy space that is not approved for child care. Closets, hallways, storage areas, kitchen, bathrooms, utility areas, thresholds, foyers, and space used for administrative activities, such as the facility office, are not included in primary space and may not be used by children for any reason. The children may not use the foyer of the facility for any reason. You stated the children entered the foyer at approximately 9:30am. The children left the foyer and returned to their assigned classrooms at approximately 10:05am. 3. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, objects other than pacifiers are not permitted in the crib or sleep space. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. The sounds machines, mobiles, and blankets that were hanging in the cribs were removed during the visit and placed outside the sleeping space. The stuffed animal and blanket inside the cribs were also removed during the visit. I reviewed the statement on the safe sleep policy posted in the classroom which stated, “We do not allow any objects, such as, pillows, blankets, or toys other than pacifiers in the crib or sleep space”, with both you and the two (2) teachers present in Space #2a/b during the visit. Consultation: We reviewed a selection of children’s records, as well as program records, including fire drill logs, shelter-in-place/lockdown drill logs, playground inspections, and incident logs. I reminded you to complete the inspection forms, drill logs, and incident logs immediately after the inspection, drill, or incident occurs to ensure proper documentation is maintained. We reviewed child care rule .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES/10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. I reminded you that if you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .2201 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 80 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 190 Time In: 09:40 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care rules during an Unannounced Follow-Up Visit. You, Amber Frady, Administrator, assisted me with the visit. Julia Armstrong, Investigations Consultant, accompanied me on the visit. The Secretary of State website was checked on October 26, 2023, and your business Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. When we arrived, seventy-three (73) children, one (1) through five (5) years of age, were in the foyer of the facility participating in a fire safety class with the Cramerton Fire Department. A walkthrough of the facility was conducted. Your facility operates with a five (5) star license issued October 4, 2019. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Four (4) new staff members were hired since the last visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. Seventeen (17) slips allowing permission to transport children assigned to Space #7c on a field trip on August 8, 2023, were not on file at the facility. The staff member assigned to Space #7c, C. Alysworth, traveled to their home and returned to the facility with the permission slips during the visit. G.S. 110-91(9); .0304(g); .2318 209 Children used space that was not approved. Seventy-three (73) children, one (1) through five (5) years of age, were in the foyer of the facility for at least thirty (30) minutes, participating in a special program. GS 110-91(1)&(4-5) 871 Center staff did not comply with the safe sleep policy. In Space #2a/b, three (3) cribs had sound machines hanging from the crib rails into the crib, three (3) cribs had mobiles hanging on the crib rail, one (1) crib had a stuffed animal lying on the crib mattress, and two (2) cribs had folded blankets hanging on the crib rails falling into the cribs. In Space #2a/b, one (1) sleeping infant, eight (8) months of age, had a small, plush blanket inside the crib, which was against the infant’s face. 10A NCAC 09 .0606(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 9, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 75%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All records, including Parental Permission for Transportation and Off-Premises Activities, must be maintained and on file at the facility for review at all times. Staff members should not take records home for any reason. I suggested you remind staff to keep all records and required documentation on-site at the facility at all times. 2. Children are not permitted to occupy space that is not approved for child care. Closets, hallways, storage areas, kitchen, bathrooms, utility areas, thresholds, foyers, and space used for administrative activities, such as the facility office, are not included in primary space and may not be used by children for any reason. The children may not use the foyer of the facility for any reason. You stated the children entered the foyer at approximately 9:30am. The children left the foyer and returned to their assigned classrooms at approximately 10:05am. 3. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, objects other than pacifiers are not permitted in the crib or sleep space. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. The sounds machines, mobiles, and blankets that were hanging in the cribs were removed during the visit and placed outside the sleeping space. The stuffed animal and blanket inside the cribs were also removed during the visit. I reviewed the statement on the safe sleep policy posted in the classroom which stated, “We do not allow any objects, such as, pillows, blankets, or toys other than pacifiers in the crib or sleep space”, with both you and the two (2) teachers present in Space #2a/b during the visit. Consultation: We reviewed a selection of children’s records, as well as program records, including fire drill logs, shelter-in-place/lockdown drill logs, playground inspections, and incident logs. I reminded you to complete the inspection forms, drill logs, and incident logs immediately after the inspection, drill, or incident occurs to ensure proper documentation is maintained. We reviewed child care rule .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES/10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. I reminded you that if you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 80 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 190 Time In: 09:40 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care rules during an Unannounced Follow-Up Visit. You, Amber Frady, Administrator, assisted me with the visit. Julia Armstrong, Investigations Consultant, accompanied me on the visit. The Secretary of State website was checked on October 26, 2023, and your business Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. When we arrived, seventy-three (73) children, one (1) through five (5) years of age, were in the foyer of the facility participating in a fire safety class with the Cramerton Fire Department. A walkthrough of the facility was conducted. Your facility operates with a five (5) star license issued October 4, 2019. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Four (4) new staff members were hired since the last visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. Seventeen (17) slips allowing permission to transport children assigned to Space #7c on a field trip on August 8, 2023, were not on file at the facility. The staff member assigned to Space #7c, C. Alysworth, traveled to their home and returned to the facility with the permission slips during the visit. G.S. 110-91(9); .0304(g); .2318 209 Children used space that was not approved. Seventy-three (73) children, one (1) through five (5) years of age, were in the foyer of the facility for at least thirty (30) minutes, participating in a special program. GS 110-91(1)&(4-5) 871 Center staff did not comply with the safe sleep policy. In Space #2a/b, three (3) cribs had sound machines hanging from the crib rails into the crib, three (3) cribs had mobiles hanging on the crib rail, one (1) crib had a stuffed animal lying on the crib mattress, and two (2) cribs had folded blankets hanging on the crib rails falling into the cribs. In Space #2a/b, one (1) sleeping infant, eight (8) months of age, had a small, plush blanket inside the crib, which was against the infant’s face. 10A NCAC 09 .0606(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 9, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 75%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All records, including Parental Permission for Transportation and Off-Premises Activities, must be maintained and on file at the facility for review at all times. Staff members should not take records home for any reason. I suggested you remind staff to keep all records and required documentation on-site at the facility at all times. 2. Children are not permitted to occupy space that is not approved for child care. Closets, hallways, storage areas, kitchen, bathrooms, utility areas, thresholds, foyers, and space used for administrative activities, such as the facility office, are not included in primary space and may not be used by children for any reason. The children may not use the foyer of the facility for any reason. You stated the children entered the foyer at approximately 9:30am. The children left the foyer and returned to their assigned classrooms at approximately 10:05am. 3. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, objects other than pacifiers are not permitted in the crib or sleep space. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. The sounds machines, mobiles, and blankets that were hanging in the cribs were removed during the visit and placed outside the sleeping space. The stuffed animal and blanket inside the cribs were also removed during the visit. I reviewed the statement on the safe sleep policy posted in the classroom which stated, “We do not allow any objects, such as, pillows, blankets, or toys other than pacifiers in the crib or sleep space”, with both you and the two (2) teachers present in Space #2a/b during the visit. Consultation: We reviewed a selection of children’s records, as well as program records, including fire drill logs, shelter-in-place/lockdown drill logs, playground inspections, and incident logs. I reminded you to complete the inspection forms, drill logs, and incident logs immediately after the inspection, drill, or incident occurs to ensure proper documentation is maintained. We reviewed child care rule .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES/10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. I reminded you that if you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-91 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 80 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 190 Time In: 09:40 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care rules during an Unannounced Follow-Up Visit. You, Amber Frady, Administrator, assisted me with the visit. Julia Armstrong, Investigations Consultant, accompanied me on the visit. The Secretary of State website was checked on October 26, 2023, and your business Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. When we arrived, seventy-three (73) children, one (1) through five (5) years of age, were in the foyer of the facility participating in a fire safety class with the Cramerton Fire Department. A walkthrough of the facility was conducted. Your facility operates with a five (5) star license issued October 4, 2019. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Four (4) new staff members were hired since the last visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. Seventeen (17) slips allowing permission to transport children assigned to Space #7c on a field trip on August 8, 2023, were not on file at the facility. The staff member assigned to Space #7c, C. Alysworth, traveled to their home and returned to the facility with the permission slips during the visit. G.S. 110-91(9); .0304(g); .2318 209 Children used space that was not approved. Seventy-three (73) children, one (1) through five (5) years of age, were in the foyer of the facility for at least thirty (30) minutes, participating in a special program. GS 110-91(1)&(4-5) 871 Center staff did not comply with the safe sleep policy. In Space #2a/b, three (3) cribs had sound machines hanging from the crib rails into the crib, three (3) cribs had mobiles hanging on the crib rail, one (1) crib had a stuffed animal lying on the crib mattress, and two (2) cribs had folded blankets hanging on the crib rails falling into the cribs. In Space #2a/b, one (1) sleeping infant, eight (8) months of age, had a small, plush blanket inside the crib, which was against the infant’s face. 10A NCAC 09 .0606(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 9, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 75%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All records, including Parental Permission for Transportation and Off-Premises Activities, must be maintained and on file at the facility for review at all times. Staff members should not take records home for any reason. I suggested you remind staff to keep all records and required documentation on-site at the facility at all times. 2. Children are not permitted to occupy space that is not approved for child care. Closets, hallways, storage areas, kitchen, bathrooms, utility areas, thresholds, foyers, and space used for administrative activities, such as the facility office, are not included in primary space and may not be used by children for any reason. The children may not use the foyer of the facility for any reason. You stated the children entered the foyer at approximately 9:30am. The children left the foyer and returned to their assigned classrooms at approximately 10:05am. 3. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, objects other than pacifiers are not permitted in the crib or sleep space. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. The sounds machines, mobiles, and blankets that were hanging in the cribs were removed during the visit and placed outside the sleeping space. The stuffed animal and blanket inside the cribs were also removed during the visit. I reviewed the statement on the safe sleep policy posted in the classroom which stated, “We do not allow any objects, such as, pillows, blankets, or toys other than pacifiers in the crib or sleep space”, with both you and the two (2) teachers present in Space #2a/b during the visit. Consultation: We reviewed a selection of children’s records, as well as program records, including fire drill logs, shelter-in-place/lockdown drill logs, playground inspections, and incident logs. I reminded you to complete the inspection forms, drill logs, and incident logs immediately after the inspection, drill, or incident occurs to ensure proper documentation is maintained. We reviewed child care rule .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES/10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. I reminded you that if you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS 110-91 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 80 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 190 Time In: 09:40 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care rules during an Unannounced Follow-Up Visit. You, Amber Frady, Administrator, assisted me with the visit. Julia Armstrong, Investigations Consultant, accompanied me on the visit. The Secretary of State website was checked on October 26, 2023, and your business Life4Kidz, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. When we arrived, seventy-three (73) children, one (1) through five (5) years of age, were in the foyer of the facility participating in a fire safety class with the Cramerton Fire Department. A walkthrough of the facility was conducted. Your facility operates with a five (5) star license issued October 4, 2019. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Four (4) new staff members were hired since the last visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. Seventeen (17) slips allowing permission to transport children assigned to Space #7c on a field trip on August 8, 2023, were not on file at the facility. The staff member assigned to Space #7c, C. Alysworth, traveled to their home and returned to the facility with the permission slips during the visit. G.S. 110-91(9); .0304(g); .2318 209 Children used space that was not approved. Seventy-three (73) children, one (1) through five (5) years of age, were in the foyer of the facility for at least thirty (30) minutes, participating in a special program. GS 110-91(1)&(4-5) 871 Center staff did not comply with the safe sleep policy. In Space #2a/b, three (3) cribs had sound machines hanging from the crib rails into the crib, three (3) cribs had mobiles hanging on the crib rail, one (1) crib had a stuffed animal lying on the crib mattress, and two (2) cribs had folded blankets hanging on the crib rails falling into the cribs. In Space #2a/b, one (1) sleeping infant, eight (8) months of age, had a small, plush blanket inside the crib, which was against the infant’s face. 10A NCAC 09 .0606(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 9, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 75%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All records, including Parental Permission for Transportation and Off-Premises Activities, must be maintained and on file at the facility for review at all times. Staff members should not take records home for any reason. I suggested you remind staff to keep all records and required documentation on-site at the facility at all times. 2. Children are not permitted to occupy space that is not approved for child care. Closets, hallways, storage areas, kitchen, bathrooms, utility areas, thresholds, foyers, and space used for administrative activities, such as the facility office, are not included in primary space and may not be used by children for any reason. The children may not use the foyer of the facility for any reason. You stated the children entered the foyer at approximately 9:30am. The children left the foyer and returned to their assigned classrooms at approximately 10:05am. 3. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, objects other than pacifiers are not permitted in the crib or sleep space. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. The sounds machines, mobiles, and blankets that were hanging in the cribs were removed during the visit and placed outside the sleeping space. The stuffed animal and blanket inside the cribs were also removed during the visit. I reviewed the statement on the safe sleep policy posted in the classroom which stated, “We do not allow any objects, such as, pillows, blankets, or toys other than pacifiers in the crib or sleep space”, with both you and the two (2) teachers present in Space #2a/b during the visit. Consultation: We reviewed a selection of children’s records, as well as program records, including fire drill logs, shelter-in-place/lockdown drill logs, playground inspections, and incident logs. I reminded you to complete the inspection forms, drill logs, and incident logs immediately after the inspection, drill, or incident occurs to ensure proper documentation is maintained. We reviewed child care rule .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES/10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. I reminded you that if you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0302 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 108 Completed Date: 9/6/2023 Age: From 0 To 10 Total Minutes: 481 Time In: 08:20 AM Time Out: 11:50 AM Time In: 12:44 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Amber Frady, Administrator, assisted me with today’s visit. Dinah Brown, Child Care Consultant, accompanied me on the visit. A checklist was used to note the requirements I monitored today. The NC Secretary of State website was viewed before the visit and Life4Kidz was current/active. You reported no changes in ownership to the facility. Your facility operates with a five (5) star license issued October 4, 2019. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The last sanitation inspection was conducted on April 5, 2023. A “superior” classification was issued with six (6) demerits noted on the grade card. The last fire inspection was conducted on April 5, 2023. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three (3) children were not signed out on August 10, 2023. In Space #3, two (2) children were not signed out on July 31, 2023, and one (1) child was not signed out on September 5, 2023. In Space #5a, one (1) child was not signed out on August 15, 2023. In Space #5b, one (1) child was not signed out on August 3, 2023, two (2) children were not signed out on August 4, 2023, one (1) child was not signed out on August 8, 2023, one (1) child was not signed out on August 10, 2023, one (1) child was not signed out on August 15, 2023, one (1) child was not signed out on August 16, 2023, three (3) children were not signed out on August 17, 2023, two (2) children were not signed out on August 21, 2023, one (1) child was not signed out on August 23, 2023, two (2) children were not signed in on August 25, 2023, and one (1) child was not signed out on August 30, 2023. In Space #6, two (2) children were not signed out on August 7, 2023, five (5) children were not signed out on August 16, 2023, and one (1) child was not signed out on August 18, 2023. In Space #7a, three (3) children were not signed out on August 3, 2023. In Space #7d1, one (1) child was not signed out on August 25, 2023, one (1) child was not signed out on August 29, 2023, and one (1) child was not signed out on August 30, 2023. 10A NCAC 09 .0302(d)(4) 209 Children used space that was not approved. Five (5) children, two (2) and three (3) years of age were participating in gymnastics in an unapproved space identified as the “music room”. GS 110-91(1)&(4-5) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On Playground #1, there were two (2) broken pieces of a clear, plastic container, with sharp edges. On Playground #1, the refrigerator door on the plastic kitchen play set was broken and cracked causing sharp edges. On Playground #2, there were three (3) cracked interlocking plastic blocks with sharp edges. On Playground #3, there were five (5) broken plastic toy pieces with sharp edges. .0601(c) 801 Written procedures were not established for pick-up and delivery of children. The facility did not have safe procedures for pick-up and delivery established or posted. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in July 2023. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #7c, eleven (11) bottles of sunscreen, and one (1) can of Off Active Insect Repellent were in an unlocked box in an unlocked cabinet to the left of the stage. On the “small bus” used to transport children, two (2) packets of Tylenol Extra Strength Tablets, and one (1) tube of Neosporin plus Pain Relief Cream were in an unlocked first aid kit in the compartment under the radio. 15A NCAC 18A .2820(d) 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 (1) staff member, employed on October 31, 2022, one (1) staff member, employed on April 11, 2022, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on December 10, 2021, one (1) staff member, employed on September 12, 2022, one (1) staff member, employed on December 5, 2022, and one (1) staff member, employed on May 23, 2022 did not have a medical exam on file. One (1) staff member, employed on February 13, 2023 had a medical exam on file dated April 8, 2023. 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 (1) staff member, employed on February 13, 2023, had the results of a TB test on file dated April 8, 2023. One (1) staff member, employed on November 9, 2022, had the results of a TB test on file dated February 10, 2020. One (1) staff member, employed on October 31, 2022, did not have the results of a TB test on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff member, employed on August 1, 2023, one (1) staff member, employed on October 31, 2022, one (1) staff member, employed on January 2, 2023, one (1) staff member, employed on June 5, 2023, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on June 8, 2023, one (1) staff member, employed on February 13, 2023, one (1) staff member, employed on May 2, 2023, one (1) staff member, employed on October 5, 2022, one (1) staff member, employed on November 15, 2022, one (1) staff member, employed on May 22, 2023, one (1) staff member, employed on November 9, 2022, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on September 12, 2022, one (1) staff member, employed on December 5, 2022, one (1) staff member, employed on September 2, 2022, one (1) staff member, employed on August 23, 2023, and one (1) staff member, employed on May 23, 2022 did not have record of completion of orientation. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff member, employed on June 16, 2016, completed nine (9) of the required ten (10) annual on-going training hours. One (1) staff member, employed on February 15, 2018, completed six and a half (6.5) of the required ten (10) annual on-going training hours. .1103(a) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. Documentation of receipt and review of the facility’s personnel and operational policies was not on file for one (1) staff member, employed on October 31, 2022 and one (1) staff member, employed on June 5, 2023. The documentation of receipt and review of the facility’s personnel and operational policies was dated August 28, 2023 for one (1) staff member, employed on December 5, 2022. 10A NCAC 09 .0514(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff member, employed on April 11, 2022, one (1) staff member, employed on August 16, 2010, one (1) staff member, employed on December 2, 2019, one (1) staff member, employed on April 21, 2022, one (1) staff member, employed on January 3, 2022, one (1) staff member, employed on December 10, 2021, one (1) staff member, employed on February 27, 2017, one (1) staff member, employed on May 23, 2022, one (1) staff member, employed on February 15, 2018, one (1) staff member, employed on September 2, 2022, and one (1) staff member, employed on May 23, 2022 did not have an Annual Staff Evaluation and Staff Development Plan on file within the past year. 10A NCAC 09 .0514(f) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency information for one (1) child, enrolled on August 16, 2022 was last updated August 11, 2022. The emergency information for one (1) child, enrolled on August 31, 2020 was last updated on February 10, 2022. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, enrolled on August 16, 2022, one (1) child, enrolled on April 11, 2023, one (1) child, enrolled on January 16, 2023, and one (1) child, enrolled on October 31, 2022 did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 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) child, enrolled on August 16, 2022, and one (1) child, enrolled on January 16, 2023, did not have an immunization record on file. 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 last shelter-in-place or lockdown drill was conducted on November 21, 2022. .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. No staff members reviewed the facility’s Emergency Preparedness and Response Plan within the past year or during orientation. The facility does not have an Emergency Preparedness and Response Plan on file. .0607(f) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. The new Administrator, hired on February 13, 2023, completed the Emergency Preparedness and Response Training on August 24, 2023. There was no Emergency Preparedness and Response Plan on file. .0607(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff member, employed on December 5, 2022, and one (1) staff member, employed on May 23, 2022, did not have a signature acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy on file. One (1) staff member, employed on May 2, 2023, had a signature on file acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy dated August 30, 2023. One (1) staff member, employed on October 31, 2022, had a signature on file acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy dated November 7, 2022. One (1) staff member, employed on January 2, 2023, had a signature on file acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy dated January 3, 2023. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #1, there was no Permission to Administer Medication Form for one (1) tube of Banana Boat Sport Ultra Sunscreen Lotion and one (1) tube of Babyganics SPF 50 Mineral Sunscreen. In Space #2a/b, the Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste expired on August 23, 2023. In Space #3, there was no Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste. In Space #4, there was no Permission to Administer Medication Form for one (1) tube of Boudreauxs Butt Paste Diaper Rash Ointment and two (2) tubes of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste. In Space #5a, there was no Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste, one (1) bottle of Blue Lizard Australian Sunscreen, and one (1) tube of Babo Botanicals Baby Skin Mineral Sunscreen. In Space #6, there was no Permission to Administer Medication form for one (1) tube of Babyganics SPF 50 Mineral Sunscreen. In Space #7a, there was no Permission to Administer Medication Form for one (1) can of Off Active Insect Repellent, one (1) bottle of Banana Boat Baby Mineral Based Sunscreen Lotion, one (1) tube of Babyganics SPF 50 Mineral Sunscreen, one (1) tube of Up and Up SPF 50 Sport Sunscreen, and one (1) Hawaiian Tropic Satin Protection Sun Lotion. In Space #7d1, there was no Permission to Administer Medication Form for one (2) bottle of Blue Lizard Australian Sunscreen, one (1) tube of Aveeno Baby Sensitive Skin Zinc Oxide Sunscreen, and one (1) tube of Sun Bum Kids Clear Sunscreen Lotion. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on May 23, 2023, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on June 8, 2023, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on December 5, 2022, one (1) staff member, employed on May 2, 2023, and one (1) staff member, employed on June 5, 2023, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training. One (1) staff member, employed on May 23, 2022, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training until September 4, 2022. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff members, both employed on May 23, 2022, did not complete the required health and safety trainings. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, enrolled on July 25, 2023, did not have a signature on file from the parent/guardian acknowledging the receipt and explanation of the facility’s Prevention of Shaken Baby Abusive Head Trauma Policy. .0608(b)(1-6) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The Administrator, employed on February 13, 2023, did not complete BSAC Training. One (1) staff member, employed on May 22, 2023, who is assigned to a school age group, did not complete BSAC Training. One (1) staff member, employed on May 2, 2023, who is assigned to a school age group, did not complete BSAC Training. One (1) staff member, employed on June 5, 2023, who is assigned to a school age group, did not complete BSAC Training. One (1) staff member, employed on January 2, 2023, who is assigned to a school age group, did not complete BSAC Training. .2510(j) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by September 20, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 78%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed at the entrance to each classroom. I suggested you remind staff to check the sign in and out systems daily to ensure each child is signed in and out of the facility every day. 2. Children are not permitted to occupy space that is not approved for child care. In order to add approved space to the facility, you must obtain approved building, fire, and sanitation inspections stating the space is approved for child care. Once these approved inspections are obtained, you may contact your child care consultant to request that the space be measured and approved. Effective immediately, children may not use the “music room” for any reason. 3. The staff member conducting playground inspections should thoroughly check the playground to ensure equipment and furnishings are sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions, and pinch and crush points. Any items that are considered hazardous, and all broken toys should be repaired or removed immediately. 4. Each center must establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures must be communicated to parents, and a copy must be posted in the center where they may be seen by the parents. I suggested you review your facility’s handbook and add procedures for safe pick-up and delivery. Once these procedures are created, you must post a copy of the procedures where they may be seen by parents. I provided you with procedures for writing safe pick-up and delivery procedures via email. 5. Fire drills must be conducted at least once a month and documented on a fire drill log. I suggested you set a reminder on your calendar and/or conduct fire drills on the same day as monthly playground inspections to ensure the drills are conducted as required. 6. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground) but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. You removed the medications from the first aid kit on the bus and locked the medication box in Space #7c during the visit. I suggested you check all new first aid kits to ensure no medications are contained inside and that you keep all boxes used to store medications locked at all times. 7. Child care providers and uncompensated providers who are not substitute providers or volunteers as including the director, must have a medical exam on file that is 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 may not be older than 12 months. I suggested you use the staff medical exam found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. You have staff file checklists inside each staff file. I suggested you use these checklists and review staff files regularly to ensure all information is on file in a timely manner. 8. All staff, including the director and individuals who volunteer more than once per week must have the results indicating the individual is free of active tuberculosis on file. This must be obtained within the 12 months prior to the date of employment and must be on file on or before the employee’s first day of work. New staff members should not be permitted to begin work until they have the results of a TB test showing negative results or screening form on file. I suggested you review staff files regularly to ensure all required information is on file in a timely manner. 9. Each center must 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 must complete six hours of orientation within the first two weeks of employment. Please use the Orientation Form found on the DCDEE website under the “Provider” tab. I provided you with this form via email. I suggested you set calendar reminders to ensure each new employee’s orientation is completed within the required timeframes. 10. After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, must participate in on-going training activities annually. Free, online training is available through DCDEE Moodle at https://www.dcdee.moodle.nc.gov/. The Partnership for Children of Lincoln and Gaston Counties also offers online and in-person trainings on a regular basis. You may view the Partnership’s training calendar by visiting https://www.eventbrite.com/o/partnership-for-children-of-lincoln-amp-gaston-counties-45331112. I provided you with an on-going training record via email. I suggested you use this form to track on-going training hours to ensure each employee receives the required number of annual training hours. 11. Personnel policies must be discussed with each employee at the time of employment and a copy of the policies must be available to all staff. Staff must be notified in writing of all changes in personnel policies. All personnel files of employees hired after April 1, 1999, must also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. I suggested you create a new employee packet to ensure all required policies are reviewed with staff members at the time of employment and documentation is maintained in each employee file. 12. All employees must have an Annual Staff Evaluation and Staff Development Plan on file. Each must be completed at least annually. I suggested you set a calendar reminder to ensure Staff Evaluations and Staff Development Plans are completed in a timely manner. 13. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually. 14. All children must have a medical exam and immunization record on file within the first thirty (30) days of enrollment. The medical assessment must be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam and immunization record during the enrollment process to ensure the documentation is on file in a timely manner. 15. Shelter-in-Place or Lockdown drills must be completed at least once every three (3) months. I suggested you create a calendar reminder to ensure drills are completed in a timely manner. Continue to document drills on the drill log form found on the DCDEE website. 16. Existing child care centers must have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Upon completion of the Emergency Preparedness and Response in Child Care training, the trained staff must develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care center will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disasters, or a dangerous person or persons in the vicinity, to ensure the safety and protection of the children and staff. The Emergency Preparedness and Response Plan must be reviewed and updated annually or as changes occur. You and six (6) additional staff members completed the Emergency Preparedness and Response training on August 24, 2023. I suggested you reach out to the trainer who conducted the class, or Kim Ward, Technical Assistant at the Partnership for Children of Lincoln and Gaston Counties at 704-922-0900 to request assistance in writing the facility’s Emergency Preparedness and Response Plan. I also suggested you set a calendar reminder to ensure the plan is reviewed and updated at least annually. 17. All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. All substitutes and volunteers counted in ratio must be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice must be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members after you review and update the plan each year. 18. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. Teachers should not accept a medication from a parent without an accompanying Permission to Administer Medication Form. Continue to use the forms found on the Division’s website under the “Provider Documents” tab. 19. All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you create a new employee packet to ensure all required documentation is reviewed and on file in a timely manner. 20. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/recognizing-responding-online-course/ I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. 21. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. 22. A copy of your facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy must be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. I suggested you review your enrollment packets to ensure all required forms and policies are included. 23. Staff, including the Administrator, in part-time, full day, or track-out school-age care programs required to complete BSAC training must do so within three (3) months of becoming employed. I suggested you reach out to the Partnership for Children of Lincoln and Gaston Counties at 7-4-922-0900 to request a BSAC training for staff assigned to the school age groups. Consultation: Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0514 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 108 Completed Date: 9/6/2023 Age: From 0 To 10 Total Minutes: 481 Time In: 08:20 AM Time Out: 11:50 AM Time In: 12:44 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Amber Frady, Administrator, assisted me with today’s visit. Dinah Brown, Child Care Consultant, accompanied me on the visit. A checklist was used to note the requirements I monitored today. The NC Secretary of State website was viewed before the visit and Life4Kidz was current/active. You reported no changes in ownership to the facility. Your facility operates with a five (5) star license issued October 4, 2019. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The last sanitation inspection was conducted on April 5, 2023. A “superior” classification was issued with six (6) demerits noted on the grade card. The last fire inspection was conducted on April 5, 2023. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three (3) children were not signed out on August 10, 2023. In Space #3, two (2) children were not signed out on July 31, 2023, and one (1) child was not signed out on September 5, 2023. In Space #5a, one (1) child was not signed out on August 15, 2023. In Space #5b, one (1) child was not signed out on August 3, 2023, two (2) children were not signed out on August 4, 2023, one (1) child was not signed out on August 8, 2023, one (1) child was not signed out on August 10, 2023, one (1) child was not signed out on August 15, 2023, one (1) child was not signed out on August 16, 2023, three (3) children were not signed out on August 17, 2023, two (2) children were not signed out on August 21, 2023, one (1) child was not signed out on August 23, 2023, two (2) children were not signed in on August 25, 2023, and one (1) child was not signed out on August 30, 2023. In Space #6, two (2) children were not signed out on August 7, 2023, five (5) children were not signed out on August 16, 2023, and one (1) child was not signed out on August 18, 2023. In Space #7a, three (3) children were not signed out on August 3, 2023. In Space #7d1, one (1) child was not signed out on August 25, 2023, one (1) child was not signed out on August 29, 2023, and one (1) child was not signed out on August 30, 2023. 10A NCAC 09 .0302(d)(4) 209 Children used space that was not approved. Five (5) children, two (2) and three (3) years of age were participating in gymnastics in an unapproved space identified as the “music room”. GS 110-91(1)&(4-5) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On Playground #1, there were two (2) broken pieces of a clear, plastic container, with sharp edges. On Playground #1, the refrigerator door on the plastic kitchen play set was broken and cracked causing sharp edges. On Playground #2, there were three (3) cracked interlocking plastic blocks with sharp edges. On Playground #3, there were five (5) broken plastic toy pieces with sharp edges. .0601(c) 801 Written procedures were not established for pick-up and delivery of children. The facility did not have safe procedures for pick-up and delivery established or posted. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in July 2023. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #7c, eleven (11) bottles of sunscreen, and one (1) can of Off Active Insect Repellent were in an unlocked box in an unlocked cabinet to the left of the stage. On the “small bus” used to transport children, two (2) packets of Tylenol Extra Strength Tablets, and one (1) tube of Neosporin plus Pain Relief Cream were in an unlocked first aid kit in the compartment under the radio. 15A NCAC 18A .2820(d) 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 (1) staff member, employed on October 31, 2022, one (1) staff member, employed on April 11, 2022, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on December 10, 2021, one (1) staff member, employed on September 12, 2022, one (1) staff member, employed on December 5, 2022, and one (1) staff member, employed on May 23, 2022 did not have a medical exam on file. One (1) staff member, employed on February 13, 2023 had a medical exam on file dated April 8, 2023. 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 (1) staff member, employed on February 13, 2023, had the results of a TB test on file dated April 8, 2023. One (1) staff member, employed on November 9, 2022, had the results of a TB test on file dated February 10, 2020. One (1) staff member, employed on October 31, 2022, did not have the results of a TB test on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff member, employed on August 1, 2023, one (1) staff member, employed on October 31, 2022, one (1) staff member, employed on January 2, 2023, one (1) staff member, employed on June 5, 2023, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on June 8, 2023, one (1) staff member, employed on February 13, 2023, one (1) staff member, employed on May 2, 2023, one (1) staff member, employed on October 5, 2022, one (1) staff member, employed on November 15, 2022, one (1) staff member, employed on May 22, 2023, one (1) staff member, employed on November 9, 2022, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on September 12, 2022, one (1) staff member, employed on December 5, 2022, one (1) staff member, employed on September 2, 2022, one (1) staff member, employed on August 23, 2023, and one (1) staff member, employed on May 23, 2022 did not have record of completion of orientation. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff member, employed on June 16, 2016, completed nine (9) of the required ten (10) annual on-going training hours. One (1) staff member, employed on February 15, 2018, completed six and a half (6.5) of the required ten (10) annual on-going training hours. .1103(a) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. Documentation of receipt and review of the facility’s personnel and operational policies was not on file for one (1) staff member, employed on October 31, 2022 and one (1) staff member, employed on June 5, 2023. The documentation of receipt and review of the facility’s personnel and operational policies was dated August 28, 2023 for one (1) staff member, employed on December 5, 2022. 10A NCAC 09 .0514(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff member, employed on April 11, 2022, one (1) staff member, employed on August 16, 2010, one (1) staff member, employed on December 2, 2019, one (1) staff member, employed on April 21, 2022, one (1) staff member, employed on January 3, 2022, one (1) staff member, employed on December 10, 2021, one (1) staff member, employed on February 27, 2017, one (1) staff member, employed on May 23, 2022, one (1) staff member, employed on February 15, 2018, one (1) staff member, employed on September 2, 2022, and one (1) staff member, employed on May 23, 2022 did not have an Annual Staff Evaluation and Staff Development Plan on file within the past year. 10A NCAC 09 .0514(f) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency information for one (1) child, enrolled on August 16, 2022 was last updated August 11, 2022. The emergency information for one (1) child, enrolled on August 31, 2020 was last updated on February 10, 2022. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, enrolled on August 16, 2022, one (1) child, enrolled on April 11, 2023, one (1) child, enrolled on January 16, 2023, and one (1) child, enrolled on October 31, 2022 did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 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) child, enrolled on August 16, 2022, and one (1) child, enrolled on January 16, 2023, did not have an immunization record on file. 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 last shelter-in-place or lockdown drill was conducted on November 21, 2022. .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. No staff members reviewed the facility’s Emergency Preparedness and Response Plan within the past year or during orientation. The facility does not have an Emergency Preparedness and Response Plan on file. .0607(f) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. The new Administrator, hired on February 13, 2023, completed the Emergency Preparedness and Response Training on August 24, 2023. There was no Emergency Preparedness and Response Plan on file. .0607(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff member, employed on December 5, 2022, and one (1) staff member, employed on May 23, 2022, did not have a signature acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy on file. One (1) staff member, employed on May 2, 2023, had a signature on file acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy dated August 30, 2023. One (1) staff member, employed on October 31, 2022, had a signature on file acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy dated November 7, 2022. One (1) staff member, employed on January 2, 2023, had a signature on file acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy dated January 3, 2023. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #1, there was no Permission to Administer Medication Form for one (1) tube of Banana Boat Sport Ultra Sunscreen Lotion and one (1) tube of Babyganics SPF 50 Mineral Sunscreen. In Space #2a/b, the Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste expired on August 23, 2023. In Space #3, there was no Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste. In Space #4, there was no Permission to Administer Medication Form for one (1) tube of Boudreauxs Butt Paste Diaper Rash Ointment and two (2) tubes of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste. In Space #5a, there was no Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste, one (1) bottle of Blue Lizard Australian Sunscreen, and one (1) tube of Babo Botanicals Baby Skin Mineral Sunscreen. In Space #6, there was no Permission to Administer Medication form for one (1) tube of Babyganics SPF 50 Mineral Sunscreen. In Space #7a, there was no Permission to Administer Medication Form for one (1) can of Off Active Insect Repellent, one (1) bottle of Banana Boat Baby Mineral Based Sunscreen Lotion, one (1) tube of Babyganics SPF 50 Mineral Sunscreen, one (1) tube of Up and Up SPF 50 Sport Sunscreen, and one (1) Hawaiian Tropic Satin Protection Sun Lotion. In Space #7d1, there was no Permission to Administer Medication Form for one (2) bottle of Blue Lizard Australian Sunscreen, one (1) tube of Aveeno Baby Sensitive Skin Zinc Oxide Sunscreen, and one (1) tube of Sun Bum Kids Clear Sunscreen Lotion. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on May 23, 2023, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on June 8, 2023, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on December 5, 2022, one (1) staff member, employed on May 2, 2023, and one (1) staff member, employed on June 5, 2023, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training. One (1) staff member, employed on May 23, 2022, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training until September 4, 2022. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff members, both employed on May 23, 2022, did not complete the required health and safety trainings. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, enrolled on July 25, 2023, did not have a signature on file from the parent/guardian acknowledging the receipt and explanation of the facility’s Prevention of Shaken Baby Abusive Head Trauma Policy. .0608(b)(1-6) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The Administrator, employed on February 13, 2023, did not complete BSAC Training. One (1) staff member, employed on May 22, 2023, who is assigned to a school age group, did not complete BSAC Training. One (1) staff member, employed on May 2, 2023, who is assigned to a school age group, did not complete BSAC Training. One (1) staff member, employed on June 5, 2023, who is assigned to a school age group, did not complete BSAC Training. One (1) staff member, employed on January 2, 2023, who is assigned to a school age group, did not complete BSAC Training. .2510(j) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by September 20, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 78%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed at the entrance to each classroom. I suggested you remind staff to check the sign in and out systems daily to ensure each child is signed in and out of the facility every day. 2. Children are not permitted to occupy space that is not approved for child care. In order to add approved space to the facility, you must obtain approved building, fire, and sanitation inspections stating the space is approved for child care. Once these approved inspections are obtained, you may contact your child care consultant to request that the space be measured and approved. Effective immediately, children may not use the “music room” for any reason. 3. The staff member conducting playground inspections should thoroughly check the playground to ensure equipment and furnishings are sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions, and pinch and crush points. Any items that are considered hazardous, and all broken toys should be repaired or removed immediately. 4. Each center must establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures must be communicated to parents, and a copy must be posted in the center where they may be seen by the parents. I suggested you review your facility’s handbook and add procedures for safe pick-up and delivery. Once these procedures are created, you must post a copy of the procedures where they may be seen by parents. I provided you with procedures for writing safe pick-up and delivery procedures via email. 5. Fire drills must be conducted at least once a month and documented on a fire drill log. I suggested you set a reminder on your calendar and/or conduct fire drills on the same day as monthly playground inspections to ensure the drills are conducted as required. 6. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground) but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. You removed the medications from the first aid kit on the bus and locked the medication box in Space #7c during the visit. I suggested you check all new first aid kits to ensure no medications are contained inside and that you keep all boxes used to store medications locked at all times. 7. Child care providers and uncompensated providers who are not substitute providers or volunteers as including the director, must have a medical exam on file that is 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 may not be older than 12 months. I suggested you use the staff medical exam found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. You have staff file checklists inside each staff file. I suggested you use these checklists and review staff files regularly to ensure all information is on file in a timely manner. 8. All staff, including the director and individuals who volunteer more than once per week must have the results indicating the individual is free of active tuberculosis on file. This must be obtained within the 12 months prior to the date of employment and must be on file on or before the employee’s first day of work. New staff members should not be permitted to begin work until they have the results of a TB test showing negative results or screening form on file. I suggested you review staff files regularly to ensure all required information is on file in a timely manner. 9. Each center must 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 must complete six hours of orientation within the first two weeks of employment. Please use the Orientation Form found on the DCDEE website under the “Provider” tab. I provided you with this form via email. I suggested you set calendar reminders to ensure each new employee’s orientation is completed within the required timeframes. 10. After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, must participate in on-going training activities annually. Free, online training is available through DCDEE Moodle at https://www.dcdee.moodle.nc.gov/. The Partnership for Children of Lincoln and Gaston Counties also offers online and in-person trainings on a regular basis. You may view the Partnership’s training calendar by visiting https://www.eventbrite.com/o/partnership-for-children-of-lincoln-amp-gaston-counties-45331112. I provided you with an on-going training record via email. I suggested you use this form to track on-going training hours to ensure each employee receives the required number of annual training hours. 11. Personnel policies must be discussed with each employee at the time of employment and a copy of the policies must be available to all staff. Staff must be notified in writing of all changes in personnel policies. All personnel files of employees hired after April 1, 1999, must also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. I suggested you create a new employee packet to ensure all required policies are reviewed with staff members at the time of employment and documentation is maintained in each employee file. 12. All employees must have an Annual Staff Evaluation and Staff Development Plan on file. Each must be completed at least annually. I suggested you set a calendar reminder to ensure Staff Evaluations and Staff Development Plans are completed in a timely manner. 13. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually. 14. All children must have a medical exam and immunization record on file within the first thirty (30) days of enrollment. The medical assessment must be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam and immunization record during the enrollment process to ensure the documentation is on file in a timely manner. 15. Shelter-in-Place or Lockdown drills must be completed at least once every three (3) months. I suggested you create a calendar reminder to ensure drills are completed in a timely manner. Continue to document drills on the drill log form found on the DCDEE website. 16. Existing child care centers must have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Upon completion of the Emergency Preparedness and Response in Child Care training, the trained staff must develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care center will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disasters, or a dangerous person or persons in the vicinity, to ensure the safety and protection of the children and staff. The Emergency Preparedness and Response Plan must be reviewed and updated annually or as changes occur. You and six (6) additional staff members completed the Emergency Preparedness and Response training on August 24, 2023. I suggested you reach out to the trainer who conducted the class, or Kim Ward, Technical Assistant at the Partnership for Children of Lincoln and Gaston Counties at 704-922-0900 to request assistance in writing the facility’s Emergency Preparedness and Response Plan. I also suggested you set a calendar reminder to ensure the plan is reviewed and updated at least annually. 17. All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. All substitutes and volunteers counted in ratio must be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice must be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members after you review and update the plan each year. 18. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. Teachers should not accept a medication from a parent without an accompanying Permission to Administer Medication Form. Continue to use the forms found on the Division’s website under the “Provider Documents” tab. 19. All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you create a new employee packet to ensure all required documentation is reviewed and on file in a timely manner. 20. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/recognizing-responding-online-course/ I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. 21. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. 22. A copy of your facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy must be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. I suggested you review your enrollment packets to ensure all required forms and policies are included. 23. Staff, including the Administrator, in part-time, full day, or track-out school-age care programs required to complete BSAC training must do so within three (3) months of becoming employed. I suggested you reach out to the Partnership for Children of Lincoln and Gaston Counties at 7-4-922-0900 to request a BSAC training for staff assigned to the school age groups. Consultation: Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0701 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 108 Completed Date: 9/6/2023 Age: From 0 To 10 Total Minutes: 481 Time In: 08:20 AM Time Out: 11:50 AM Time In: 12:44 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Amber Frady, Administrator, assisted me with today’s visit. Dinah Brown, Child Care Consultant, accompanied me on the visit. A checklist was used to note the requirements I monitored today. The NC Secretary of State website was viewed before the visit and Life4Kidz was current/active. You reported no changes in ownership to the facility. Your facility operates with a five (5) star license issued October 4, 2019. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The last sanitation inspection was conducted on April 5, 2023. A “superior” classification was issued with six (6) demerits noted on the grade card. The last fire inspection was conducted on April 5, 2023. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three (3) children were not signed out on August 10, 2023. In Space #3, two (2) children were not signed out on July 31, 2023, and one (1) child was not signed out on September 5, 2023. In Space #5a, one (1) child was not signed out on August 15, 2023. In Space #5b, one (1) child was not signed out on August 3, 2023, two (2) children were not signed out on August 4, 2023, one (1) child was not signed out on August 8, 2023, one (1) child was not signed out on August 10, 2023, one (1) child was not signed out on August 15, 2023, one (1) child was not signed out on August 16, 2023, three (3) children were not signed out on August 17, 2023, two (2) children were not signed out on August 21, 2023, one (1) child was not signed out on August 23, 2023, two (2) children were not signed in on August 25, 2023, and one (1) child was not signed out on August 30, 2023. In Space #6, two (2) children were not signed out on August 7, 2023, five (5) children were not signed out on August 16, 2023, and one (1) child was not signed out on August 18, 2023. In Space #7a, three (3) children were not signed out on August 3, 2023. In Space #7d1, one (1) child was not signed out on August 25, 2023, one (1) child was not signed out on August 29, 2023, and one (1) child was not signed out on August 30, 2023. 10A NCAC 09 .0302(d)(4) 209 Children used space that was not approved. Five (5) children, two (2) and three (3) years of age were participating in gymnastics in an unapproved space identified as the “music room”. GS 110-91(1)&(4-5) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On Playground #1, there were two (2) broken pieces of a clear, plastic container, with sharp edges. On Playground #1, the refrigerator door on the plastic kitchen play set was broken and cracked causing sharp edges. On Playground #2, there were three (3) cracked interlocking plastic blocks with sharp edges. On Playground #3, there were five (5) broken plastic toy pieces with sharp edges. .0601(c) 801 Written procedures were not established for pick-up and delivery of children. The facility did not have safe procedures for pick-up and delivery established or posted. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in July 2023. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #7c, eleven (11) bottles of sunscreen, and one (1) can of Off Active Insect Repellent were in an unlocked box in an unlocked cabinet to the left of the stage. On the “small bus” used to transport children, two (2) packets of Tylenol Extra Strength Tablets, and one (1) tube of Neosporin plus Pain Relief Cream were in an unlocked first aid kit in the compartment under the radio. 15A NCAC 18A .2820(d) 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 (1) staff member, employed on October 31, 2022, one (1) staff member, employed on April 11, 2022, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on December 10, 2021, one (1) staff member, employed on September 12, 2022, one (1) staff member, employed on December 5, 2022, and one (1) staff member, employed on May 23, 2022 did not have a medical exam on file. One (1) staff member, employed on February 13, 2023 had a medical exam on file dated April 8, 2023. 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 (1) staff member, employed on February 13, 2023, had the results of a TB test on file dated April 8, 2023. One (1) staff member, employed on November 9, 2022, had the results of a TB test on file dated February 10, 2020. One (1) staff member, employed on October 31, 2022, did not have the results of a TB test on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff member, employed on August 1, 2023, one (1) staff member, employed on October 31, 2022, one (1) staff member, employed on January 2, 2023, one (1) staff member, employed on June 5, 2023, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on June 8, 2023, one (1) staff member, employed on February 13, 2023, one (1) staff member, employed on May 2, 2023, one (1) staff member, employed on October 5, 2022, one (1) staff member, employed on November 15, 2022, one (1) staff member, employed on May 22, 2023, one (1) staff member, employed on November 9, 2022, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on September 12, 2022, one (1) staff member, employed on December 5, 2022, one (1) staff member, employed on September 2, 2022, one (1) staff member, employed on August 23, 2023, and one (1) staff member, employed on May 23, 2022 did not have record of completion of orientation. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff member, employed on June 16, 2016, completed nine (9) of the required ten (10) annual on-going training hours. One (1) staff member, employed on February 15, 2018, completed six and a half (6.5) of the required ten (10) annual on-going training hours. .1103(a) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. Documentation of receipt and review of the facility’s personnel and operational policies was not on file for one (1) staff member, employed on October 31, 2022 and one (1) staff member, employed on June 5, 2023. The documentation of receipt and review of the facility’s personnel and operational policies was dated August 28, 2023 for one (1) staff member, employed on December 5, 2022. 10A NCAC 09 .0514(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff member, employed on April 11, 2022, one (1) staff member, employed on August 16, 2010, one (1) staff member, employed on December 2, 2019, one (1) staff member, employed on April 21, 2022, one (1) staff member, employed on January 3, 2022, one (1) staff member, employed on December 10, 2021, one (1) staff member, employed on February 27, 2017, one (1) staff member, employed on May 23, 2022, one (1) staff member, employed on February 15, 2018, one (1) staff member, employed on September 2, 2022, and one (1) staff member, employed on May 23, 2022 did not have an Annual Staff Evaluation and Staff Development Plan on file within the past year. 10A NCAC 09 .0514(f) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency information for one (1) child, enrolled on August 16, 2022 was last updated August 11, 2022. The emergency information for one (1) child, enrolled on August 31, 2020 was last updated on February 10, 2022. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, enrolled on August 16, 2022, one (1) child, enrolled on April 11, 2023, one (1) child, enrolled on January 16, 2023, and one (1) child, enrolled on October 31, 2022 did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 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) child, enrolled on August 16, 2022, and one (1) child, enrolled on January 16, 2023, did not have an immunization record on file. 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 last shelter-in-place or lockdown drill was conducted on November 21, 2022. .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. No staff members reviewed the facility’s Emergency Preparedness and Response Plan within the past year or during orientation. The facility does not have an Emergency Preparedness and Response Plan on file. .0607(f) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. The new Administrator, hired on February 13, 2023, completed the Emergency Preparedness and Response Training on August 24, 2023. There was no Emergency Preparedness and Response Plan on file. .0607(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff member, employed on December 5, 2022, and one (1) staff member, employed on May 23, 2022, did not have a signature acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy on file. One (1) staff member, employed on May 2, 2023, had a signature on file acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy dated August 30, 2023. One (1) staff member, employed on October 31, 2022, had a signature on file acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy dated November 7, 2022. One (1) staff member, employed on January 2, 2023, had a signature on file acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy dated January 3, 2023. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #1, there was no Permission to Administer Medication Form for one (1) tube of Banana Boat Sport Ultra Sunscreen Lotion and one (1) tube of Babyganics SPF 50 Mineral Sunscreen. In Space #2a/b, the Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste expired on August 23, 2023. In Space #3, there was no Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste. In Space #4, there was no Permission to Administer Medication Form for one (1) tube of Boudreauxs Butt Paste Diaper Rash Ointment and two (2) tubes of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste. In Space #5a, there was no Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste, one (1) bottle of Blue Lizard Australian Sunscreen, and one (1) tube of Babo Botanicals Baby Skin Mineral Sunscreen. In Space #6, there was no Permission to Administer Medication form for one (1) tube of Babyganics SPF 50 Mineral Sunscreen. In Space #7a, there was no Permission to Administer Medication Form for one (1) can of Off Active Insect Repellent, one (1) bottle of Banana Boat Baby Mineral Based Sunscreen Lotion, one (1) tube of Babyganics SPF 50 Mineral Sunscreen, one (1) tube of Up and Up SPF 50 Sport Sunscreen, and one (1) Hawaiian Tropic Satin Protection Sun Lotion. In Space #7d1, there was no Permission to Administer Medication Form for one (2) bottle of Blue Lizard Australian Sunscreen, one (1) tube of Aveeno Baby Sensitive Skin Zinc Oxide Sunscreen, and one (1) tube of Sun Bum Kids Clear Sunscreen Lotion. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on May 23, 2023, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on June 8, 2023, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on December 5, 2022, one (1) staff member, employed on May 2, 2023, and one (1) staff member, employed on June 5, 2023, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training. One (1) staff member, employed on May 23, 2022, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training until September 4, 2022. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff members, both employed on May 23, 2022, did not complete the required health and safety trainings. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, enrolled on July 25, 2023, did not have a signature on file from the parent/guardian acknowledging the receipt and explanation of the facility’s Prevention of Shaken Baby Abusive Head Trauma Policy. .0608(b)(1-6) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The Administrator, employed on February 13, 2023, did not complete BSAC Training. One (1) staff member, employed on May 22, 2023, who is assigned to a school age group, did not complete BSAC Training. One (1) staff member, employed on May 2, 2023, who is assigned to a school age group, did not complete BSAC Training. One (1) staff member, employed on June 5, 2023, who is assigned to a school age group, did not complete BSAC Training. One (1) staff member, employed on January 2, 2023, who is assigned to a school age group, did not complete BSAC Training. .2510(j) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by September 20, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 78%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed at the entrance to each classroom. I suggested you remind staff to check the sign in and out systems daily to ensure each child is signed in and out of the facility every day. 2. Children are not permitted to occupy space that is not approved for child care. In order to add approved space to the facility, you must obtain approved building, fire, and sanitation inspections stating the space is approved for child care. Once these approved inspections are obtained, you may contact your child care consultant to request that the space be measured and approved. Effective immediately, children may not use the “music room” for any reason. 3. The staff member conducting playground inspections should thoroughly check the playground to ensure equipment and furnishings are sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions, and pinch and crush points. Any items that are considered hazardous, and all broken toys should be repaired or removed immediately. 4. Each center must establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures must be communicated to parents, and a copy must be posted in the center where they may be seen by the parents. I suggested you review your facility’s handbook and add procedures for safe pick-up and delivery. Once these procedures are created, you must post a copy of the procedures where they may be seen by parents. I provided you with procedures for writing safe pick-up and delivery procedures via email. 5. Fire drills must be conducted at least once a month and documented on a fire drill log. I suggested you set a reminder on your calendar and/or conduct fire drills on the same day as monthly playground inspections to ensure the drills are conducted as required. 6. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground) but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. You removed the medications from the first aid kit on the bus and locked the medication box in Space #7c during the visit. I suggested you check all new first aid kits to ensure no medications are contained inside and that you keep all boxes used to store medications locked at all times. 7. Child care providers and uncompensated providers who are not substitute providers or volunteers as including the director, must have a medical exam on file that is 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 may not be older than 12 months. I suggested you use the staff medical exam found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. You have staff file checklists inside each staff file. I suggested you use these checklists and review staff files regularly to ensure all information is on file in a timely manner. 8. All staff, including the director and individuals who volunteer more than once per week must have the results indicating the individual is free of active tuberculosis on file. This must be obtained within the 12 months prior to the date of employment and must be on file on or before the employee’s first day of work. New staff members should not be permitted to begin work until they have the results of a TB test showing negative results or screening form on file. I suggested you review staff files regularly to ensure all required information is on file in a timely manner. 9. Each center must 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 must complete six hours of orientation within the first two weeks of employment. Please use the Orientation Form found on the DCDEE website under the “Provider” tab. I provided you with this form via email. I suggested you set calendar reminders to ensure each new employee’s orientation is completed within the required timeframes. 10. After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, must participate in on-going training activities annually. Free, online training is available through DCDEE Moodle at https://www.dcdee.moodle.nc.gov/. The Partnership for Children of Lincoln and Gaston Counties also offers online and in-person trainings on a regular basis. You may view the Partnership’s training calendar by visiting https://www.eventbrite.com/o/partnership-for-children-of-lincoln-amp-gaston-counties-45331112. I provided you with an on-going training record via email. I suggested you use this form to track on-going training hours to ensure each employee receives the required number of annual training hours. 11. Personnel policies must be discussed with each employee at the time of employment and a copy of the policies must be available to all staff. Staff must be notified in writing of all changes in personnel policies. All personnel files of employees hired after April 1, 1999, must also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. I suggested you create a new employee packet to ensure all required policies are reviewed with staff members at the time of employment and documentation is maintained in each employee file. 12. All employees must have an Annual Staff Evaluation and Staff Development Plan on file. Each must be completed at least annually. I suggested you set a calendar reminder to ensure Staff Evaluations and Staff Development Plans are completed in a timely manner. 13. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually. 14. All children must have a medical exam and immunization record on file within the first thirty (30) days of enrollment. The medical assessment must be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam and immunization record during the enrollment process to ensure the documentation is on file in a timely manner. 15. Shelter-in-Place or Lockdown drills must be completed at least once every three (3) months. I suggested you create a calendar reminder to ensure drills are completed in a timely manner. Continue to document drills on the drill log form found on the DCDEE website. 16. Existing child care centers must have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Upon completion of the Emergency Preparedness and Response in Child Care training, the trained staff must develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care center will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disasters, or a dangerous person or persons in the vicinity, to ensure the safety and protection of the children and staff. The Emergency Preparedness and Response Plan must be reviewed and updated annually or as changes occur. You and six (6) additional staff members completed the Emergency Preparedness and Response training on August 24, 2023. I suggested you reach out to the trainer who conducted the class, or Kim Ward, Technical Assistant at the Partnership for Children of Lincoln and Gaston Counties at 704-922-0900 to request assistance in writing the facility’s Emergency Preparedness and Response Plan. I also suggested you set a calendar reminder to ensure the plan is reviewed and updated at least annually. 17. All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. All substitutes and volunteers counted in ratio must be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice must be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members after you review and update the plan each year. 18. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. Teachers should not accept a medication from a parent without an accompanying Permission to Administer Medication Form. Continue to use the forms found on the Division’s website under the “Provider Documents” tab. 19. All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you create a new employee packet to ensure all required documentation is reviewed and on file in a timely manner. 20. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/recognizing-responding-online-course/ I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. 21. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. 22. A copy of your facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy must be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. I suggested you review your enrollment packets to ensure all required forms and policies are included. 23. Staff, including the Administrator, in part-time, full day, or track-out school-age care programs required to complete BSAC training must do so within three (3) months of becoming employed. I suggested you reach out to the Partnership for Children of Lincoln and Gaston Counties at 7-4-922-0900 to request a BSAC training for staff assigned to the school age groups. Consultation: Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 108 Completed Date: 9/6/2023 Age: From 0 To 10 Total Minutes: 481 Time In: 08:20 AM Time Out: 11:50 AM Time In: 12:44 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Amber Frady, Administrator, assisted me with today’s visit. Dinah Brown, Child Care Consultant, accompanied me on the visit. A checklist was used to note the requirements I monitored today. The NC Secretary of State website was viewed before the visit and Life4Kidz was current/active. You reported no changes in ownership to the facility. Your facility operates with a five (5) star license issued October 4, 2019. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The last sanitation inspection was conducted on April 5, 2023. A “superior” classification was issued with six (6) demerits noted on the grade card. The last fire inspection was conducted on April 5, 2023. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three (3) children were not signed out on August 10, 2023. In Space #3, two (2) children were not signed out on July 31, 2023, and one (1) child was not signed out on September 5, 2023. In Space #5a, one (1) child was not signed out on August 15, 2023. In Space #5b, one (1) child was not signed out on August 3, 2023, two (2) children were not signed out on August 4, 2023, one (1) child was not signed out on August 8, 2023, one (1) child was not signed out on August 10, 2023, one (1) child was not signed out on August 15, 2023, one (1) child was not signed out on August 16, 2023, three (3) children were not signed out on August 17, 2023, two (2) children were not signed out on August 21, 2023, one (1) child was not signed out on August 23, 2023, two (2) children were not signed in on August 25, 2023, and one (1) child was not signed out on August 30, 2023. In Space #6, two (2) children were not signed out on August 7, 2023, five (5) children were not signed out on August 16, 2023, and one (1) child was not signed out on August 18, 2023. In Space #7a, three (3) children were not signed out on August 3, 2023. In Space #7d1, one (1) child was not signed out on August 25, 2023, one (1) child was not signed out on August 29, 2023, and one (1) child was not signed out on August 30, 2023. 10A NCAC 09 .0302(d)(4) 209 Children used space that was not approved. Five (5) children, two (2) and three (3) years of age were participating in gymnastics in an unapproved space identified as the “music room”. GS 110-91(1)&(4-5) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On Playground #1, there were two (2) broken pieces of a clear, plastic container, with sharp edges. On Playground #1, the refrigerator door on the plastic kitchen play set was broken and cracked causing sharp edges. On Playground #2, there were three (3) cracked interlocking plastic blocks with sharp edges. On Playground #3, there were five (5) broken plastic toy pieces with sharp edges. .0601(c) 801 Written procedures were not established for pick-up and delivery of children. The facility did not have safe procedures for pick-up and delivery established or posted. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in July 2023. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #7c, eleven (11) bottles of sunscreen, and one (1) can of Off Active Insect Repellent were in an unlocked box in an unlocked cabinet to the left of the stage. On the “small bus” used to transport children, two (2) packets of Tylenol Extra Strength Tablets, and one (1) tube of Neosporin plus Pain Relief Cream were in an unlocked first aid kit in the compartment under the radio. 15A NCAC 18A .2820(d) 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 (1) staff member, employed on October 31, 2022, one (1) staff member, employed on April 11, 2022, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on December 10, 2021, one (1) staff member, employed on September 12, 2022, one (1) staff member, employed on December 5, 2022, and one (1) staff member, employed on May 23, 2022 did not have a medical exam on file. One (1) staff member, employed on February 13, 2023 had a medical exam on file dated April 8, 2023. 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 (1) staff member, employed on February 13, 2023, had the results of a TB test on file dated April 8, 2023. One (1) staff member, employed on November 9, 2022, had the results of a TB test on file dated February 10, 2020. One (1) staff member, employed on October 31, 2022, did not have the results of a TB test on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff member, employed on August 1, 2023, one (1) staff member, employed on October 31, 2022, one (1) staff member, employed on January 2, 2023, one (1) staff member, employed on June 5, 2023, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on June 8, 2023, one (1) staff member, employed on February 13, 2023, one (1) staff member, employed on May 2, 2023, one (1) staff member, employed on October 5, 2022, one (1) staff member, employed on November 15, 2022, one (1) staff member, employed on May 22, 2023, one (1) staff member, employed on November 9, 2022, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on September 12, 2022, one (1) staff member, employed on December 5, 2022, one (1) staff member, employed on September 2, 2022, one (1) staff member, employed on August 23, 2023, and one (1) staff member, employed on May 23, 2022 did not have record of completion of orientation. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff member, employed on June 16, 2016, completed nine (9) of the required ten (10) annual on-going training hours. One (1) staff member, employed on February 15, 2018, completed six and a half (6.5) of the required ten (10) annual on-going training hours. .1103(a) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. Documentation of receipt and review of the facility’s personnel and operational policies was not on file for one (1) staff member, employed on October 31, 2022 and one (1) staff member, employed on June 5, 2023. The documentation of receipt and review of the facility’s personnel and operational policies was dated August 28, 2023 for one (1) staff member, employed on December 5, 2022. 10A NCAC 09 .0514(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff member, employed on April 11, 2022, one (1) staff member, employed on August 16, 2010, one (1) staff member, employed on December 2, 2019, one (1) staff member, employed on April 21, 2022, one (1) staff member, employed on January 3, 2022, one (1) staff member, employed on December 10, 2021, one (1) staff member, employed on February 27, 2017, one (1) staff member, employed on May 23, 2022, one (1) staff member, employed on February 15, 2018, one (1) staff member, employed on September 2, 2022, and one (1) staff member, employed on May 23, 2022 did not have an Annual Staff Evaluation and Staff Development Plan on file within the past year. 10A NCAC 09 .0514(f) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency information for one (1) child, enrolled on August 16, 2022 was last updated August 11, 2022. The emergency information for one (1) child, enrolled on August 31, 2020 was last updated on February 10, 2022. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, enrolled on August 16, 2022, one (1) child, enrolled on April 11, 2023, one (1) child, enrolled on January 16, 2023, and one (1) child, enrolled on October 31, 2022 did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 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) child, enrolled on August 16, 2022, and one (1) child, enrolled on January 16, 2023, did not have an immunization record on file. 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 last shelter-in-place or lockdown drill was conducted on November 21, 2022. .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. No staff members reviewed the facility’s Emergency Preparedness and Response Plan within the past year or during orientation. The facility does not have an Emergency Preparedness and Response Plan on file. .0607(f) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. The new Administrator, hired on February 13, 2023, completed the Emergency Preparedness and Response Training on August 24, 2023. There was no Emergency Preparedness and Response Plan on file. .0607(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff member, employed on December 5, 2022, and one (1) staff member, employed on May 23, 2022, did not have a signature acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy on file. One (1) staff member, employed on May 2, 2023, had a signature on file acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy dated August 30, 2023. One (1) staff member, employed on October 31, 2022, had a signature on file acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy dated November 7, 2022. One (1) staff member, employed on January 2, 2023, had a signature on file acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy dated January 3, 2023. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #1, there was no Permission to Administer Medication Form for one (1) tube of Banana Boat Sport Ultra Sunscreen Lotion and one (1) tube of Babyganics SPF 50 Mineral Sunscreen. In Space #2a/b, the Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste expired on August 23, 2023. In Space #3, there was no Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste. In Space #4, there was no Permission to Administer Medication Form for one (1) tube of Boudreauxs Butt Paste Diaper Rash Ointment and two (2) tubes of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste. In Space #5a, there was no Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste, one (1) bottle of Blue Lizard Australian Sunscreen, and one (1) tube of Babo Botanicals Baby Skin Mineral Sunscreen. In Space #6, there was no Permission to Administer Medication form for one (1) tube of Babyganics SPF 50 Mineral Sunscreen. In Space #7a, there was no Permission to Administer Medication Form for one (1) can of Off Active Insect Repellent, one (1) bottle of Banana Boat Baby Mineral Based Sunscreen Lotion, one (1) tube of Babyganics SPF 50 Mineral Sunscreen, one (1) tube of Up and Up SPF 50 Sport Sunscreen, and one (1) Hawaiian Tropic Satin Protection Sun Lotion. In Space #7d1, there was no Permission to Administer Medication Form for one (2) bottle of Blue Lizard Australian Sunscreen, one (1) tube of Aveeno Baby Sensitive Skin Zinc Oxide Sunscreen, and one (1) tube of Sun Bum Kids Clear Sunscreen Lotion. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on May 23, 2023, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on June 8, 2023, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on December 5, 2022, one (1) staff member, employed on May 2, 2023, and one (1) staff member, employed on June 5, 2023, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training. One (1) staff member, employed on May 23, 2022, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training until September 4, 2022. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff members, both employed on May 23, 2022, did not complete the required health and safety trainings. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, enrolled on July 25, 2023, did not have a signature on file from the parent/guardian acknowledging the receipt and explanation of the facility’s Prevention of Shaken Baby Abusive Head Trauma Policy. .0608(b)(1-6) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The Administrator, employed on February 13, 2023, did not complete BSAC Training. One (1) staff member, employed on May 22, 2023, who is assigned to a school age group, did not complete BSAC Training. One (1) staff member, employed on May 2, 2023, who is assigned to a school age group, did not complete BSAC Training. One (1) staff member, employed on June 5, 2023, who is assigned to a school age group, did not complete BSAC Training. One (1) staff member, employed on January 2, 2023, who is assigned to a school age group, did not complete BSAC Training. .2510(j) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by September 20, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 78%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed at the entrance to each classroom. I suggested you remind staff to check the sign in and out systems daily to ensure each child is signed in and out of the facility every day. 2. Children are not permitted to occupy space that is not approved for child care. In order to add approved space to the facility, you must obtain approved building, fire, and sanitation inspections stating the space is approved for child care. Once these approved inspections are obtained, you may contact your child care consultant to request that the space be measured and approved. Effective immediately, children may not use the “music room” for any reason. 3. The staff member conducting playground inspections should thoroughly check the playground to ensure equipment and furnishings are sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions, and pinch and crush points. Any items that are considered hazardous, and all broken toys should be repaired or removed immediately. 4. Each center must establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures must be communicated to parents, and a copy must be posted in the center where they may be seen by the parents. I suggested you review your facility’s handbook and add procedures for safe pick-up and delivery. Once these procedures are created, you must post a copy of the procedures where they may be seen by parents. I provided you with procedures for writing safe pick-up and delivery procedures via email. 5. Fire drills must be conducted at least once a month and documented on a fire drill log. I suggested you set a reminder on your calendar and/or conduct fire drills on the same day as monthly playground inspections to ensure the drills are conducted as required. 6. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground) but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. You removed the medications from the first aid kit on the bus and locked the medication box in Space #7c during the visit. I suggested you check all new first aid kits to ensure no medications are contained inside and that you keep all boxes used to store medications locked at all times. 7. Child care providers and uncompensated providers who are not substitute providers or volunteers as including the director, must have a medical exam on file that is 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 may not be older than 12 months. I suggested you use the staff medical exam found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. You have staff file checklists inside each staff file. I suggested you use these checklists and review staff files regularly to ensure all information is on file in a timely manner. 8. All staff, including the director and individuals who volunteer more than once per week must have the results indicating the individual is free of active tuberculosis on file. This must be obtained within the 12 months prior to the date of employment and must be on file on or before the employee’s first day of work. New staff members should not be permitted to begin work until they have the results of a TB test showing negative results or screening form on file. I suggested you review staff files regularly to ensure all required information is on file in a timely manner. 9. Each center must 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 must complete six hours of orientation within the first two weeks of employment. Please use the Orientation Form found on the DCDEE website under the “Provider” tab. I provided you with this form via email. I suggested you set calendar reminders to ensure each new employee’s orientation is completed within the required timeframes. 10. After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, must participate in on-going training activities annually. Free, online training is available through DCDEE Moodle at https://www.dcdee.moodle.nc.gov/. The Partnership for Children of Lincoln and Gaston Counties also offers online and in-person trainings on a regular basis. You may view the Partnership’s training calendar by visiting https://www.eventbrite.com/o/partnership-for-children-of-lincoln-amp-gaston-counties-45331112. I provided you with an on-going training record via email. I suggested you use this form to track on-going training hours to ensure each employee receives the required number of annual training hours. 11. Personnel policies must be discussed with each employee at the time of employment and a copy of the policies must be available to all staff. Staff must be notified in writing of all changes in personnel policies. All personnel files of employees hired after April 1, 1999, must also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. I suggested you create a new employee packet to ensure all required policies are reviewed with staff members at the time of employment and documentation is maintained in each employee file. 12. All employees must have an Annual Staff Evaluation and Staff Development Plan on file. Each must be completed at least annually. I suggested you set a calendar reminder to ensure Staff Evaluations and Staff Development Plans are completed in a timely manner. 13. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually. 14. All children must have a medical exam and immunization record on file within the first thirty (30) days of enrollment. The medical assessment must be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam and immunization record during the enrollment process to ensure the documentation is on file in a timely manner. 15. Shelter-in-Place or Lockdown drills must be completed at least once every three (3) months. I suggested you create a calendar reminder to ensure drills are completed in a timely manner. Continue to document drills on the drill log form found on the DCDEE website. 16. Existing child care centers must have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Upon completion of the Emergency Preparedness and Response in Child Care training, the trained staff must develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care center will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disasters, or a dangerous person or persons in the vicinity, to ensure the safety and protection of the children and staff. The Emergency Preparedness and Response Plan must be reviewed and updated annually or as changes occur. You and six (6) additional staff members completed the Emergency Preparedness and Response training on August 24, 2023. I suggested you reach out to the trainer who conducted the class, or Kim Ward, Technical Assistant at the Partnership for Children of Lincoln and Gaston Counties at 704-922-0900 to request assistance in writing the facility’s Emergency Preparedness and Response Plan. I also suggested you set a calendar reminder to ensure the plan is reviewed and updated at least annually. 17. All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. All substitutes and volunteers counted in ratio must be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice must be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members after you review and update the plan each year. 18. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. Teachers should not accept a medication from a parent without an accompanying Permission to Administer Medication Form. Continue to use the forms found on the Division’s website under the “Provider Documents” tab. 19. All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you create a new employee packet to ensure all required documentation is reviewed and on file in a timely manner. 20. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/recognizing-responding-online-course/ I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. 21. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. 22. A copy of your facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy must be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. I suggested you review your enrollment packets to ensure all required forms and policies are included. 23. Staff, including the Administrator, in part-time, full day, or track-out school-age care programs required to complete BSAC training must do so within three (3) months of becoming employed. I suggested you reach out to the Partnership for Children of Lincoln and Gaston Counties at 7-4-922-0900 to request a BSAC training for staff assigned to the school age groups. Consultation: Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS 110-91 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 108 Completed Date: 9/6/2023 Age: From 0 To 10 Total Minutes: 481 Time In: 08:20 AM Time Out: 11:50 AM Time In: 12:44 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Amber Frady, Administrator, assisted me with today’s visit. Dinah Brown, Child Care Consultant, accompanied me on the visit. A checklist was used to note the requirements I monitored today. The NC Secretary of State website was viewed before the visit and Life4Kidz was current/active. You reported no changes in ownership to the facility. Your facility operates with a five (5) star license issued October 4, 2019. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, and children under 2 ½ years old in rooms with direct exits only. The last sanitation inspection was conducted on April 5, 2023. A “superior” classification was issued with six (6) demerits noted on the grade card. The last fire inspection was conducted on April 5, 2023. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three (3) children were not signed out on August 10, 2023. In Space #3, two (2) children were not signed out on July 31, 2023, and one (1) child was not signed out on September 5, 2023. In Space #5a, one (1) child was not signed out on August 15, 2023. In Space #5b, one (1) child was not signed out on August 3, 2023, two (2) children were not signed out on August 4, 2023, one (1) child was not signed out on August 8, 2023, one (1) child was not signed out on August 10, 2023, one (1) child was not signed out on August 15, 2023, one (1) child was not signed out on August 16, 2023, three (3) children were not signed out on August 17, 2023, two (2) children were not signed out on August 21, 2023, one (1) child was not signed out on August 23, 2023, two (2) children were not signed in on August 25, 2023, and one (1) child was not signed out on August 30, 2023. In Space #6, two (2) children were not signed out on August 7, 2023, five (5) children were not signed out on August 16, 2023, and one (1) child was not signed out on August 18, 2023. In Space #7a, three (3) children were not signed out on August 3, 2023. In Space #7d1, one (1) child was not signed out on August 25, 2023, one (1) child was not signed out on August 29, 2023, and one (1) child was not signed out on August 30, 2023. 10A NCAC 09 .0302(d)(4) 209 Children used space that was not approved. Five (5) children, two (2) and three (3) years of age were participating in gymnastics in an unapproved space identified as the “music room”. GS 110-91(1)&(4-5) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On Playground #1, there were two (2) broken pieces of a clear, plastic container, with sharp edges. On Playground #1, the refrigerator door on the plastic kitchen play set was broken and cracked causing sharp edges. On Playground #2, there were three (3) cracked interlocking plastic blocks with sharp edges. On Playground #3, there were five (5) broken plastic toy pieces with sharp edges. .0601(c) 801 Written procedures were not established for pick-up and delivery of children. The facility did not have safe procedures for pick-up and delivery established or posted. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in July 2023. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #7c, eleven (11) bottles of sunscreen, and one (1) can of Off Active Insect Repellent were in an unlocked box in an unlocked cabinet to the left of the stage. On the “small bus” used to transport children, two (2) packets of Tylenol Extra Strength Tablets, and one (1) tube of Neosporin plus Pain Relief Cream were in an unlocked first aid kit in the compartment under the radio. 15A NCAC 18A .2820(d) 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 (1) staff member, employed on October 31, 2022, one (1) staff member, employed on April 11, 2022, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on December 10, 2021, one (1) staff member, employed on September 12, 2022, one (1) staff member, employed on December 5, 2022, and one (1) staff member, employed on May 23, 2022 did not have a medical exam on file. One (1) staff member, employed on February 13, 2023 had a medical exam on file dated April 8, 2023. 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 (1) staff member, employed on February 13, 2023, had the results of a TB test on file dated April 8, 2023. One (1) staff member, employed on November 9, 2022, had the results of a TB test on file dated February 10, 2020. One (1) staff member, employed on October 31, 2022, did not have the results of a TB test on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff member, employed on August 1, 2023, one (1) staff member, employed on October 31, 2022, one (1) staff member, employed on January 2, 2023, one (1) staff member, employed on June 5, 2023, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on June 8, 2023, one (1) staff member, employed on February 13, 2023, one (1) staff member, employed on May 2, 2023, one (1) staff member, employed on October 5, 2022, one (1) staff member, employed on November 15, 2022, one (1) staff member, employed on May 22, 2023, one (1) staff member, employed on November 9, 2022, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on September 12, 2022, one (1) staff member, employed on December 5, 2022, one (1) staff member, employed on September 2, 2022, one (1) staff member, employed on August 23, 2023, and one (1) staff member, employed on May 23, 2022 did not have record of completion of orientation. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff member, employed on June 16, 2016, completed nine (9) of the required ten (10) annual on-going training hours. One (1) staff member, employed on February 15, 2018, completed six and a half (6.5) of the required ten (10) annual on-going training hours. .1103(a) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. Documentation of receipt and review of the facility’s personnel and operational policies was not on file for one (1) staff member, employed on October 31, 2022 and one (1) staff member, employed on June 5, 2023. The documentation of receipt and review of the facility’s personnel and operational policies was dated August 28, 2023 for one (1) staff member, employed on December 5, 2022. 10A NCAC 09 .0514(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff member, employed on April 11, 2022, one (1) staff member, employed on August 16, 2010, one (1) staff member, employed on December 2, 2019, one (1) staff member, employed on April 21, 2022, one (1) staff member, employed on January 3, 2022, one (1) staff member, employed on December 10, 2021, one (1) staff member, employed on February 27, 2017, one (1) staff member, employed on May 23, 2022, one (1) staff member, employed on February 15, 2018, one (1) staff member, employed on September 2, 2022, and one (1) staff member, employed on May 23, 2022 did not have an Annual Staff Evaluation and Staff Development Plan on file within the past year. 10A NCAC 09 .0514(f) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency information for one (1) child, enrolled on August 16, 2022 was last updated August 11, 2022. The emergency information for one (1) child, enrolled on August 31, 2020 was last updated on February 10, 2022. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, enrolled on August 16, 2022, one (1) child, enrolled on April 11, 2023, one (1) child, enrolled on January 16, 2023, and one (1) child, enrolled on October 31, 2022 did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 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) child, enrolled on August 16, 2022, and one (1) child, enrolled on January 16, 2023, did not have an immunization record on file. 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 last shelter-in-place or lockdown drill was conducted on November 21, 2022. .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. No staff members reviewed the facility’s Emergency Preparedness and Response Plan within the past year or during orientation. The facility does not have an Emergency Preparedness and Response Plan on file. .0607(f) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. The new Administrator, hired on February 13, 2023, completed the Emergency Preparedness and Response Training on August 24, 2023. There was no Emergency Preparedness and Response Plan on file. .0607(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff member, employed on December 5, 2022, and one (1) staff member, employed on May 23, 2022, did not have a signature acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy on file. One (1) staff member, employed on May 2, 2023, had a signature on file acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy dated August 30, 2023. One (1) staff member, employed on October 31, 2022, had a signature on file acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy dated November 7, 2022. One (1) staff member, employed on January 2, 2023, had a signature on file acknowledging receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy dated January 3, 2023. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #1, there was no Permission to Administer Medication Form for one (1) tube of Banana Boat Sport Ultra Sunscreen Lotion and one (1) tube of Babyganics SPF 50 Mineral Sunscreen. In Space #2a/b, the Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste expired on August 23, 2023. In Space #3, there was no Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste. In Space #4, there was no Permission to Administer Medication Form for one (1) tube of Boudreauxs Butt Paste Diaper Rash Ointment and two (2) tubes of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste. In Space #5a, there was no Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste, one (1) bottle of Blue Lizard Australian Sunscreen, and one (1) tube of Babo Botanicals Baby Skin Mineral Sunscreen. In Space #6, there was no Permission to Administer Medication form for one (1) tube of Babyganics SPF 50 Mineral Sunscreen. In Space #7a, there was no Permission to Administer Medication Form for one (1) can of Off Active Insect Repellent, one (1) bottle of Banana Boat Baby Mineral Based Sunscreen Lotion, one (1) tube of Babyganics SPF 50 Mineral Sunscreen, one (1) tube of Up and Up SPF 50 Sport Sunscreen, and one (1) Hawaiian Tropic Satin Protection Sun Lotion. In Space #7d1, there was no Permission to Administer Medication Form for one (2) bottle of Blue Lizard Australian Sunscreen, one (1) tube of Aveeno Baby Sensitive Skin Zinc Oxide Sunscreen, and one (1) tube of Sun Bum Kids Clear Sunscreen Lotion. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on May 23, 2023, one (1) staff member, employed on October 3, 2022, one (1) staff member, employed on October 17, 2022, one (1) staff member, employed on June 8, 2023, one (1) staff member, employed on September 19, 2022, one (1) staff member, employed on December 5, 2022, one (1) staff member, employed on May 2, 2023, and one (1) staff member, employed on June 5, 2023, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training. One (1) staff member, employed on May 23, 2022, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training until September 4, 2022. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff members, both employed on May 23, 2022, did not complete the required health and safety trainings. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, enrolled on July 25, 2023, did not have a signature on file from the parent/guardian acknowledging the receipt and explanation of the facility’s Prevention of Shaken Baby Abusive Head Trauma Policy. .0608(b)(1-6) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The Administrator, employed on February 13, 2023, did not complete BSAC Training. One (1) staff member, employed on May 22, 2023, who is assigned to a school age group, did not complete BSAC Training. One (1) staff member, employed on May 2, 2023, who is assigned to a school age group, did not complete BSAC Training. One (1) staff member, employed on June 5, 2023, who is assigned to a school age group, did not complete BSAC Training. One (1) staff member, employed on January 2, 2023, who is assigned to a school age group, did not complete BSAC Training. .2510(j) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by September 20, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 78%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed at the entrance to each classroom. I suggested you remind staff to check the sign in and out systems daily to ensure each child is signed in and out of the facility every day. 2. Children are not permitted to occupy space that is not approved for child care. In order to add approved space to the facility, you must obtain approved building, fire, and sanitation inspections stating the space is approved for child care. Once these approved inspections are obtained, you may contact your child care consultant to request that the space be measured and approved. Effective immediately, children may not use the “music room” for any reason. 3. The staff member conducting playground inspections should thoroughly check the playground to ensure equipment and furnishings are sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions, and pinch and crush points. Any items that are considered hazardous, and all broken toys should be repaired or removed immediately. 4. Each center must establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures must be communicated to parents, and a copy must be posted in the center where they may be seen by the parents. I suggested you review your facility’s handbook and add procedures for safe pick-up and delivery. Once these procedures are created, you must post a copy of the procedures where they may be seen by parents. I provided you with procedures for writing safe pick-up and delivery procedures via email. 5. Fire drills must be conducted at least once a month and documented on a fire drill log. I suggested you set a reminder on your calendar and/or conduct fire drills on the same day as monthly playground inspections to ensure the drills are conducted as required. 6. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground) but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. You removed the medications from the first aid kit on the bus and locked the medication box in Space #7c during the visit. I suggested you check all new first aid kits to ensure no medications are contained inside and that you keep all boxes used to store medications locked at all times. 7. Child care providers and uncompensated providers who are not substitute providers or volunteers as including the director, must have a medical exam on file that is 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 may not be older than 12 months. I suggested you use the staff medical exam found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. You have staff file checklists inside each staff file. I suggested you use these checklists and review staff files regularly to ensure all information is on file in a timely manner. 8. All staff, including the director and individuals who volunteer more than once per week must have the results indicating the individual is free of active tuberculosis on file. This must be obtained within the 12 months prior to the date of employment and must be on file on or before the employee’s first day of work. New staff members should not be permitted to begin work until they have the results of a TB test showing negative results or screening form on file. I suggested you review staff files regularly to ensure all required information is on file in a timely manner. 9. Each center must 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 must complete six hours of orientation within the first two weeks of employment. Please use the Orientation Form found on the DCDEE website under the “Provider” tab. I provided you with this form via email. I suggested you set calendar reminders to ensure each new employee’s orientation is completed within the required timeframes. 10. After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, must participate in on-going training activities annually. Free, online training is available through DCDEE Moodle at https://www.dcdee.moodle.nc.gov/. The Partnership for Children of Lincoln and Gaston Counties also offers online and in-person trainings on a regular basis. You may view the Partnership’s training calendar by visiting https://www.eventbrite.com/o/partnership-for-children-of-lincoln-amp-gaston-counties-45331112. I provided you with an on-going training record via email. I suggested you use this form to track on-going training hours to ensure each employee receives the required number of annual training hours. 11. Personnel policies must be discussed with each employee at the time of employment and a copy of the policies must be available to all staff. Staff must be notified in writing of all changes in personnel policies. All personnel files of employees hired after April 1, 1999, must also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. I suggested you create a new employee packet to ensure all required policies are reviewed with staff members at the time of employment and documentation is maintained in each employee file. 12. All employees must have an Annual Staff Evaluation and Staff Development Plan on file. Each must be completed at least annually. I suggested you set a calendar reminder to ensure Staff Evaluations and Staff Development Plans are completed in a timely manner. 13. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually. 14. All children must have a medical exam and immunization record on file within the first thirty (30) days of enrollment. The medical assessment must be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam and immunization record during the enrollment process to ensure the documentation is on file in a timely manner. 15. Shelter-in-Place or Lockdown drills must be completed at least once every three (3) months. I suggested you create a calendar reminder to ensure drills are completed in a timely manner. Continue to document drills on the drill log form found on the DCDEE website. 16. Existing child care centers must have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Upon completion of the Emergency Preparedness and Response in Child Care training, the trained staff must develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care center will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disasters, or a dangerous person or persons in the vicinity, to ensure the safety and protection of the children and staff. The Emergency Preparedness and Response Plan must be reviewed and updated annually or as changes occur. You and six (6) additional staff members completed the Emergency Preparedness and Response training on August 24, 2023. I suggested you reach out to the trainer who conducted the class, or Kim Ward, Technical Assistant at the Partnership for Children of Lincoln and Gaston Counties at 704-922-0900 to request assistance in writing the facility’s Emergency Preparedness and Response Plan. I also suggested you set a calendar reminder to ensure the plan is reviewed and updated at least annually. 17. All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. All substitutes and volunteers counted in ratio must be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice must be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members after you review and update the plan each year. 18. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. Teachers should not accept a medication from a parent without an accompanying Permission to Administer Medication Form. Continue to use the forms found on the Division’s website under the “Provider Documents” tab. 19. All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you create a new employee packet to ensure all required documentation is reviewed and on file in a timely manner. 20. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/recognizing-responding-online-course/ I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. 21. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. 22. A copy of your facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy must be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. I suggested you review your enrollment packets to ensure all required forms and policies are included. 23. Staff, including the Administrator, in part-time, full day, or track-out school-age care programs required to complete BSAC training must do so within three (3) months of becoming employed. I suggested you reach out to the Partnership for Children of Lincoln and Gaston Counties at 7-4-922-0900 to request a BSAC training for staff assigned to the school age groups. Consultation: Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0801 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: JULIA ARMSTRONG Operation Type: Center Case Number: 0823-200A Visit Date: 8/17/2023 Number Present: 68 Completed Date: 8/17/2023 Age: From 0 To 5 Total Minutes: 215 Time In: 11:35 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Amber Fraday, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Fraday and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 209 Children used space that was not approved. On 8/8/23 and 8/17/23, school-aged children were unlicensed space, which staff identified as the movie room. GS 110-91(1)&(4-5) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Three staff members cared for 31 school-aged children in one space. GS 110-91(7);.0713(a-d) 428 A current activity plan was not posted for each group of children for reference. An activity plan was posted; however, staff failed to follow the posted plan. Specifically, the plan stated school-aged children had movie, quiet time, or arts and crafts between 1:30-2:45; however, children were routinely in the movie room, watching a movie between 3-3:30 pm. Additionally, the children watched tv when it was too hot to go outside. GS 110-91(12); .0508(a) 476 Staff did not use the list of participating children to check attendance when leaving the center, periodically when the children were involved in the activity, before leaving the activity to return to the center, and/or upon return to the center. Staff did not document children entering and exiting the facility vehicle during off premise activities and did not document departure from and arrival to the facility when transporting children. .1005(b)(6) 481 A list of all children participating in the off premise activity was not available at the center. The center staff did not maintain a list of children participating in off-premise activities at the center. .1005(b)(6) 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Screen time was not limited to 30 minutes per day and two and half hours per week. The activity schedule listed 45 minutes of screen time daily. Screen time outside of those times was not documented on a cumulative log. Children watched a movie that was rated PG and was not developmentally appropriate for children. .2508(e)(1-5) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. A child who participated in an off premise activity on 8/8/23 did not have a signed permission form to be transported. .1003(i)(j) 1302 Individual applications were not on file for each child. An application was not on file for an enrolled child. 10A NCAC 09 .0801(a) 1424 School-aged children were not adequately supervised. Staff were not that multiple children engaged in inappropriate activities on multiple occasions. .2506(d)(1-3) You may contact me at Julia Armstrong, Investigations Consultant, 828-228-4614, Julia.armstrong@dhhs.nc.gov or Natosha Lambeth, Western Investigations Consultant, Natosha.lambeth@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
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GS 110-91 · Violation
Name of Operation: LIFE 4 KIDZ Facility ID: 36000326 Consultant: JULIA ARMSTRONG Operation Type: Center Case Number: 0823-200A Visit Date: 8/17/2023 Number Present: 68 Completed Date: 8/17/2023 Age: From 0 To 5 Total Minutes: 215 Time In: 11:35 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Amber Fraday, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Fraday and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 209 Children used space that was not approved. On 8/8/23 and 8/17/23, school-aged children were unlicensed space, which staff identified as the movie room. GS 110-91(1)&(4-5) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Three staff members cared for 31 school-aged children in one space. GS 110-91(7);.0713(a-d) 428 A current activity plan was not posted for each group of children for reference. An activity plan was posted; however, staff failed to follow the posted plan. Specifically, the plan stated school-aged children had movie, quiet time, or arts and crafts between 1:30-2:45; however, children were routinely in the movie room, watching a movie between 3-3:30 pm. Additionally, the children watched tv when it was too hot to go outside. GS 110-91(12); .0508(a) 476 Staff did not use the list of participating children to check attendance when leaving the center, periodically when the children were involved in the activity, before leaving the activity to return to the center, and/or upon return to the center. Staff did not document children entering and exiting the facility vehicle during off premise activities and did not document departure from and arrival to the facility when transporting children. .1005(b)(6) 481 A list of all children participating in the off premise activity was not available at the center. The center staff did not maintain a list of children participating in off-premise activities at the center. .1005(b)(6) 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Screen time was not limited to 30 minutes per day and two and half hours per week. The activity schedule listed 45 minutes of screen time daily. Screen time outside of those times was not documented on a cumulative log. Children watched a movie that was rated PG and was not developmentally appropriate for children. .2508(e)(1-5) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. A child who participated in an off premise activity on 8/8/23 did not have a signed permission form to be transported. .1003(i)(j) 1302 Individual applications were not on file for each child. An application was not on file for an enrolled child. 10A NCAC 09 .0801(a) 1424 School-aged children were not adequately supervised. Staff were not that multiple children engaged in inappropriate activities on multiple occasions. .2506(d)(1-3) You may contact me at Julia Armstrong, Investigations Consultant, 828-228-4614, Julia.armstrong@dhhs.nc.gov or Natosha Lambeth, Western Investigations Consultant, Natosha.lambeth@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
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